Skip to main content
Springer Nature Link
Log in

Development of a Survey Instrument to Explore Telehealth Adoption in the Healthcare Domain

  • Conference paper
  • First Online:
Human Interface and the Management of Information. Information-Rich and Intelligent Environments (HCII 2021)

Part of the book series: Lecture Notes in Computer Science ((LNISA,volume 12766))

Included in the following conference series:

  • 840 Accesses

Abstract

The purpose of this paper is to present a validated and reliable survey instrument to explore the determinants of telehealth adoption by healthcare professionals in developing countries. The survey instrument has been procreated for measuring the determinants of telehealth adoption in the Indian healthcare domain. A research design was conceived whereby three stages of methodologies were applied to establish and confirm the determinants. The stages are literature review, qualitative data collection and analysis, and finally, a survey for quantitative analysis generalising the findings over a large population to validate the findings of the first two stages. While the literature review and qualitative findings validated the perceived determinants or the items of the survey, the internal consistency or reliability of the items has been established by the survey conducted in India in the month of January to February 2020. A total of 11 responses were received by the online survey out of which 7 were full responses. Further, in the paper mode survey, 1,000 surveys were distributed among the Indian healthcare professionals out of which 343 completed responses were collected afterwards. The outcome of the pilot stage survey that stemmed out from the survey development process was a comprehensive 97-item survey instrument, based on 5 point Likert-scale, along with acceptable levels of internal consistency and validity. The contribution of the paper lies with providing a validated, and reliable survey instrument which could be utilised for telehealth adoption or ICT adoption research in healthcare domains in developing countries.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Adamson, G.: The persistent challenge of health informatics. Inf. Commun. Soc. 19(4), 551–558 (2016). https://doi.org/10.1080/1369118X.2015.1118523

    Article  Google Scholar 

  • Ahmadi, H., Nilashi, M., Ibrahim, O.: Prioritizing critical factors to successful adoption of total hospital information system. J. Soft Comput. Decis. Support Syst. 2(4), 6–16 (2015)

    Google Scholar 

  • Alaboudi, A., Atkins, A., Sharp, B., Balkhair, A., Alzahrani, M., Sunbul, T.: Barriers and challenges in adopting Saudi telemedicine network: the perceptions of decision makers of healthcare facilities in Saudi Arabia. J. Inf. Public Health 9(6), 725–733 (2016)

    Article  Google Scholar 

  • Anwar, S., Prasad, R.: Framework for future telemedicine planning and infrastructure using 5G technology. Wireless Pers. Commun. 100(1), 193–208 (2018)

    Article  Google Scholar 

  • Balarajan, Y., Selvaraj, S., Subramanian, S.V.: Health care and equity in India. Lancet 377(9764), 505–515 (2011). https://doi.org/10.1016/S0140-6736(10)61894-6

    Article  Google Scholar 

  • Brancheau, J.C., Wetherbe, J.C.: The adoption of spreadsheet software: testing innovation diffusion theory in the context of end-user computing. Inf. Syst. Res. 1(2), 115–143 (1990)

    Article  Google Scholar 

  • Bretschneider, S.: Management information systems in public and private organizations: an empirical test. Public Admin. Rev. 536–545 (1990)

    Google Scholar 

  • Brindha, G.: Emerging trends of telemedicine in India. Indian J. Sci. Technol. 6(sup 5) (2013)

    Google Scholar 

  • Chandwani, R.K., Dwivedi, Y.K.: Telemedicine in India: current state, challenges and opportunities. Transform. Govern. People Process Policy 9(4), 393–400 (2015)

    Google Scholar 

  • Chismar, W.G., Wiley-Patton, S.: Does the extended technology acceptance model apply to physicians. Paper presented at the Proceedings of the 36th Annual Hawaii International Conference on System Sciences 2003 (2003)

    Google Scholar 

  • Cho, S., Mathiassen, L., Gallivan, M.: Crossing the diffusion chasm: from invention to penetration of a telehealth innovation. Inf. Technol. People 22(4), 351–366 (2009). https://doi.org/10.1108/09593840911002450

    Article  Google Scholar 

  • Cho, S., Mathiassen, L., Robey, D.: Dialectics of resilience: a multi-level analysis of a telehealth innovation. J. Inf. Technol. 22(1), 24–35 (2007). https://doi.org/10.1057/palgrave.jit.2000088

    Article  Google Scholar 

  • Chowdhury, A., Hafeez-Baig, A., Gururajan, R., Chakraborty, S.: Conceptual framework for telehealth adoption in Indian healthcare. Paper presented at the 24th Annual Conference of the Asia Pacific Decision Sciences Institute: Full papers (2019)

    Google Scholar 

  • Confederation of Indian Industry, & KPMG. Building ICT Infrastructure - Connecting the unconnected (2017)

