An Assessment of e-Health Readiness in the Public Health Sector of Mauritius

Mohammad Reza Beebeejaun, Hemant Chittoo


e-Health has emerged as a fundamental tool to improve the efficiency and effectiveness of health delivery systems. However, evidence suggests that the success of e-health implementation needs a comprehensive e-health readiness assessment of the different stakeholders. e-Health readiness assessment represents a significant step to analyse the existing settings and provide appropriate approaches to successful e-health transformation. The objectives of this study are to provide an assessment of the e-health readiness in the public health sector of Mauritius and to gauge the perceptions of different cadres about the critical factors for e-health implementation. A cross-sectional approach was adopted to elicit relevant data among different cadres randomly chosen from the five regional hospitals in Mauritius. One of the main findings of this study is that the staff in the public health sector of Mauritius are ready to adopt e-health and provide full support for its implementation. Identified attributes were categorised based on the literature to develop a conceptual framework. The result has shown significant contribution of different constructs included in the framework. The results also provide an understanding and the need to focus on the right strategy to introduce e-health in Mauritius. Hence, the model may practically be used by health practitioners and researchers in the e-health readiness assessment status when there is a plan to implement an e-health system.


e-Health Readiness Assessment; Health Care; Public Sector.

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G. Eysenbach, What is e-health? Journal of Medical Internet Research, 3(2). 2001.

World Health Organization, Atlas eHealth country profiles: based on the findings of the second global survey on eHealth, WHO: Geneva. 2010.

J. Healy, Implementing e-Health in Developing Countries Guidance and Principles. International Telecommunication Union (ITU), 2008. [Online]. Available: [Accessed on 21/08/2016].

B.E. Dixon, A Roadmap for the Adoption of e-Health, E-Service Journal, 5(3), 313, 2007.

T. Lewis, et al., Ehealth in low- and middle-income countries: findings from the Center for Health Market Innovations, Bulletin of the World Health Organization, 2012.

M. Thakkar and D.C. Davis, Risks, barriers, and benefits of EHR systems: a comparative study based on size of hospital. Perspective Health Information Management, 2006; 3:5. [Online]. Available: [Accessed on 11/09/2016]

A. Banbury, A. Roots and S. Nancarrow, Rapid review of applications of e?health and remote monitoring for rural residents, Australian Journal of Rural Health, 22(5):21122, 2014.

B. Chaudhry, J. Wang, S. Wu, M. Maglione, W. Mojica, E. Roth, S.C. Morton and P.G. Shekelle, Systematic review: impact of health information technology on quality, efficiency, and costs of medical care, Annals of Internal Medicine, 144(10):74252, 2006.

Q.A. Qureshi, I. Ahmad, A. Nawaz, Readiness for E-Health in the Developing Countries like Pakistan, Gomal Journal of Medical Sciences, 10 (1), pp. 160-163, 2012.

S. M. Brian, M. Wasko, B.S. Vartabedian, R.S. Miller, D.F. Desirae and A. Maziar, Understanding the Factors That Influence the Adoption and Meaningful Use of Social Media by Physicians to Share Medical Information, Journal of Medical Internet Research, 14(5):117, 2012.

J. Li and Seale, An E-health Readiness Assessment Framework for Public Health ServicesPandemic Perspective, Proceedings of 45th Hawaii International Conference on System Sciences, Hawaii. 2012.

S. Khoja, R. Scott and S. Gilani, E-health readiness assessment: promoting hope in the health-care institutions of Pakistan, World Hospital and Health Services, 44(1):36-8, 2008.

D. Potnis and T. Pardo, Mapping the evolution of e-Readiness assessments. Transforming Government: People, Process and Policy, 5(4), 345 363, 2011.

Economist Intelligence Unit, E-readiness rankings 2009: The usage imperative, London: The Economist Intelligence Unit Limited, 2009.

M. Musa, An e-readiness assessment tool for local authorities: a pilot application to Iraq,2010. [Online]. Available: [Accessed on 11/09/2016].

S.O. Ojo, O.O. Olugbara, G. Ditsa, M.O. Adigun and S.S. Xulu, Formal Model for e-Healthcare Readiness Assessment in Developing Country Context, Institute of Electrical and Electronics Engineers Journal, 2008.

J.D. Campbell, K.D. Harris and R. Hodge, Introducing telemedicine technology to rural physicians and settings, Journal of Family Practice, 50:419-24, 2001.

G. Demiris, D.R.P. Oliver, D. Porock and K. Courtney, Home telehealth: The Missouri telehospice project: Background and next steps, Home Health Care Technology Report, 1:49,55-7, 2004.

