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e-Health Readiness Assessment Tools for Healthcare - Making the ...

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428<br />

were one to four items in each section. The sections<br />

were <strong>the</strong>n grouped into four categories<br />

<strong>for</strong> each tool; core-readiness, societal readiness,<br />

and policy readiness were common to both <strong>the</strong><br />

tools. The fourth category in <strong>the</strong> tool <strong>for</strong> managers<br />

was called “technological readiness,”<br />

whereas <strong>the</strong> fourth category in <strong>the</strong> tool <strong>for</strong><br />

healthcare providers was called “learning<br />

readiness.”<br />

Draft tools were tested <strong>for</strong> validity and reliability.<br />

12,13 The final tools contained 54 items<br />

<strong>for</strong> managers and 50 items <strong>for</strong> healthcare<br />

providers. Each of <strong>the</strong> categories, along with all<br />

<strong>the</strong> items, is described below and illustrated in<br />

Tables 1–5.<br />

Category I—Core readiness<br />

This category was common in both <strong>the</strong> tools,<br />

and addressed <strong>the</strong> overall planning process <strong>for</strong><br />

a proposed e-health program, and <strong>the</strong> knowledge<br />

and experience of planners with programs<br />

using ICT. Specific core-readiness items<br />

dealt with <strong>the</strong> importance of needs assessment,<br />

key aspects of planning, and <strong>the</strong> determinants<br />

of accessibility such as appropriateness of technology,<br />

and integration of technology with existing<br />

services (Table 1).<br />

KHOJA ET AL.<br />

Category II—Technological readiness<br />

This category was included in <strong>the</strong> tool <strong>for</strong> managers<br />

only, and addressed <strong>the</strong> availability and af<strong>for</strong>dability<br />

of required ICT, and <strong>the</strong> hardware<br />

and software needed to implement a proposed<br />

program. Specific technological readiness items<br />

dealt with physical access to technology along<br />

with determinants of accessibility such as af<strong>for</strong>dability<br />

and capacity building (Table 2).<br />

Category III—Learning readiness<br />

This category was included in <strong>the</strong> tool <strong>for</strong><br />

healthcare providers only, and addressed issues<br />

related to <strong>the</strong> existence of programs and<br />

resources to provide training to healthcare<br />

providers in using <strong>the</strong> technology. Specific<br />

learning readiness items dealt with <strong>the</strong> inclusion<br />

of healthcare providers in <strong>the</strong> planning<br />

process and determinants of accessibility such<br />

as capacity building (Table 3).<br />

Category IV—Societal readiness (ICT use<br />

and interaction)<br />

This category was included in both <strong>the</strong> tools,<br />

and dealt with any existing interaction of <strong>the</strong><br />

concerned institution with o<strong>the</strong>r healthcare in-<br />

TABLE 2.<br />

COMPOSITION AND FORMAT OF CATEGORY OF TECHNOLOGICAL READINESS<br />

Statements: 1 2 3 4 5 D/K<br />

Speed and quality of ICT/Internet at <strong>the</strong> institution:<br />

1. Speed of connections is appropriate <strong>for</strong> <strong>the</strong> proposed use 1 2 3 4 5 D/K<br />

2. Quality of connections is appropriate <strong>for</strong> <strong>the</strong> proposed use 1 2 3 4 5 D/K<br />

Service/Support <strong>for</strong> ICT:<br />

1. Service/support is available within a reasonable time frame <strong>for</strong> <strong>the</strong> 1 2 3 4 5 D/K<br />

proposed use.<br />

2. Local support is proficient to address most of <strong>the</strong> problems related 1 2 3 4 5 D/K<br />

to <strong>the</strong> proposed use.<br />

Hardware and software:<br />

1. Hardware and software required <strong>for</strong> <strong>the</strong> proposed project are 1 2 3 4 5 D/K<br />

readily available.<br />

2. Hardware and software required <strong>for</strong> <strong>the</strong> proposed project are 1 2 3 4 5 D/K<br />

readily af<strong>for</strong>dable.<br />

Availability and af<strong>for</strong>dability of <strong>the</strong> desired ICT<br />

1. Required ICT (telephone/internet/bandwidth) is easily available 1 2 3 4 5 D/K<br />

<strong>for</strong> <strong>the</strong> institution.<br />

2. Required ICT (telephone/internet/bandwidth) is easily available 1 2 3 4 5 D/K<br />

<strong>for</strong> <strong>the</strong> institutions involved.<br />

Institutional access to ICT/Internet training:<br />

1. Programs are in place to train <strong>the</strong> users <strong>for</strong> proposed project. 1 2 3 4 5 D/K<br />

2. Manpower is in place to train <strong>the</strong> users <strong>for</strong> proposed project. 1 2 3 4 5 D/K<br />

Score

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