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An exploratory study on Telemedicine in the South African Public Health Sector: A case of Gauteng Province

Health systems in South African comprises of both the private sector and the public sector, run by the government. Majority of the population access health services through public clinics and hospitals. Public health sectors are understaffed, with inadequate resources, especially in rural areas. Information and communication technology and its applications can be seen as a way forward to counteract some of the challenges faced in public health sectors. Telemedicine can be tool to assist in bridging the gaps in this regard. Telemedicine is health-care delivery concept that enables distant to be examined by medical practitioners using telecommunications technologies. Therefore, this research study aimed to investigate factors that influences users’ readiness to accept telemedicine in South African public health sectors environment. To achieve this objective, this study followed a positivism paradigm, supported by the quantitative research approach. Organization and Environment (in TOE framework) constructs, technology compatibility (in model of information technology implementation), perceived usefulness and perceived ease of use (in Technology Acceptance Model, (TAM))guided the development of hypotheses and their testing for this study. The findings reveal that technology, environment, organization, information quality, and security are factors that inform pre-implementation of telemedicine in South African public health sector.