Title: Factors influencing technology-enabled monitoring of patient care in public healthcare centres in Botswana

Authors: Joseph Ephraim Khengere; Indira Padayachee; Prabhakar Rontala Subramaniam

Addresses: University of KwaZulu-Natal, Private Bag 54001, Durban, 4000, South Africa ' University of KwaZulu-Natal, Private Bag 54001, Durban, 4000, South Africa ' University of KwaZulu-Natal, Private Bag 54001, Durban, 4000, South Africa

Abstract: Patient care delivery in public healthcare centres in the Southern Africa Development Community region is facing enormous pressure due to inadequate institutional arrangements, demonstrating the need for innovative technologies to monitor healthcare delivery. There is limited literature on issues affecting monitoring of healthcare delivery and how this problem could be ameliorated through a technology-based monitoring solution. Accordingly, this article aims to ascertain the factors that influence technology-based healthcare monitoring of patients in public healthcare centres in Botswana. A mixed methods research design was adopted to conduct the study. Questionnaires and semi-structured interviews were used for the identification of factors that influence patient care service delivery. The combined findings revealed significant agreement that technology organisation environment (TOE) factors, namely available basic technology, connectivity, available advanced technology, training, technical proficiency, management support, vendor support, government regulatory and financial support influence technology-based monitoring of patient care delivery in public healthcare centres in Botswana.

Keywords: technology-based monitoring; patient care; healthcare centres; technology factors; organisational factors; environmental factors; healthcare service delivery; Botswana; technology organisation environment; TOE.

DOI: 10.1504/IJEH.2025.147431

International Journal of Electronic Healthcare, 2025 Vol.14 No.2, pp.110 - 140

Received: 01 Sep 2023
Accepted: 19 Oct 2024
Published online: 15 Jul 2025 *

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