User Acceptance of Teleradiology in Kenya a Case Study of Two Teleradiology Centers in Nairobi County

Abstract

The general shortage of radiologists in the world and more also in developing countries such as Kenya has made teleradiology to be explored as a potential solution to improving access to radiology services. Teleradiology is a subset of telemedicine that allows medical images to be transmitted and accessed remotely over IT networks for clinical interpretation and diagnosis. Despite the wide adoption of this technology, there are still challenges encountered during implementation such as user resistance. This study purposed to develop a new technology acceptance model based on the baseline UTAUT model to investigate the determinants of acceptance of teleradiology systems in Kenya. The extended model would be validated using empirical data collected. A cross-sectional exploratory study was used at two teleradiology centers in Nairobi county and questionnaires were used as the main data collection instrument. SPSS software was used to analyze the data collected. Descriptive and Inferential statistics were used to draw the key findings and conclusion of the study. The total number of valid questionnaires returned was 50 against a target of 60 which represented a response rate of 83% from the two teleradiology centers. Data analysis results showed that all the independent variables jointly accounted for 24.4% of variation in teleradiology acceptance(dependent variable). A significance value (P-value) of 0.002(<0.05) implied that the conceptual model was statistically significant at the 5% significance level. Effort Expectancy was the most significant predictor of teleradiology acceptance in this study. Theoretically, the findings from this case study can still be leveraged on to explain acceptance of other types of Health Information Systems in other similar settings. Practically, findings from this study have practical significance and contribution to management and system implementation groups on the approaches to use in implementation of HIS.