P. Jennett, A. Jackson, T. Healy, K. Ho, A. Kazanjian, R. Woolard, S. Haydt and J. Bates, A study of a rural community's readiness for telehealth, Journal of Telemedicine & Telecare, 9(5), 259-63, 2003.

P. Jennett, M. Yeo, M. Pauls and J. Graham, Organizational readiness for telemedicine: implications for success and failure, Journal of Telemedicine & Telecare, 9 Suppl 2: S27-30, 2004.

P. Jennett, M. Gagnon and H. Brandstadt, Preparing for success: Readiness models for rural telehealth, Journal of Postgraduate Medicine, 51, 279, 2005.

N.S. Wickramasinghe, A.M.A. Fadlalla, E. Geisler and J.L. Schaffer, A Framework For Assessing E-Health Preparedness, International Journal of Electronic Healthcare, Vol. 1, No. 3, 2005.

J.M. Overhage, L. Evans and J. Marchibroda, Communities' readiness for health information exchange: the national landscape in 2004, Journal of the American Medical Informatics Association, 12:107-12, 2005.

S. Khoja, R. Scott, A. Casebeer, M. Mohsin, A. Ishaq and S. Gilani, E-health readiness assessment tools for healthcare institutions in developing countries, Telemedicine and e-Health 2007, 13, 425432, 2007.

S. Chattopadhyay, J. Li, L. Land and P. Ray, A Framework for Assessing ICT Preparedness for e-Health Implementations, in Proceedings of the 10th International Conference on e-Health Networking, Applications and Services, Singapore, pp. 124129, 2008.

O. Tamburis, M. Mangia, M. Contenti, G. Mercurio and A.R. Mori, The LITIS conceptual framework: Measuring eHealth readiness and adoption dynamics across the Healthcare Organizations, Health and Technology, 2, 97112, 2012.

N. Leon, H. Schneider and E. Daviaud, Applying a framework for assessing the health system challenges to scaling up mHealth in South Africa, BMC Medical Informatics and Decision Making, 12, 123, 2012.

J. Li, L. Land and P. Ray, Humanitarian Technology Challenge (HTC) Electronic Health Records Perspective, A Report of Joint Project of IEEE and United Nations Foundation, 2008.

V. Venkatesh, M.G. Morris, B.G. Davis and D.F. Davis, User Acceptance of Information Technology: Towards a Unified View, MIS Quarterly. MIS Research Center, University of Minnesota. 27 (3), 425-478, 2003.

E. Legare, C. Vincent, P. Lehoux, D. Anderson, D. Kairy and M. Gagnon, Telehealth readiness assessment tools, Journal of Telemedicine and Telecare, 16, 107,2010.

M. Rezai-Rad, R. Vaezi and F. Nattagh, E-Health Readiness Assessment Framework in Iran, Iranian Journal of Public Health, 41 (10), pp.43-51, 2012.

M.R. Kgasi and B.M. Kalema, Assessment E-health readiness for rural South African areas, Journal of Industrial and Intelligent Information, 2 (2): 131-135. 10.12720/jiii.2.2.131-135, 2014.

F.D. Davis, R.P. Bagozzi and P.R. Warshaw, User acceptance of computer technology: A comparison of two theoretical models. Management Science, 35(8), 9821003, 1989.

A. Shaqrah, Adoption of telemedicine among health care services: The strategic adoption, Journal of e-Health Management, p. 2, 2010.

S.J. Coakes, SPSS: Analysis without anguish: Version 12.0 for Windows, Milton, Qld: John Wiley & Sons, 2005.

J. Pallant, SPSS survival manual: A step by step guide to data analysis using SPSS (2nd ed.). Crows Nest, NSW: Allen & Unwin, 2005.

A. Field, Discovering statistics using IBM SPSS statistics (4th ed.), London: Sage Publications, 2013.

A. Field, Discovering statistics using SPSS (2nd ed), London: Sage Publications,2005.

Hair J., Anderson R., Tatram and W. Black, Multivariate Data Analysis, Prentice Hall International Inc, 1998.

K. Arning and M. Ziefle, Different perspectives on technology acceptance: The role of technology type and age 2009. [Online]. Available: ziefle_2009. pdf. [Accessed on 13/11/2016].

A. Lang and A. Mertes, E-health policy and deployment activities in Europe, Telemedicine and e-Health, p.17, 2011.

J. Li, A. Talaei-Khoei, H. Seale, P. Ray and C.R. Macintyre, Health care provider adoption of eHealth: Systematic literature review, Interactive Journal of Medical Research, 2 (1), 2013.


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