    Google Scholar 

  • Cooper, R.B., Zmud, R.W.: Information technology implementation research: a technological diffusion approach. Manage. Sci. 36(2), 123–139 (1990)

    Article  Google Scholar 

  • Cunningham, C.T., et al.: Exploring physician specialist response rates to web-based surveys. BMC Med. Res. Methodol. 15(1), 32 (2015)

    Article  Google Scholar 

  • Depietro, R., Wiarda, E., Fleischer, M.: The context for change: organization, technology and environment. In: Tornatzky, L.G., Fleischer, M. (eds.) The processes of technological innovation, pp. 151–175. Lexington Books, Lexington, MA (1990)

    Google Scholar 

  • Dwivedi, A., Bali, R.K., James, A.E., Naguib, R.N.G.: Telehealth systems: considering knowledge management and ICT issues. Paper presented at the 2001 Conference Proceedings of the 23rd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (2001)

    Google Scholar 

  • Dwivedi, Y.K., Choudrie, J., Brinkman, W.P.: Development of a survey instrument to examine consumer adoption of broadband. Ind. Manag. Data Syst. (2006)

    Google Scholar 

  • Faber, S., Van Geenhulzen, M., de Reuver, M.: eHealth adoption factors in medical hospitals: a focus on the Netherlands. Int. J. Med. Informatics 100, 77–89 (2017). https://doi.org/10.1016/j.ijmedinf.2017.01.009

    Article  Google Scholar 

  • Fichman, R.G.: Information technology diffusion: a review of empirical research. Paper presented at the ICIS (1992)

    Google Scholar 

  • Ghani, M.K.A., Jaber, M.M.: Willingness to adopt telemedicine in major Iraqi hospitals: a pilot study. Int. J. Telemed. Appl. 2015, 6 (2015)

    Google Scholar 

  • Ghia, C.J., Ved, J.K., Jha, R.K.: Benefits of Telemedicine and Barriers to its Effective Implementation in Rural India: A Multicentric E-Survey (2013)

    Google Scholar 

  • Hair, J.F., Black, W.C., Babin, B.J., Anderson, R.E., Tatham, R.L.: Multivariate Data Analysis, 5 edn. Prentice Hall, Upper Saddle River (1998)

    Google Scholar 

  • Haynes, S.N., Richard, D., Kubany, E.S.: Content validity in psychological assessment: a functional approach to concepts and methods. Psychol. Assess. 7(3), 238 (1995)

    Article  Google Scholar 

  • Hohwü, L., Lyshol, H., Gissler, M., Jonsson, S.H., Petzold, M., Obel, C.: Web-based versus traditional paper questionnaires: a mixed-mode survey with a nordic perspective. J. Med. Internet Res. 15(8), e173 (2013). https://doi.org/10.2196/jmir.2595

    Article  Google Scholar 

  • Hu, P.J.-H., Chau, P.Y.K., Liu Sheng, O.R.: Adoption of telemedicine technology by health care organizations: an exploratory study. J. Organ. Comput. Electron. Commer. 12(3), 197–221 (2002)

    Article  Google Scholar 

  • Janda, M., et al.: Evaluating healthcare practitioners’ views on store-and-forward teledermoscopy services for the diagnosis of skin cancer. Digit. Health 5, 2055207619828225 (2019)

    Google Scholar 

  • Keil, M., Beranek, P.M., Konsynski, B.R.: Usefulness and ease of use: field study evidence regarding task considerations. Decis. Support Syst. 13(1), 75–91 (1995)

    Article  Google Scholar 

  • Kimberly, J.R., Evanisko, M.J.: Organizational innovation: the influence of individual, organizational, and contextual factors on hospital adoption of technological and administrative innovations. Acad. Manag. J. 24(4), 689–713 (1981)

    Article  Google Scholar 

  • Kumar, A., Ahmad, S.: A review study on utilization of telemedicine and e-health services in public health. Asian Pac. J. Health Sci. 2(1), 60–68 (2015)

    Article  Google Scholar 

  • Langbecker, D., Caffery, L.J., Gillespie, N., Smith, A.C.: Using survey methods in telehealth research: A practical guide. J. Telemed. Telecare 23(9), 770–779 (2017)

    Article  Google Scholar 

  • Lian, J.-W., Yen, D.C., Wang, Y.-T.: An exploratory study to understand the critical factors affecting the decision to adopt cloud computing in Taiwan hospital. Int. J. Inf. Manage. 34(1), 28–36 (2014)

    Article  Google Scholar 

  • Lin, C., Lin, I.C., Roan, J.: Barriers to physicians’ adoption of healthcare information technology: an empirical study on multiple hospitals. J. Med. Syst. 36(3), 1965–1977 (2012). https://doi.org/10.1007/s10916-011-9656-7

    Article  Google Scholar 

  • Paslakis, G., et al.: Assessment of use and preferences regarding internet-based health care delivery: cross-sectional questionnaire study. J. Med. Internet Res. 21(5), e12416 (2019). https://doi.org/10.2196/12416

