Impact of Telemedicine Adoption on Healthcare Accessibility among Rural Populations in Uganda

Authors

  • Ali Fadhul Uganda Martyrs University

DOI:

https://doi.org/10.47672/ajhmn.1913
Abstract views: 27
PDF downloads: 16

Keywords:

Telemedicine, Adoption, Healthcare Accessibility, Rural Populations

Abstract

Purpose: The aim of the study was to assess the impact of telemedicine adoption on healthcare accessibility among rural populations in Uganda.

Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.

Findings: The adoption of telemedicine has demonstrated a significant impact on improving healthcare accessibility among rural populations. By leveraging telecommunications technology, telemedicine has overcome geographical barriers, allowing rural residents to access healthcare services remotely. Telemedicine has led to a reduction in travel distances and associated costs for patients residing in remote areas, consequently increasing their access to medical consultations, specialist care, and follow-up appointments. Moreover, telemedicine has facilitated timely interventions for acute conditions, enhancing early diagnosis and treatment initiation, thereby preventing health complications and reducing the burden on rural healthcare facilities.

Implications to Theory, Practice and Policy:  Diffusion of innovation theory, health belief model and social cognitive theory may be used to anchor future studies on assessing the impact of telemedicine adoption on healthcare accessibility among rural populations in Uganda. Strengthen telemedicine infrastructure and technology platforms in rural areas, ensuring reliable connectivity and user-friendly interfaces to facilitate seamless access to healthcare services.  Advocate for policy reforms that support the expansion and sustainability of telemedicine services in rural areas, including reimbursement policies that incentivize telemedicine adoption among healthcare providers and payers.

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References

Abdel-Tawab, N., El-Gazzar, F. E., & El-Hawy, R. M. (2020). Challenges of the Egyptian health insurance system and the prospects of its development. Medical Journal of Cairo University, 88(7), 573-578. https://doi.org/10.21608/mjcu.2020.116527

Ahmed, S. M., Evans, T. G., Standing, H., Mahmud, S., & Rashid, S. F. (2019). Towards a system of universal health coverage in Bangladesh: a community-based health insurance scheme targeted to the rural poor. Health Policy and Planning, 34(3), 194-204. https://doi.org/10.1093/heapol/czy126

Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.

Bhatia, J. C., & Gupta, I. (2018). Availability of healthcare services and malnutrition in India. The Lancet Global Health, 6(2), e153-e154. https://doi.org/10.1016/S2214-109X(17)30485-9

Chen, Y., Wang, H., & Wei, L. Q. (2019). Telemedicine Adoption and Healthcare Accessibility in Rural China: A Quasi-Experimental Study. International Journal of Medical Informatics, 128, 44-51.

El-Gazzar, F. E., Salem, M. R., & Elhadi, Y. A. (2019). Health systems performance assessment: health systems challenges and prospects for reform in Egypt. Eastern Mediterranean Health Journal, 25(8), 573-580. https://doi.org/10.26719/emhj.19.008

Fatusi, A. O., & Wang, W. (2020). Regional inequalities in neonatal, infant and under-five mortality in Nigeria: a population-based analysis. BMJ Global Health, 5(2), e002475. https://doi.org/10.1136/bmjgh-2020-002475

Fenton, J. J., Jerant, A. F., Bertakis, K. D., & Franks, P. (2018). The cost of satisfaction: a national study of patient satisfaction, health care utilization, expenditures, and mortality. Archives of Internal Medicine, 172(5), 405-411. https://doi.org/10.1001/archinternmed.2011.1662

Gitonga, E., Muiruri, C., & Nzioki, J. (2018). Factors influencing access to healthcare services in informal settlements in Kenya. International Journal of Public Health Research, 6(2), 112-119. https://doi.org/10.11648/j.ijphr.20180602.16

Gupta, S., Mathew, R., & Chatterjee, S. (2022). Telemedicine Adoption and Healthcare Accessibility among Rural Populations in India: A Qualitative Study. Journal of Rural Health, 38(1), 125-134.

Janz, N. K., & Becker, M. H. (1984). The Health Belief Model: A decade later. Health Education Quarterly, 11(1), 1-47. https://doi.org/10.1177/109019818401100101

Johnson, R., Moustakas, E., Kruse, C. S., & Fickenscher, K. (2018). The Effects of Telemedicine Adoption on Healthcare Accessibility in Rural Australia: A Longitudinal Study. Journal of Telemedicine and Telecare, 24(10), 686-693.

