ABSTRACT
Leiden Institute of Advanced Computer Science, Niels Bohrweg 1 Leiden, 2333CA, The Netherlands, Tel: +31-71-5275778, Fax: +31-71-5276985, E-mail: h.fulgencio@liacs.leidenuniv.nl
Abstract ................................................................................................. 306 9.1 Introduction .................................................................................. 307 9.3 Methodology ................................................................................ 308 9.2.1 Search Strategy ................................................................. 308 9.2.2 Inclusion and Exclusion Criteria ...................................... 309 9.2.3 Quality Assessment .......................................................... 309 9.2.4 Selection of Challenges and Suggested Measures ........... 309 9.3 Results .......................................................................................... 310 9.3.1 Included Studies ............................................................... 310 9.3.2 Challenges: Lack of Skilled Stakeholders ........................ 310 9.3.3 Solutions: Building a Skills Base ......................................311 9.3.4 Challenges: Inadequate Infrastructures ............................ 312 9.3.5 Solutions: Building an Infrastructure Base ...................... 312
9.3.6 Challenges: Lack of Acceptance .................................... 313 9.3.7 Solutions: Achieving Acceptance ................................... 314 9.3.8 Challenges: Limited Resources ...................................... 315 9.3.9 Solutions: Building a Resource Base ............................. 315 9.3.10 Challenges: Inadequate Information Communication ... 316 9.3.11 Solutions: Building an Information
Communication Base ..................................................... 317 9.3.12 Challenges: Inadequate Process Guidance ..................... 317 9.3.13 Solutions: Improving Process Guidance ........................ 318 9.3.14 Solutions: Planning and Execution ................................ 319 9.3.15 Solutions: Policies .......................................................... 319 9.3.16 Solutions: Approach – Glocal, Partnership,
Collaborative Partnership ............................................... 319 9.4 Discussions .................................................................................. 320 9.4.1 Limitations and Future Research ................................... 321 9.5 Conclusions .................................................................................. 322 Appendix 1: Data Set Analyzed ............................................................ 323 Keywords .............................................................................................. 328 References ............................................................................................. 328
ABSTRACT
This chapter is related to the societal challenge of managing Health through e-health. Providing health care using information and communication technology in both developed and developing countries, has already shown some promising implementations. However, there is a lack of research on the major challenges of implementing e-health solutions for developing countries. We identified e-health implementation challenges for developing countries, together with a corresponding set of solution. The systematic literature review of 46 articles resulted in six themes of challenges: (i) lack of skilled stakeholders, (ii) inadequate infrastructures, (iii) lack of acceptance, (iv) limited resources, (v) inadequate information communication, and (vi) inadequate process guidance. Based on the findings, we grounded our proposed theoretical model to focus on three
aspects: (i) guidance, (ii) acceptance, and (iii) building base. We theorized that this model will improve or will help a developing country’s e-health implementations.
