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Telemedicine as a Disrupter in Healthcare Management in Kenya

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dc.contributor.author Kangethe, Maureen Wangui
dc.date.accessioned 2019-01-11T13:59:55Z
dc.date.available 2019-01-11T13:59:55Z
dc.date.issued 2018
dc.identifier.uri http://erepo.usiu.ac.ke/11732/4152
dc.description A Research Project Submitted to the Chandaria School of Business in Partial Fulfillment of the Requirement for the Degree of Masters in Business Administration (MBA) en_US
dc.description.abstract The general objective of this study was to analyze telemedicine as a disruption in healthcare industry in Nairobi County by critically analyzing the service effectiveness, cost effectiveness and whether telemedicine improves accessibility of healthcare. This study was guided by the following objectives: To investigate service effectiveness of the use of telemedicine to facilitate the delivery of health care interventions and consultations in Nairobi County; To investigate the cost-effectiveness of the use of telemedicine to facilitate the delivery of health care interventions and consultations in Nairobi County; To investigate whether telemedicine improves accessibility of healthcare in Nairobi County. This study used survey design to analyze telemedicine as a disrupter in healthcare management in Kenya. The total population of this study was the 40 public and private hospitals in Nairobi County. The study targeted the hospital management with one manager chosen from each hospital to make 40 managers. We interviewed 10 patients and doctors who use telemedicine from each of the 40 hospitals. The target population therefore was 440 respondents. Using convenience sampling, the sample was 120 respondents, which was 20% of the 400 patients. The study findings revealed that there was service effectiveness on the use of telemedicine facilitates in the delivery of health care interventions and consultations in Nairobi County. Home exercise program, telephonic exercise monitoring are some of telemedicine aspects that enhances the effectiveness of delivery of health care. Telemedicine leads to a significant reduction in hospital costs and there are substantial savings in travel costs. It significantly lowers outpatient and emergency visits and there is significant reduction in mortality. The findings led to conclusion that telemedicine improves accessibility of healthcare in Nairobi County. Telemedicine makes the patient get subscription on time and the doctor attends to him in real time. The technology promotes a healthier lifestyle and enhances quality of life, mortality and heart failure-related reducing the risk of all-cause. Telemedicine reduces hospitalisations and improves health outcomes’ and increases quality of life. The hospital management should sensitize the patients on the positive effect of the use of telemedicine. This can be done through meetings in the hospitals and public barazas that will educate them on the advantages of telemedicine. The study finding will be of importance in providing an insight on attitude of doctors towards telemedicine and the extent of adoption of telemedicine in hospitals in Kenya. The research also provides an understanding on factors that influence adoption of telemedicine and its influence on health management. The findings benefits hospital administrators, doctors and other institutions that may want to implement telemedicine in Kenya. The government and other policy makers will also benefit from the findings of this study. Other researchers can also use the findings in their research works or carry out more research based on the research limitations. The research contributes knowledge to the technology acceptance model by determining how perceived ease of use and perceived benefits of telemedicine influence attitude of doctors towards telemedicine. Study only focused on the influence of three aspects on the use of telemedicine among public and private hospitals in Nairobi County; service effectiveness, cost-effectiveness and accessibility of healthcare so another study should be done on other aspects. This study only focused on hospitals in Nairobi County, Kenya, therefore another study should be done focusing on hospitals in other counties in Kenya. en_US
dc.language.iso en en_US
dc.publisher United States International University - Africa en_US
dc.subject Telemedicine en_US
dc.subject Disrupter en_US
dc.subject Healthcare Management en_US
dc.subject Kenya en_US
dc.title Telemedicine as a Disrupter in Healthcare Management in Kenya en_US
dc.type Thesis en_US


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