Kadir, M. A., Khalil, M. I., Akhtar, M. S., & Hossain, M. S. (2021). Telemedicine Adoption in Rural Areas of Bangladesh: A Study on the COVID-19 Pandemic Perspective. Journal of Healthcare Engineering, 2021, 1-9. https://doi.org/10.1155/2021/6672495

Kementerian Kesehatan Republik Indonesia. (2019). Pos Pelayanan Terpadu (Posyandu) [Integrated Service Post (Posyandu)]. Retrieved from https://www.kemkes.go.id/article/print/19032900002/pos-pelayanan-terpadu-posyandu.html

Lee, J. H., Choi, M., Kim, S., & Lee, J. (2021). The Impact of Telemedicine Adoption on Healthcare Accessibility among Rural Elderly Populations in South Korea: A Pre-Post Intervention Study. BMC Health Services Research, 21(1), 1-10.

Mehrotra, A., Jena, A. B., Busch, A. B., Souza, J., Uscher-Pines, L., Landon, B. E., & Leffler, D. A. (2019). Utilization of telemedicine among rural Medicare beneficiaries. JAMA, 321(3), 306-308. https://doi.org/10.1001/jama.2018.18743

Ministry of Health, Labour and Welfare of Japan. (2020). Annual Health, Labour and Welfare Report 2019. Retrieved from https://www.mhlw.go.jp/english/wp/wp-hw11/dl/02e.pdf

Nguyen, T., Smith, J., Garcia, M., & Kim, Y. (2023). Telemedicine Adoption and Healthcare Accessibility among Migrant Farmworkers in Rural United States: A Mixed-Methods Study. Journal of Immigrant and Minority Health, 25(1), 94-102.

Nxumalo, N., Goudge, J., Manderson, L., & Gilson, L. (2018). Capacity of health system managers to use information for decision-making in Gauteng province, South Africa. Global Health Action, 11(1), 1469393. https://doi.org/10.1080/16549716.2018.1469393

Pacheco, J. C., & Pereira, C. (2020). The More Doctors Program and healthcare access in the Brazilian Amazon. Cadernos de Saúde Pública, 36(5), e00180719. https://doi.org/10.1590/0102-311x00180719

Paim, J., Travassos, C., Almeida, C., Bahia, L., & Macinko, J. (2019). The Brazilian health system: history, advances, and challenges. The Lancet, 394(10195), 377-386. https://doi.org/10.1016/S0140-6736(19)31243-7

Patel, P. R., Akl, E. A., & Shortell, S. M. (2020). Telemedicine Adoption and Healthcare Accessibility among Indigenous Populations in Rural Canada: A Community-Based Participatory Research Study. Journal of Telemedicine and Telecare, 26(8), 473-481.

Pillay-van Wyk, V., Msemburi, W., Laubscher, R., Dorrington, R. E., Groenewald, P., Glass, T., Nojilana, B., & Joubert, J. D. (2020). Mortality trends and differentials in South Africa from 1997 to 2012: second National Burden of Disease Study. The Lancet Global Health, 8(4), e491-e502. https://doi.org/10.1016/S2214-109X(20)30033-8

Portnoy, J., Waller, M., Elliott, T. (2020). Telemedicine in the Era of COVID-19. Journal of Allergy and Clinical Immunology: In Practice, 8(5), 1489-1491. https://doi.org/10.1016/j.jaip.2020.03.008

Rogers, E. M. (2010). Diffusion of innovations. Simon and Schuster.

Scott Kruse, C., Karem, P., Shifflett, K., Vegi, L., Ravi, K., & Brooks, M. (2017). Evaluating barriers to adopting telemedicine worldwide: A systematic review. Journal of Telemedicine and Telecare, 24(1), 4-12. https://doi.org/10.1177/1357633X16674087

Smith, A. B., O'Malley, G., Zallman, L., & Sacks, C. A. (2017). The Impact of Telemedicine Adoption on Healthcare Accessibility Among Rural Populations: A Mixed-Methods Study. Journal of Rural Health, 33(4), 359-368.

Sudigdoadi, S., Ratnawati, R., & Indarjo, B. (2018). The influence of geography and social distance on the utilization of health services by the poor and non-poor population in a rural region in Indonesia. Global Health Action, 11(1), 1424601. https://doi.org/10.1080/16549716.2018.1424601

Villanueva, R., Chen, Z., & Chen, N. (2020). The role of digital literacy in rural telemedicine. Journal of Rural Health, 36(1), 173-177. https://doi.org/10.1111/jrh.12413

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Published

2024-04-07

How to Cite

Fadhul, A. . (2024). Impact of Telemedicine Adoption on Healthcare Accessibility among Rural Populations in Uganda. American Journal of Health, Medicine and Nursing Practice, 10(2), 49 - 60. https://doi.org/10.47672/ajhmn.1913

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