| dc.description.abstract | This study aimed to design a framework for enhancing digital systems adoption in healthcare, using
Mubende regional referral hospital as a case study. The study was guided by three independent
variables; technological infrastructure, human digital capacity, and organizational readiness, and the
dependent variable: digital systems adoption. A mixed methods approach was adopted, using
structured questionnaires and interview guides. Data was collected from a sample of 250
respondents, including clinical staff, administrative personnel, ICT support staff, and patients.
Descriptive and inferential analyses were conducted using SPSS, while thematic analysis was used
for qualitative data.
Findings revealed that technological infrastructure significantly influenced digital systems adoption
(β = 0.395, p < 0.001), with respondents citing poor internet access, frequent power outages, and
limited equipment as major challenges. Human digital capacity also showed a strong positive
relationship (β = 0.289, p = 0.004), with most staff lacking consistent training in the use of digital
tools. Organizational readiness had a significant yet lower influence (β = 0.241, p = 0.016),
particularly due to the absence of internal ICT strategies and weak management commitment.
The study recommended that the Ministry of Health prioritize investment in ICT infrastructure,
health facility leadership strengthen internal digital policies, and development partners support
ongoing capacity building. A context-specific adoption framework and model were proposed to
guide structured, sustainable digital transformation in Uganda’s healthcare systems.
Keywords: Digital systems adoption, technological infrastructure, human digital capacity,
organizational readiness, healthcare, Uganda. | en_US |
