Surya Bahadur Thapa and Aradhana Gandhi
Telemedicine is a context-specific intervention that implies significant procedural changes in a health organization. The objective of the study is to explore healthcare…
Abstract
Purpose
Telemedicine is a context-specific intervention that implies significant procedural changes in a health organization. The objective of the study is to explore healthcare professionals’ usage of and perceptions towards telemedicine technology and identify the perceived factors and related process change, influencing the effective adoption of telemedicine from an organizational perspective.
Design/methodology/approach
The study includes multi-disciplinary commentaries of a purposive sample of 31 healthcare professionals, conducted through semi-structured qualitative interviews and employs Grounded Theory and Thematic Analysis techniques to analyze the data.
Findings
Telemedicine is perceived as a highly beneficial digital intervention in healthcare, focusing on the delivery of effective healthcare, and promoting healthcare equity. Healthcare professionals showed their willingness to assimilate technology into clinical decision-making, resulting in better treatment outcomes, and recommended its’ adoption into mainstream healthcare as a viable approach to providing remote healthcare. The key organizational issues with telemedicine adoption were system requirements, network connectivity, non-standardized medical records, and legal bottlenecks, that can be addressed by improving infrastructural convenience, optimizing service processes, imparting training, and adopting better technical measures.
Originality/value
The focus is on exploring factors significant for the adoption of telemedicine technology from the perspective of multi-specialties in a health organization, rather than a specific specialty, as studied in previous scholarly work. This study contributes to the theory by proposing a conceptual framework on critical factors for telemedicine adoption, integrating the theory of planned behavior (TPB) and diffusion of innovation (DOI).
Details
Keywords
Nepal's political economy has been in the process of changing ever since the establishment of a unified kingdom on November 12, 1769, following the unification drive by the King…
Abstract
Nepal's political economy has been in the process of changing ever since the establishment of a unified kingdom on November 12, 1769, following the unification drive by the King of Garkha, Prithivi Narayan Shah. Although Nepal has never been colonized, her political economy has been largely influenced by changes in neighboring countries. Monarchs ruled the country from 1770 to 1845. At that point, Jung Bahadur Rana, taking full advantage of the ongoing conspiratorial politics in the king's palaces, decimated his foes and established himself as the Prime Minister of the country and turned the powerful king into titular head of state from 1846 to 1950. After a brief experiment of open and competitive politics following the 1950 revolution, the country fell back into a rule of absolutism from 1960 to 1990, then finally reverted to a constitutional monarchy and parliamentary system in 1990 following the Jana Andolan (People's Movement).
Conflict resolution and peace building has acquired much significance in the last few years (Siddiqi, 2003).
Abstract
Conflict resolution and peace building has acquired much significance in the last few years (Siddiqi, 2003).
Ishtiaq Jamil and Hasan Muhammad Baniamin
The purpose of this paper is to investigate, firstly, to what extent has Nepal’s bureaucracy become representative in terms of reflecting the country’s demographic composition…
Abstract
Purpose
The purpose of this paper is to investigate, firstly, to what extent has Nepal’s bureaucracy become representative in terms of reflecting the country’s demographic composition, and secondly, has the bureaucracy become more responsive to citizens since the implementation of a quota policy in 2007.
Design/methodology/approach
This paper relies on factual and perceptual data in analysis. In order to analyze and interpret representative bureaucracy, this paper adopts factual data derived from the secondary sources, especially data generated by the Government of Nepal. Second, the perceptual set of data was collected through two rounds (2008, 2014) of a country-representative survey in Nepal.
Findings
The findings suggest that in terms of representativeness, the bureaucracy is still dominated by high-caste Hindus, while other ethnic communities, except the Newars, are utterly under-represented. Surprisingly, Dalits are represented in higher posts as per their percentage in the population, but they are still underrepresented in the civil service in general. Women’s representation has also increased through participation in the civil service, but they still mostly hold junior or non-gazetted posts. Citizens’ evaluations regarding responsiveness and processes of service provision are also mixed.
Originality/value
This paper is a unique attempt to understand the aspects of representativeness and responsiveness in relation to Nepalese Civil Service.