SUNConferences, 29th Annual Conference of SAIIE

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Getnet Bogale Fanta, Leon Pretorius

Last modified: 2018-10-17


There exists evidence of several eHealth pilot projects in the developing countries that could not progress to the full-scale implementation; sometimes referred to as ‘pilotitis’ of the eHealth system. The ‘pilotitis’ of eHealth is a concern to the large-scale and successful implementation of eHealth projects, yet others claim that it is an indication of emerging interest in the field by a group of stakeholders. The sustainable eHealth implementation frameworks reported in the literature are linearly modelled that fail to reflect the dynamic complexity of eHealth systems implementation. This study aims at proposing sustainable eHealth implementation framework to support the long-term sustainability of eHealth systems in the developing countries. The framework addresses the nonlinear and dynamic relationships among elements of the ecosystem in the implementation of eHealth through feedback systems by following a system dynamics method. A literature review and systems approach is used to understand the interactions between the elements of a sustainable eHealth system. A system dynamics modelling is applied to develop a nonlinear and dynamic model of sustainable eHealth implementation. The study undertakes to explore not only the technological factors of the system of interest (eHealth) but also the social, organizational and economic factors of the operating environment.