Date of Conferral



Doctor of Business Administration (D.B.A.)


Business Administration


Daniel Smith


Clinicians’ failure to accept contemporary technology has been a critical barrier to telemedicine program adoption. Staff technical challenges and resistance to change can affect technology return on investment, which concerns telemedicine program leaders. Grounded in Davis’s technology acceptance model, the purpose of this qualitative, descriptive single case study was to explore strategies used by program leaders in the Marianas Islands who successfully gained clinicians’ acceptance of contemporary technology. The participants were 5 program leaders recommended by their institution because of their leadership role and telemedicine technologies experience. Data were collected from 4 face-to-face and 1 audio teleconference interview with the 5 leaders. Three themes emerged from the thematic data analysis: utility of technology, technology usability, and engaging clinicians. The key recommendation for program leaders is to streamline business processes through low-effort technologies while involving clinicians in the design process. Improving the acceptance of contemporary technology among clinicians in rural communities may contribute to positive social change by providing greater accessibility to specialized healthcare and employment opportunities for people in underserved locations. Gaining clinicians’ acceptance of contemporary technology is vital to telemedicine programs’ success by maximizing return on investment and achieving the organization’s business and clinical objectives.