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International Journal of Telemedicine and Applications
Volume 2013 (2013), Article ID 615617, 12 pages
Research Article

A Framework for Sustainable Implementation of E-Medicine in Transitioning Countries

1Department of Business Administration, Makerere University Business School, 1337 Kampala, Uganda
2International Center for Information Technology and Development, Southern University and A and M College, P.O. Box 9723, Baton Rouge, LA 70813-9723, USA
3Department of Business Computing, Makerere University Business School, 1337 Kampala, Uganda

Received 30 July 2013; Revised 29 October 2013; Accepted 18 November 2013

Academic Editor: Ron A. Winkens

Copyright © 2013 Stephen Robert Isabalija et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Organizations in developed countries such as the United States of America and Canada face difficulties and challenges in technology transfer from one organization to another; the complexity of problems easily compounds when such transfers are attempted from developed to developing countries due to differing socioeconomic and cultural environments. There is a gap in the formation of research and education programs to address technology transfer issues that go beyond just transferring the technologies to sustaining such transfers for longer periods. This study examined telemedicine transfer challenges in three Sub-Sahara African countries and developed a framework for sustainable implementation of e-medicine. Both quantitative and qualitative research methods were used. The study findings indicate that e-medicine sustainability in Sub-Saharan Africa is affected by institutional factors such as institutional environment and knowledge management practices; technical factors such as the technological environment and technology transfer project environment; social environmental factors such as social environment and donor involvement. These factors were used to model the proposed framework.