Department of Health Informatics, College of Health Science, Mattu University, Metu, Ethiopia.
Department of Public Health, College of Medicine and Health Sciences, Arsi University, Asella, Ethiopia.
PLoS One. 2023 Aug 10;18(8):e0287991. doi: 10.1371/journal.pone.0287991. eCollection 2023.
eHealth is the use of information and communications technologies in support of health and health-related fields, including healthcare services, health surveillance, health literature, and health education knowledge and research, has the potential to improve the delivery and support of healthcare services by promoting information sharing and evidence-based health practice. Acceptance of e-health in Ethiopia using systematic review is uncertain. As a result, this study aimed to assess barriers and facilitators of the sustainable acceptance of e-health system adoption in Ethiopia through a systematic review of the literature.
The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist was used to conduct this study. Relevant articles have been searched in Google Scholar, Medline, PubMed, Embrace, Web of Science, Scopus, Cochrane Library, and empirical research done in Ethiopia is the main emphasis of the search strategy. The total number of studies that satisfied the criteria for inclusion was ten. In this research, empirical data related to e-health acceptance factors were retrieved, examined, and summarized by the authors.
This systematic review identified a total of 25 predictors that have been found in the ten studies. The identified facilitators were effort expectancy, performance expectancy, facilitating conditions, social influences, attitude, computer literacy, participant age, perceived enjoyment, and educational status, duration of mobile device use, organizational culture, and habit. Moreover, technology anxiety was the most barrier to sustainable acceptance of e-health systems in Ethiopia.
The most common facilitator identified from the predictors was effort expectancy, which played a major role in the adoption of the e-health system in Ethiopia. Therefore, eHealth implementers and managers in those settings should give users of the system priority in improving the technical infrastructure by regularly providing them with basic facilitating conditions. They should also pay attention to the system they want to implement because doing so will improve the users' perception of the system's value and attitude.
电子健康（eHealth）是利用信息和通信技术支持卫生和卫生相关领域，包括医疗保健服务、卫生监测、卫生文献、卫生教育知识和研究，有潜力通过促进信息共享和循证卫生实践来改善医疗保健服务的提供和支持。在埃塞俄比亚，系统评价对电子健康的接受程度尚不确定。因此，本研究旨在通过对文献的系统评价来评估埃塞俄比亚可持续接受电子健康系统采用的障碍和促进因素。
本研究使用了系统评价和荟萃分析的首选报告项目（PRISMA）清单。在 Google Scholar、Medline、PubMed、Embrace、Web of Science、Scopus、Cochrane 图书馆以及在埃塞俄比亚进行的实证研究中搜索了相关文章。搜索策略的重点是在埃塞俄比亚进行的实证研究。在这项研究中，作者检索、检查和总结了与电子健康接受因素相关的实证数据。
这项系统评价总共确定了 25 个已在 10 项研究中发现的预测因素。确定的促进因素包括努力期望、绩效期望、促进条件、社会影响、态度、计算机素养、参与者年龄、感知乐趣和教育程度、移动设备使用时间、组织文化和习惯。此外，技术焦虑是埃塞俄比亚可持续接受电子健康系统的最大障碍。
从预测因素中识别出的最常见的促进因素是努力期望，它在埃塞俄比亚电子健康系统的采用中起着重要作用。因此，这些环境中的电子健康实施者和管理者应优先考虑为系统用户提供基本的促进条件，以改善技术基础设施。他们还应该关注他们想要实施的系统，因为这样做将提高用户对系统价值和态度的感知。
