ArticleAfrican journal of primary health care & family medicine2026
App-based primary care in South Africa: A conceptual pathway from telemedicine service acceptance to patients' continuance intentions.
Article in African journal of primary health care & family medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
1 citing paper in PubMed.
- App-based primary care in South Africa: A conceptual pathway from telemedicine service acceptance to patients' continuance intentions.African journal of primary health care & family medicine · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study reports on the quantitative research phase of a mixed-methods study that investigated patients' acceptance of an application (app)-based telemedicine service for primary care aimed at South African public healthcare sector patients.
aimThis study aimed to investigate the relationships between telemedicine service acceptance and eight antecedents of such acceptance, as well as the relationships between telemedicine service acceptance, perceived value, patient participation, patient satisfaction with a telemedicine service, patient trust in telemedicine services and two dependent variables, namely both patients' continuance intentions towards a telemedicine service and towards a telemedicine service provider.
settingThe research was conducted in South Africa and focused on an app-based telemedicine service, Kena Health, a provider of app-based primary care at the time this research was conducted.
methodsQuantitative data were collected using a self-administered online questionnaire through the Qualtrics data collection platform. Partial Least Squares Structural Equation Modelling (PLS-SEM) was used to conduct the statistical analysis of a sample (n = 505) of respondents.
resultsStatistically significant effects on patients' telemedicine service acceptance were confirmed for perceived compatibility, innovativeness, privacy perception and care perception. All the hypothesised relationships between telemedicine service acceptance, perceived value, patient participation, patient satisfaction with a telemedicine service, trust in telemedicine services and patients' continuance intentions towards the service and the telemedicine service provider were statistically significant.
conclusionIn South Africa, telemedicine services present a practical and scalable solution to more effectively address healthcare, particularly for underserved communities. This novel study offers much needed insights to improve healthcare delivery through digital innovation.Contribution: Two antecedents of telemedicine service acceptance that had not previously been considered in the technology acceptance theory, namely (positive) privacy perception and care perception, were confirmed. Insights are provided regarding the effect of patients' trust in telemedicine services on their continuance intentions towards the service and the service provider under investigation.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.