E-health readiness assessment for e-health framework for Africa: a case study of hospitals in South Africa

Abstract

This study assessed e-healthcare readiness of rural and urban hospitals in North West Province of South Africa. Outcome of assessment led to creation of e-health architectural framework for e-health solutions. Assessment was conducted in usage of ICT in patient healthcare record system, processes and procedures in consultation among healthcare professionals, prescription of medication, referral of patients and training of healthcare professionals in ICT usage. The study was in two phases and six hospitals were selected. E-healthcare readiness assessment focusing on need, technological, engagement and social acceptance readiness were assessed. Data collected used group interviews and qualitative questionnaires. Findings showed that computers were not used for clinical duties and no e-health solutions were found. E-health Maturity Level was at level zero. Recommendations and compilation of Provincial E-Health Framework (PEHF) were made. The findings were unexpected and therefore, of great benefit to healthcare institutions which intend to implement e-health initiatives in hospitals.