UTAUT for HSS : initial framework to study health IT adoption in the developing countries

Unified Theory of Acceptance and Use of Technology (UTAUT) is an integrative concept that has been used widely to measure IT adoption. However, a recent study in a developing country concluded that UTAUT is not adequate in predicting IT adoption within the context of health system strengthening (HSS). It has been suggested that context-specific dimensions to modify UTAUT should be considered. The objective of this paper is to propose an extension of the theory, called UTAUT for HSS, as a reference for contextualizing health system variables for health IT adoption studies in the developing countries. We combined the multi-level framework of UTAUT with WHO health system building blocks. Modification of the original multi-level framework was performed on the 3 levels. i.e: the higher-level contextual factors, middle-level, and individual-level contextual factors. Based on this, we propose a modified multi-level framework of technology acceptance and use for health system strengthening setting (UTAUT for HSS). Given the complexities of health systems, more thoughts regarding the methodologies will be useful to enrich this initial framework. Commentaries and discussions are invited for improvement, before implementation to obtain more complete story of health IT adoption in the low resources setting. Anis Fuad ( ) Corresponding author: [email protected] : Conceptualization, Formal Analysis, Investigation, Methodology, Resources, Visualization, Writing – Original Draft Author roles: Fuad A Preparation, Writing – Review & Editing; : Conceptualization, Formal Analysis, Investigation, Methodology, Resources, Supervision, Hsu CY Writing – Review & Editing No competing interests were disclosed. Competing interests: Fuad A and Hsu CY. How to cite this article: UTAUT for HSS: initial framework to study health IT adoption in the developing countries 2018, :101 (doi: ) [version 1; referees: awaiting peer review] F1000Research 7 10.12688/f1000research.13798.1 © 2018 Fuad A and Hsu CY. This is an open access article distributed under the terms of the , Copyright: Creative Commons Attribution Licence which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The author(s) declared that no grants were involved in supporting this work. Grant information: 23 Jan 2018, :101 (doi: ) First published: 7 10.12688/f1000research.13798.1 1,2