PONE-D-23-10534Health professionals’ technology readiness on the acceptance of teleradiology in the Amhara regional state public hospitals, northwest Ethiopia: using technology readiness acceptance model (TRAM)PLOS ONE

Dear Dr. Nigatu

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Najmul Hasan, PhD

Academic Editor

PLOS ONE

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Additional Editor Comments:

The paper has merit. However, before recommending the publication, I suggest addressing the following issues.

The introduction lacks lackings of proper identification of research questions. Even the authors did not provide clear logic as to why this study is important.

My suggestion is to follow the following steps

Background of the study > importance / main motivation of the study > properly formulate the research question and be specific on research objective > prospective contribution and finally, the introduction will finish with the "structure of the manuscript".

While choosing the theoretical model looks good, the logic behind constructing the hypothesis lacks.

The methodology section also looks good. However, I am not satisfied - why qualitative component needed after quantitative evidence? What is the main motivation for studying the qualitative component?

Does the discussion section provide sufficient information on the research questions? (though research questions have lacked).

There is a lack of both theoretical and practical contributions. For example, How does this study contribute to the scholarly world or extend the scope of existing literature? How does this study contribute to the health professionals in a specific manner? How would this study be beneficial for Ethiopian public and private healthcare systems/industry?

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

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2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

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3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

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4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

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5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: The paper is well articulated and it is timely. Conducting such types of studies “Health professionals’ technology readiness on the acceptance of teleradiology” will enhance the telemedicine penetration and improve the health service coverage by increasing health access of the individuals. Over all the manuscript is well written, but I have some questions and comments that have to be addressed by the authors to improve the quality of the paper.

1. It would be better to add some information on the Telemedicine/Teleradiology practice in Amhara region of Ethiopia, even pilot implementations.

2. Some of the questions in the model assessment you had asked Perceived Ease of Use. Do you think it is easy to answer this question without having a single exposure on Telemedicine before?

3. For the qualitative part you only asked eight key informants from different sectors, do you think it is sufficient? Did the data saturate at the 8th key informant? Make it clear.

4. In reporting the qualitative finding rather than saying he/she it is better to describe the respondent keeping them anonymous.

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Reviewer #1: No

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Attachments

Attachment

Submitted filename: Review on TRAM.docx

Health professionals’ technology readiness on the acceptance of teleradiology in the Amhara regional state public hospitals, northwest Ethiopia: using technology readiness acceptance model (TRAM)

PONE-D-23-10534R1

Dear Dr. Nigatu

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

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Kind regards,

Najmul Hasan, PhD

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

Reviewer #2: All comments have been addressed

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2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: Yes

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3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

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4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

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5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

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6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: All the comments are addressed by the author. The conclusion has to be a little bit shorter and precise, repeating what is presented in the result section is not that much important.

Reviewer #2: Strength

• The research paper is well written, well organized and the authors raised currently the most relevant and novel topic in Ethiopia.

Comments

1. Page 12, the 1st sentence in the data collection procedures and quality control measures section said: The qualitative data were collected using a self-administered and structured pre-tested Amharic version questionnaire. Could you want to mean the quantitative?

2. Page 16, the 1st sentence in the Health Professions’ eHealth Literacy section said: The majority of the health professionals 334 61.1%)

So try to correct use of brackets like 334 (61.1%)

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7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Reviewer #2: No

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