This study takes into account the pre and post experiences of the healthcare consumer in a developing country context regarding the use of digital technologies in receiving healthcare services. The study proposes a conceptual framework which suggests that the digitalization of healthcare services may present both tangible and intangible outcomes to the healthcare consumer. Underpinned by the SERVQUAL model, this study adopts a qualitative approach to explore the pre and post‐digitalization experiences of healthcare consumers in Ghana. Findings reveal that seven out of the nine dimensions used in the study's assessment gave positive outcomes on the consumers' post‐digitalization experiences, despite claims of the social inequalities that characterize developing countries (DCs) like Ghana. The study further reveals how the patient‐centered eHealth concept which is gaining considerable attention in Information Systems (IS) healthcare research, has not been fully adopted in some DC contexts. This study presents both practical and theoretical implications for all relevant stakeholders within the healthcare ecosystem.
{"title":"The impact of digital health technologies on the quality of service delivery: A pre and post assessment of the healthcare consumer's experiences in Ghana","authors":"Mansah Preko, Joseph Budu","doi":"10.1002/isd2.12318","DOIUrl":"https://doi.org/10.1002/isd2.12318","url":null,"abstract":"This study takes into account the pre and post experiences of the healthcare consumer in a developing country context regarding the use of digital technologies in receiving healthcare services. The study proposes a conceptual framework which suggests that the digitalization of healthcare services may present both tangible and intangible outcomes to the healthcare consumer. Underpinned by the SERVQUAL model, this study adopts a qualitative approach to explore the pre and post‐digitalization experiences of healthcare consumers in Ghana. Findings reveal that seven out of the nine dimensions used in the study's assessment gave positive outcomes on the consumers' post‐digitalization experiences, despite claims of the social inequalities that characterize developing countries (DCs) like Ghana. The study further reveals how the patient‐centered eHealth concept which is gaining considerable attention in Information Systems (IS) healthcare research, has not been fully adopted in some DC contexts. This study presents both practical and theoretical implications for all relevant stakeholders within the healthcare ecosystem.","PeriodicalId":509362,"journal":{"name":"THE ELECTRONIC JOURNAL OF INFORMATION SYSTEMS IN DEVELOPING COUNTRIES","volume":"19 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139777321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Information and communication technology enables extension services to farmers in developing countries. Although they have been deployed and adopted by farmers, the causal mechanisms (i.e., processes through which a result is brought about) underlying their adoption and use have not been adequately studied. This study uses the Critical Realism philosophical perspective to understand and integrate the various factors into a consistent and coherent model for adopting information and communication technology‐based extension services by agricultural extension officers in Mali. The study gathered data from 26 extension officers and farmers in Koulikoro and Segou, Mali. We analyzed the data using thematic analysis with the help of the qualitative data analysis software NVivo. The results revealed that the successful adoption of information and communication technology based extension services is the leading factor that can cause extension officers' satisfaction with agricultural extension services. This satisfaction drives societal change, that is, farmers improving their knowledge of extension services and extension officers efficiently disseminating them. In turn, this change may result in higher yield and, thus, better productivity. These findings guide policymakers, managers, and network providers for higher productivity in developing countries.
{"title":"Agricultural extension officers' adoption of ICT‐based extension services: A critical realist approach in Mali","authors":"M. Kante","doi":"10.1002/isd2.12319","DOIUrl":"https://doi.org/10.1002/isd2.12319","url":null,"abstract":"Information and communication technology enables extension services to farmers in developing countries. Although they have been deployed and adopted by farmers, the causal mechanisms (i.e., processes through which a result is brought about) underlying their adoption and use have not been adequately studied. This study uses the Critical Realism philosophical perspective to understand and integrate the various factors into a consistent and coherent model for adopting information and communication technology‐based extension services by agricultural extension officers in Mali. The study gathered data from 26 extension officers and farmers in Koulikoro and Segou, Mali. We analyzed the data using thematic analysis with the help of the qualitative data analysis software NVivo. The results revealed that the successful adoption of information and communication technology based extension services is the leading factor that can cause extension officers' satisfaction with agricultural extension services. This satisfaction drives societal change, that is, farmers improving their knowledge of extension services and extension officers efficiently disseminating them. In turn, this change may result in higher yield and, thus, better productivity. These findings guide policymakers, managers, and network providers for higher productivity in developing countries.","PeriodicalId":509362,"journal":{"name":"THE ELECTRONIC JOURNAL OF INFORMATION SYSTEMS IN DEVELOPING COUNTRIES","volume":"609 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139841253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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