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Strategies for Catalyzing Clinicians' Support of Telemedicine Programs

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Strategies for Catalyzing Clinicians' Support of Telemedicine Programs Walden University ScholarWorks Walden Dissertations and Doctoral Studies Walden Dissertations and Doctoral Studies Collection 2021 Strategies for Catalyzing Clinicians’ Support of Telemedicine Programs in Rural Communities Jonathan Liwag Walden University Follow this and additional works at: https://scholarworks.waldenu.edu/dissertations Part of the Business Commons, Computer Engineering Commons, and the Health and Medical Administration Commons This Dissertation is brought to you for free and open access by the Walden Dissertations and Doctoral Studies Collection at ScholarWorks. It has been accepted for inclusion in Walden Dissertations and Doctoral Studies by an authorized administrator of ScholarWorks. For more information, please contact [email protected]. Walden University College of Management and Technology This is to certify that the doctoral study by Jonathan Liwag has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Daniel Smith, Committee Chairperson, Doctor of Business Administration Faculty Dr. Edward Paluch, Committee Member, Doctor of Business Administration Faculty Dr. Gregory Uche, University Reviewer, Doctor of Business Administration Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2021 Abstract Strategies for Catalyzing Clinicians’ Support of Telemedicine Programs in Rural Communities by Jonathan Liwag MA, Azusa Pacific University, 2009 BS, Azusa Pacific University, 2007 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University March 2021 Abstract Clinicians’ failure to accept contemporary technology has been a critical barrier to telemedicine program adoption. Staff technical challenges and resistance to change can affect technology return on investment, which concerns telemedicine program leaders. Grounded in Davis’s technology acceptance model, the purpose of this qualitative, descriptive single case study was to explore strategies used by program leaders in the Marianas Islands who successfully gained clinicians’ acceptance of contemporary technology. The participants were 5 program leaders recommended by their institution because of their leadership role and telemedicine technologies experience. Data were collected from 4 face-to-face and 1 audio teleconference interview with the 5 leaders. Three themes emerged from the thematic data analysis: utility of technology, technology usability, and engaging clinicians. The key recommendation for program leaders is to streamline business processes through low-effort technologies while involving clinicians in the design process. Improving the acceptance of contemporary technology among clinicians in rural communities may contribute to positive social change by providing greater accessibility to specialized healthcare and employment opportunities for people in underserved locations. Gaining clinicians’ acceptance of contemporary technology is vital to telemedicine programs’ success by maximizing return on investment and achieving the organization’s business and clinical objectives. Strategies for Catalyzing Clinicians’ Support of Telemedicine Programs in Rural Communities by Jonathan Liwag MA, Azusa Pacific University, 2009 BS, Azusa Pacific University, 2007 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University March 2021 Dedication I dedicate this study to my family, my greatest treasure on earth. My wife, Dr. Rizalina Liwag, the one who encouraged me to pursue this meaningful journey of scholarship and infinite possibilities. Thank you for being a role model and providing support through all the academic and personal challenges along the way. To my children Asia, Blesilda, Autumn, Nathaniel, and Amber, my inspiration to complete this study and my reason and hope for the future. To my parents Pete and Eden, who gave me a great start in life and for being there to cheer my accomplishments. To my mother-in-law Adelita Molina, who is supportive of my endeavors. Finally, to God, my creator, for giving me the blessings and the opportunity to serve others. Acknowledgments I wish to acknowledge my doctoral committee members for their professional support in the doctoral process. I extend my gratitude to Dr. Daniel Smith, my committee chair, for his guidance, feedback, and patience. I would also like to thank Dr. Edward Paluch for his supportive presence and perspective. To Dr. Greg Uche, for the insightful review of my work. I thank all of you for contributing to my professional growth. I also acknowledge the people that have helped me through this academic pursuit. I am grateful to my wife, Dr. Rizalina Liwag, for partnering with me in this endeavor. I wish to thank Dr. Sharon Hart, my mentor and fellow educator, who encouraged me to pursue this terminal degree. I am appreciative of Adam Walsh for helping me develop my writing skills. I also would like to extend my appreciation to my classmate Dr. Martin Owusu for his assistance. Finally, to Walden University for its commitment to helping individuals like me to accomplish our academic goals. Table of Contents List of Tables ..................................................................................................................... iv Section 1: Foundation of the Study ......................................................................................1 Background of the Problem ...........................................................................................1 Problem Statement .........................................................................................................2 Purpose Statement ..........................................................................................................3 Nature of the Study ........................................................................................................3 Research Question .........................................................................................................4 Interview Questions .......................................................................................................4 Conceptual Framework ..................................................................................................5 Operational Definitions ..................................................................................................6 Assumptions, Limitations, and Delimitations ................................................................7 Assumptions ............................................................................................................ 7 Limitations .............................................................................................................. 7 Delimitations ........................................................................................................... 8 Significance of the Study ...............................................................................................8 Contribution to Business Practice ........................................................................... 8 Implications for Social Change ............................................................................... 9 A Review of the Professional and Academic Literature ................................................9 The Development, Evolution, and General Acceptance of TAM ......................... 12 Overview of Telemedicine Technology ................................................................ 16 Benefits of Telemedicine Programs in Rural Communities ................................. 23 i The Barriers of Technology Acceptance in Telemedicine ................................... 28 Strategies for Clinician Acceptance and Adoption of Contemporary Technology ............................................................................................... 32 Transition .....................................................................................................................38 Section 2: The Project ........................................................................................................40 Purpose Statement ........................................................................................................40 Role of the Researcher .................................................................................................40 Participants ...................................................................................................................42 Research Method .........................................................................................................43 Research Design ...........................................................................................................44 Population and Sampling .............................................................................................46 Ethical Research ...........................................................................................................47 Data Collection Instruments ........................................................................................49 Data Collection Technique ..........................................................................................51 Data Organization Technique ......................................................................................52 Data Analysis ...............................................................................................................54
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