A model for the Implementation of a telemedicine solution in Sri Lanka

Yasmin Dayani Jayasinghe

A model for the Implementation of a telemedicine solution in Sri Lanka

By Yasmin Dayani Jayasinghe

Supervised byDr Gary B. Wills and Dr Richard Crowder

Yasmin Dayani Jayasinghe

Sri Lanka – The pearl of the Indian Ocean

Population : 20 Million

Life Expectancy at Birth : 75

Literacy Rate : 90%

Yasmin Dayani Jayasinghe

Research question

What is an appropriate model to for the adoption of telemedicine in Sri Lanka?

Yasmin Dayani Jayasinghe

Purpose

• To investigate the problems faced by the patients in the rural areas in obtaining best healthcare facilities

• Need analysis of a e-healthcare solution• Challenges faced by the government in

implementing an e-healthcare solution• Evaluate the Methods and technology used to

implement a solution

Yasmin Dayani Jayasinghe

Problems faced to implement the system

• Finance

• Digital Literacy

• Internet usage

• Alternative medicines

• Health policies and strategies

• Infrastructure

• Staffing

• ICT challenges

• Privacy , confidentiality and ethics

Yasmin Dayani Jayasinghe

Pilot Study

Matale District

Kandy District

Colombo District

Yasmin Dayani Jayasinghe

Developing a ModelLiterature Review

Expert Review Questionnaire

Yasmin Dayani Jayasinghe

The TMSL modelAttitude to learning

Attitude to learning ( Medical)

Education of general public

Accept to change

connectivity

Govt. policy

availability

Incentives

IT literacy of staff

Training for hospital staff

Staff involment

Hospital policies

Awareness of the hospital staff

Software standards

equipment

Policies and standards

Adoption of telemedicine

Component 1

Component 2

Component 3

Component 4

Ease use of equipment

Job relevence

Perceived use of telemedicine

1.1

1.2

1.3

1.4

2.1

2.2

2.3

3.1

3.2

3.3

3.4

3.5

4.1

4.2

4.3

Yasmin Dayani Jayasinghe

Sub ModelsAttitude to learning (medical)

Connectivity

Equipment

Job relevence

Perceived use of telemedicine

Hospital Policies

Software standards

Govt. Policy

Adoption of telemedicine

Accept to change

Availability

Staff involement

Policies and standards

Clinicians

Awareness of hospital staff

Connectivity

Ease use of equipment

Equipment

IT literacy of staff

Job relevance

Perceived use of telmedicine

Training for hospital staff

Hospital policies

Software standards

Govt. policy

Accept to change

Availability

Staff involement

Policies and standards

Adoption of telmedicine

Hospital staffAttitude to learning

Education for general public

Accept to change Adoption of telemedicine

General Public

Yasmin Dayani Jayasinghe

Main Study

Yasmin Dayani Jayasinghe

Final TMSL ModelAttitude to learning

Education of general public

Accept to change

Awareness of Hospital staff

Ease use of equipment

Use of equipment

Connectivity

Equipment

Awailability

IT literacy of staff

Job relevence

Perceived use of telemedicne

Attitude to learning(medical)

Staff involvement

Hospital policies

Software standards

Govt. Policy

Training for hospital staff

Policies and standards

Adoption of telmedicine

(+)

(+)

(+)

(+)

(+)

(+)

(+)

(+)

(+)

(+)

(+)

(+)

(+)

(+)

(+)

(+)

(+)

(+)

______ General Public ______ Hospital staff ______ Clinicians

Yasmin Dayani Jayasinghe

Thank You