Examining the factors affecting the adoption of telemedicine in the Maldives

Abstract

In the age of growing integration of technology in service provision, countries facing challenges due to diseconomies of scale and unique geographical topographies require a thorough understanding of how technology can enhance service delivery. This study examines the factors affecting the adoption of telemedicine services in the Maldives, tracing the evolution from a community-based healthcare system to a modern allopathic system, now with regional healthcare providers supporting peripheral service providers. The study employed a mixed-methods approach, utilizing secondary data from regional healthcare providers, carrying out in-depth interviews with hospital management, and conducting a comprehensive literature review to gather systemic insights. Leveraging the Hospital Telehealth Maturity Model, the research specifically examined platform and program factors affecting the adoption of telemedicine. The study on telemedicine adoption in the Maldives reveals a basic level of readiness characterized by fragmented technological implementation, deficient workflow, and inadequate infrastructure in regional hospitals. There is a need for significant improvement in human resources and supportive functions, alongside inconsistent policies influenced by shifting political landscapes. Limited awareness and coordination among stakeholders further constrain adoption capacity. However, there is potential for progress through enhanced leadership, technological innovation, resource efficiency, and strengthened adoption capacity to better cater to changing demographics and patient preferences, ultimately delivering affordable, equitable, and quality healthcare services.