ArticleBMC medical informatics and decision making2026
Use continuance intention of technology: an examination of the Med4All system in selected health facilities in Ghana.
Article in BMC medical informatics and decision making, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundGhana has over the years implemented interventions to improve on its medicines supply chain. This notwithstanding, significant gaps exist in access to affordable and quality medicines in general, and for non-communicable diseases in particular. The study examined the level and antecedents of use continuance of a digital medicines supply chain system (Med4All) implemented by selected health facilities in Ghana.
methodsData (sample of 124 survey respondents reinforced with 56 respondents for qualitative interviews) on perceived usefulness, perceived ease of use, expectation confirmation, satisfaction, and attitudes toward use and use continuance intention of the Med4All were analysed via descriptive statistics and structural equation modelling for the survey data and thematic analysis for the qualitative interviews.
resultsResults indicate a high level of use continuance intention (3.94 out of 5), perceived usefulness, perceived ease of use, expectation confirmation, satisfaction with, and positive attitudes towards the Med4All system. In addition, perceived usefulness, perceived ease of use, satisfaction, and attitudes toward the use of the Med4All system were key factors associated use continuance intention. More importantly, the speed of transaction turnaround and availability of interest-free loans to health facilities constituted key features that can increase and sustain use continuance. There are however challenges, including delays in deliveries, poor communication between medicines suppliers and health facilities, payment challenges, delays in conducting post-supply surveillance of medicines, and in some cases, the unwillingness of health facility staff to use the Med4All system to procure medicines.
conclusionAlthough the level of satisfaction and use continuance intentions are high, failure to address identified challenges can result in increased dissatisfaction and consequently threaten the sustainability and survival of the Med4All system. Stakeholders are encouraged to address existing challenges as a matter of urgency. Additionally, the fast transaction turnaround and availability of interest-free loans, can be used as a major lever to further improve the Med4All system to speed-up adoption by new users and sustain use continuance.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.