|dc.description.abstract||Assessing the potential success of adopted technology, innovation, or standard in a Low
and Middle-Income Country like Uganda continues to focus on outcomes of adoption. This study aimed
to investigate the potential success of eHealth standards adoption that may arise from the adoption
process as well as outcomes of such adoption.
PubMed and Google Scholar were searched using alternate terms for “eHealth”, “standards”,
“adoption” “success” and “theory”. On screening and assessing the quality of publications, only
nineteen peer-reviewed publications were included in the review. Both quantitative and qualitative
analysis was used to synthesize evidence from the included literature. Thematic analysis was used to
develop themes regarding the success of standards/technology adoption.
Results: Constructs from the theories of Diffusion of Innovation Theory (DOI), Unified Theory of
Acceptance and Use of Technology (UTAUT), and Internet Standards Adoption (ISA) were used to
extend the Success Model of Innovation Adoption. The Success Model for Innovation contributed to
the foundational concepts aligned to categorical factors of the adoption process, organizational,
environment, and user context that influence the potential success of eHealth standards adoption in
healthcare systems. The study identified 13 factors that contribute to the successful adoption of
standards for eHealth.
Since the review showed that success of standards adoption starts with assessing readiness
to adopt the standards, followed by the standards adoption process and assessment of the lasting
outcomes, the study proposes a model for assessing the potential success of eHealth standards adoption.
The model has pre-adoption, actual adoption, and post-adoption phases. The proposed model and
identified factors have not been evaluated and therefore may not in the current form support eHealth
standards adoption processes. Future work is needed to evaluate/validate the model and factors of
eHealth standards adoption success. Notwithstanding, the study believes any assessment of the success
of standards adoption that uses the identified factors over all three phases of the model is comprehensive
to present a true picture of any potential success of standards adoption.||en_US