    Article  Google Scholar 

  • Paul, D.L., Pearlson, K.E., McDaniel, R.R.: Assessing technological barriers to telemedicine: technology-management implications. IEEE Trans. Eng. Manage. 46(3), 279–288 (1999)

    Article  Google Scholar 

  • Rani, V., Hafeez-Baig, A., Gururajan, R.: Understanding factors influencing adoption of mobile devices in telehealth: a quantitative study. Paper presented at the 24th Annual Conference of the Asia Pacific Decision Sciences Institute: Full papers (2019)

    Google Scholar 

  • Rathi, A.: Inequalities in financing of healthcare in India. Trends Immunotherapy 1(1), 50–51 (2017). https://doi.org/10.24294/ti.vlil.44

    Article  Google Scholar 

  • Raza, M., Le, M.H., Aslam, N., Le, C.H., Le, N.T., Le, T.L.: Telehealth technology: Potentials, challenges and research directions for developing countries. Paper presented at the International Conference on the Development of Biomedical Engineering in Vietnam (2017)

    Google Scholar 

  • Singh, K.: Biotelemetry: could technological developments assist healthcare in rural India. Rural Remote Health 5(2), 234 (2005). www.rrh.org.au/journal/article/234

  • Sivagurunathan, C., Umadevi, R., Rama, R., Gopalakrishnan, S.: Adolescent health: present status and its related programmes in India. Are we in the right direction? J. Clinic. Diag. Res. JCDR 9(3), LE01 (2015)

    Google Scholar 

  • Straub, D., Boudreau, M.-C., Gefen, D.: Validation guidelines for IS positivist research. Commun. Assoc. Inf. Syst. 13(1), 24 (2004)

    Google Scholar 

  • Tanriverdi, H., Iacono, C.S.: Knowledge Barriers to Diffusion of Telemedicine. Paper presented at the Proceedings of the International Conference on Information systems (1998)

    Google Scholar 

  • West, V., Milio, N.: Organizational and environmental factors affecting the utilization of telemedicine in rural home healthcare. Home Health Care Serv. Quar. 23(4), 49–67 (2004). https://doi.org/10.1300/J027v23n04_04

    Article  Google Scholar 

  • Whitten, P., Johannessen, L.K., Soerensen, T., Gammon, D., Mackert, M.: A systematic review of research methodology in telemedicine studies. J. Telemed. Telecare 13(5), 230–235 (2007)

    Article  Google Scholar 

  • Wynd, C.A., Schmidt, B., Schaefer, M.A.: Two quantitative approaches for estimating content validity. West. J. Nurs. Res. 25(5), 508–518 (2003)

    Article  Google Scholar 

  • Zailani, S., Gilani, M.S., Nikbin, D., Iranmanesh, M.: Determinants of telemedicine acceptance in selected public hospitals in Malaysia: clinical perspective. J. Med. Syst. 38(9), 1–12 (2014). https://doi.org/10.1007/s10916-014-0111-4

    Article  Google Scholar 

  • Zhou, L., Thieret, R., Watzlaf, V., DeAlmeida, D., Parmanto, B.: A telehealth privacy and security self-assessment questionnaire for telehealth providers: development and validation. Int. J. Telerehabil. 11(1), 3–14 (2019)

    Article  Google Scholar 

  • Zmud, R.W.: Diffusion of modern software practices: influence of centralization and formalization. Manage. Sci. 28(12), 1421–1431 (1982)

    Article  Google Scholar 

Download references

Acknowledgement

The authors acknowledge the support received by Avijit Chowdhury from the University of Southern Queensland in the form of fees research scholarship for PhD studies.

Author information

Authors and Affiliations

  1. University of Southern Queensland, Toowoomba, QLD, 4350, Australia

    Avijit Chowdhury, Abdul Hafeez-Baig & Raj Gururajan

Authors
  1. Avijit Chowdhury
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Abdul Hafeez-Baig
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Raj Gururajan
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Tokyo University of Science, Tokyo, Saitama, Japan

    Sakae Yamamoto

  2. Tokyo City University, Tokyo, Japan

    Hirohiko Mori

Appendices

Appendix A

figure a
figure b
figure c
figure d
figure e
figure f

Appendix B

Principal Component Analysis.

figure g
figure h

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Chowdhury, A., Hafeez-Baig, A., Gururajan, R. (2021). Development of a Survey Instrument to Explore Telehealth Adoption in the Healthcare Domain. In: Yamamoto, S., Mori, H. (eds) Human Interface and the Management of Information. Information-Rich and Intelligent Environments. HCII 2021. Lecture Notes in Computer Science(), vol 12766. Springer, Cham. https://doi.org/10.1007/978-3-030-78361-7_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-78361-7_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-78360-0

  • Online ISBN: 978-3-030-78361-7

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics