Research Article

Experiences on the Utility and Barriers of Telemedicine in Healthcare Delivery in Kenya

Table 2

The different forms, barriers, and opportunities related to the adoption of telemedicine among doctors in Kenya, as presented in the subthemes.

FrequencyPercentage

Subtheme 1: patterns of usage of telemedicine services
Do you have any telemedicine services in your institution?
 Yes7950.3%
For how long have you used telemedicine in delivering patient care?
 Less than 5 years6683.5%
 Between 5 and 10 years911.4%
 More than 10 years45.1%
What percentage of time do you spend providing care to patients via telemedicine?
 Less than 25%6582.3%
 25-49%1012.7%
 50-74%33.8%
 More than 75%11.3%
Subtheme 2: utilization of telemedicine
For diagnosis and treatment of patients3951%
Chronic disease management3242%
Emergency care of patients1216%
The physician-to-physician consults3951%
Behavioural services45%
Critical care services45%
Others1823%
Total148100%
Subtheme 3: forms of telemedicine in use
Real-time telemedicine—e.g., use of live video consultations2837%
Remote patient monitoring (monitoring of patients outside of conventional clinical settings)1621%
Archived and uploaded images or text transmission to be reviewed by the doctor5471%
Total98100%
Subtheme 4: barriers to telemedicine
Inadequate ICT infrastructures6480%
Cultural resistance by users and providers4760%
Costly to set up and manage4253%
A lack of skills among patients4152%
Privacy concerns3241%
A lack of skills among care providers3139%
Inadequate funding2835%
An inadequate legislative framework2633%
Others45%
Subtheme 5: ways to improve uptake of telemedicine
Approve the use of insurance payments for telemedicine services5469.2%
Networking with more telemedicine users5569.6%
Improve audio/video quality4658.2%
Improve technical issues and bugs4050.6%
Address legal and regulatory concerns4860.8%
Address security concerns3949.4%
Make it easier to use3949.4%
Others11.3%
Subtheme 6: impact of COVID-19 on the uptake of telemedicine
Did the 2020 coronavirus pandemic increase the uptake of telemedicine services in your facility?
 No810.1%
 Not sure56.3%
 Yes6683.5%
By what margin did your use of telemedicine services increase during the 2020 coronavirus pandemic?
 10-49%4873.8%
 50-99%1726.2%
Subtheme 7: potential to use telemedicine once available
If given the opportunity, will you consider using telemedicine to provide healthcare services to your patients?
 Not sure45.1%
 Yes7494.9%