Digital Health Literacy and Practice among Physicians in Government Teaching Hospitals of Addis Ababa: A Cross-Sectional Study

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Date

2025-06

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Addis Ababa University

Abstract

Background: Digital health is becoming crucial for improving health outcome and providing patient centered care. World nations are integrating digital health policies and strategies to achieve digitalization of health care. However utilization and successful adoption of these technologies require physicians’ literacy, but there is limited study on digital health literacy of physicians and its influence on digital health practices. Objective: This study aimed to assess the digital health literacy and practice among physicians in government teaching hospitals in Addis Ababa. Methods: A cross-sectional study was conducted from March to April 2025. A representative quantitative data from government teaching hospitals in Addis Ababa collected through structured questionnaire among 394 physicians. Data was entered and cleaned in excel then exported to SPSS 26.0 for analysis. Descriptive statistics, Binary and multivariable logistic regression were carried out and P value of < 0.05, adjusted odds ratio (AOR) with 95% confidence interval (CI) was used to determine variables significantly associated with digital health practices. Result: In this study, out of all respondents 50.3% of physicians had high digital health practice and digital health literacy of 58.2%. Higher digital health literacy (AOR=2.05 95% CI: 1.27-3.3), limited access to digital tools at workplace (AOR= 0.18, 95% CI: 0.06-0.5), training on digital health (AOR=2.05, 95% CI: 1.16-3.6), being general practitioner (AOR= 0.26, 95% CI: 0.1-0.6) were found to be significant factors associated with digital health practice. Conclusion: Although more than half of the physicians had high digital health literacy, the practical use in clinical service was low and limited to facility based digital tools and technologies. To enhance digitalization of health care, for future adoption and implementation, stakeholders including Ministry of Health, Ministry of Education and health facilities should take appropriate measures in implementing guidelines, platforms and strategies for physicians with pre-service training and in-service professional development programs.

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Keywords

Digital health, Digital health literacy, Digital health practice, Physicians, Digital health utilization, eHealth

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