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Patient acceptance of an application-based primary care telemedicine service : a South African public healthcare sector study
Thesis (PhD)--Stellenbosch University, 2025.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2025
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| _version_ | 1867613763026288640 |
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| access_status_str | Open Access |
| author | Van Tonder, Grethe |
| author2 | Pentz, C. D. |
| author_browse | Pentz, C. D. Van Tonder, Grethe |
| author_facet | Pentz, C. D. Van Tonder, Grethe |
| author_sort | Van Tonder, Grethe |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description |
Thesis (PhD)--Stellenbosch University, 2025. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/132335 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:41:18.607Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/132335 Patient acceptance of an application-based primary care telemedicine service : a South African public healthcare sector study Van Tonder, Grethe Pentz, C. D. Du Preez-Snyman, R. Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Business Management. Medical records -- Data processing -- South Africa Telemedicine -- South Africa Telecommunication in medicine -- South Africa Medical informatics -- South Africa Medical technology -- South Africa Mobile communication systems -- South Africa UCTD Thesis (PhD)--Stellenbosch University, 2025. van Tonder, G. 2025. Patient Acceptance of an Application-Based Primary Care Telemedicine Service: A South African Public Healthcare Sector Study. Unpublished doctoral dissertation. Stellenbosch: Stellenbosch University [online]. Available: https://scholar.sun.ac.za/items/1471ba76-6eb8-4831-97a1-0d7d6c45d021 ENGLISH SUMMARY: Telemedicine services play a pivotal role in providing accessible quality primary healthcare, especially for underserved populations. Access to readily available and more affordable healthcare services are made possible by telemedicine service delivery, especially for individuals who previously had difficulty to access such healthcare services due to geographical, logistical and financial constraints. Accordingly, in a South African context, telemedicine services make specific provision for the healthcare needs of (especially) such patients who might be uninsured and experience logistical and geographical constraints to access healthcare, and who are usually fully reliant on overburdened and under-resourced public sector healthcare systems. This study aimed to investigate the possible relationships between telemedicine service acceptance, perceived value, patient participation, patient satisfaction with a telemedicine service, patient trust in telemedicine services and two dependent variables. The dependent variables were considered as possible outcomes of such patient satisfaction and trust, namely continuance intention towards a telemedicine service and continuance intention towards a telemedicine service provider. Patient experience was also considered as a possible moderator of the respective relationships between telemedicine service acceptance, perceived value, patient participation and patient satisfaction with a telemedicine service. The research was conducted in the context of a South African application-based telemedicine service for primary care named Kena Health. A theoretical model for empirical investigation was proposed drawing on the Technology Acceptance Model (TAM), the Unified Theory of Acceptance and Use of Technology (UTAUT), UTAUT 2, Innovation Diffusion Theory and Self-efficacy Theory, applied to telemedicine service acceptance. An exploratory sequential mixed methods approach was used for data collection and analysis. Eight possible antecedents of telemedicine service acceptance relevant to the current study’s context, namely, perceived compatibility, perceived ease of use, price value, relative advantage, innovativeness, trust, privacy perception and care perception were identified during the qualitative research phase (n=14). In the subsequent quantitative research phase, the eight identified antecedents of telemedicine service acceptance were included in the empirical research model for measurement. A self-administered online questionnaire was used to collect data through the Qualtrics data collection platform. The statistical analysis was conducted by means of Partial Least Squares Structural Equation Modelling (PLS-SEM) where the sample represented 505 respondents (n=505). The PLS-SEM analysis revealed that patient experience had no significant moderating effect as hypothesised. Statistically significant effects on telemedicine service acceptance could be confirmed for perceived compatibility, innovativeness, privacy perception and care perception. The remaining hypothesised relationships in the empirical research model following telemedicine service acceptance were confirmed to be statistically significant. The study makes novel contributions to theory and practice by identifying antecedents of technology acceptance that are also relevant to app-based telemedicine acceptance in a South African public sector context. More specifically, the study identified two novel antecedents of telemedicine service acceptance that had not been included in prior technology acceptance theory, namely (positive) privacy perception and care perception. Novel insights pertaining to the effect of patients’ trust in telemedicine services in general on their continuance intentions towards the type of telemedicine service under investigation as well as a provider of such a service are also provided. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Doctoral 2025-06-04T07:48:49Z 2025-06-04T07:48:49Z 2025-03 Thesis https://scholar.sun.ac.za/handle/10019.1/132335 en_ZA Stellenbosch University xiv, 321 pages : illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Medical records -- Data processing -- South Africa Telemedicine -- South Africa Telecommunication in medicine -- South Africa Medical informatics -- South Africa Medical technology -- South Africa Mobile communication systems -- South Africa UCTD Van Tonder, Grethe Patient acceptance of an application-based primary care telemedicine service : a South African public healthcare sector study |
| title | Patient acceptance of an application-based primary care telemedicine service : a South African public healthcare sector study |
| title_full | Patient acceptance of an application-based primary care telemedicine service : a South African public healthcare sector study |
| title_fullStr | Patient acceptance of an application-based primary care telemedicine service : a South African public healthcare sector study |
| title_full_unstemmed | Patient acceptance of an application-based primary care telemedicine service : a South African public healthcare sector study |
| title_short | Patient acceptance of an application-based primary care telemedicine service : a South African public healthcare sector study |
| title_sort | patient acceptance of an application based primary care telemedicine service a south african public healthcare sector study |
| topic | Medical records -- Data processing -- South Africa Telemedicine -- South Africa Telecommunication in medicine -- South Africa Medical informatics -- South Africa Medical technology -- South Africa Mobile communication systems -- South Africa UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/132335 |
| work_keys_str_mv | AT vantondergrethe patientacceptanceofanapplicationbasedprimarycaretelemedicineserviceasouthafricanpublichealthcaresectorstudy |