Table 1

Barriers of mHealth services adoption in India*

SL. No.mHealth Barriers upon intellectual technologyDescriptionReferences
1Stable electricity availability and web access (m-HB 1)Stable electricity and 5G enabled Internet facility required for storage of healthcare data in the cloud server. In remote areas, it is quite impossible to serve the Internet service for mobile healthcare issue towards intellectual technologyQureshi et al. (2022), Reed et al. (2020), Adibi (2014), Chauhan and Saini (2015), Pradhan et al. (2020) 
2Devices must be calibrated on a regular basis (m-HB 2)Calibration, or the verification of any healthcare measurement device's accuracy, has a significant impact on the quality-of-care delivery in mobile healthcare and also need signal improvement in mobile health care facilitiesKaushik et al. (2020), Sebetci and Algur (2015), Abelson et al. (2017), Jain et al. (2015) 
3Large technological gap with the users (m-HB 3)Huge technological literacy appears while using mHealth service with the patients, particularly an old generation living in rural areasAgrawal et al. (2020), Bessin et al. (2020), Ghosh and Dey (2021), Swain et al. (2021a), Zakerabasali et al. (2021), Kuek and Hakkennes (2020), O'Connor and O'Donoghue (2015) 
4Lack of political willpower (m-HB 4)Political representatives frequently do not seek money for health care and, it appears that health-care policymaking has low political responsibility and is least aligned with the demands of the peopleGore (2021), Ramani and Mavalankar (2006), Lluch (2011), Weinstein et al. (2014), Parajuli and Doneys (2017) 
5Weak relationship of doctor-to-populace ratio (m-HB 5)knowledge disparity between physicians and patients is another significant issue in m-Health system, not feeling comfortable and also facing intellectual technology barrier to share all the details which shows a big issue between doctors and patientsReed et al. (2020), Bessin et al. (2020), Abelson et al. (2017) 
6A scarcity of qualified health-care workers (m-HB 6)These include lack of qualification of healthcare worker on new mHealth solutions and weak technical knowledge of intellectual technologyGaglani and Topol (2014), Zakerabasali et al. (2021), Nilsen et al. (2016), Kuek and Hakkennes (2020) 
7Different cell phone companies have different sensors (m-HB 7)Different sensors incorporated in gadgets or wearables can facilitate access to mHealth services, which can be activated as soon as an anomaly is detected or an emergency signal is triggered. Majority of users have the problem on intellectual technology assisted smart devices, as the different mobile phone have different types of sensors attachedBell et al. (2011), Mascolo (2010), Bommakanti et al. (2020) 
8Competent personnel/talents emigrating (m-HB 8)The talented workers are settled in most of the towns for better healthcare facility and advanced technologyLiu et al. (2020), Lluch (2011) 
9Privacy issue (m-HB 9)IoT has launched in a massive shift in the medical field. The difficulties and a survey of data security in relation to IoT in the cloud server has increased non-compliance and threat in the medical field. Many disciplines be included in the research to examine the issue and discover the realities of the problem in order to resolve mobile health servicesAlasmari and Anwar (2017), Muhammad et al. (2017), Zakerabasali et al. (2021), Abelson et al. (2017), Kao and Liebovitz (2017) 
10Security attachments are required (m-HB 10)Data are critical to the IoT system's success, there are a number of concerns about data management, including how medical data are collected and handled in terms of storage, processing and access by selected users through intellectual technologyKosaraju (2021), Baker and Stanley (2018), Simon et al. (2009), Kao and Liebovitz (2017), Gleason (2015) 
11Staff apprehension and habitual change (m-HB 11)Habitual change of staff might be impossible to adopt these intellectual technologies used in mHealth services. The popularity of training courses, online certifications and specialisations in mHealth is already expanding, according to medical professionals' responsesMcConnochie (2019), Pulla, (2016), Zakerabasali et al. (2021), Kuek and Hakkennes, (2020) 
12Physicians do not have significant advantages, rewards, or assistance (m-HB 12)Physicians wants to be updated in the intellectual technologies like IOT based healthcare equipment in the medical field but there is no such facility to develop by itselfAgarwal et al. (2020), Lluch, (2011), O'Connor and O'Donoghue (2015) 
13The government's economic condition (m-HB 13)A coordinated effort by healthcare executives and providers, backed by the government, could go a long way towards improving India's medical ecosystem by embracing mobile technology. Due to government economic condition, large scale of technology cannot be implemented properly in the healthcare sectorRaina and Spaces (2021), Mathur et al. (2017), Kao and Liebovitz (2017) 
14Lack of supervisory agency (m-HB 14)There is a lack in the use of intellectual technology like misinterpretation of mHealth applicationFlodgren et al. (2015), Powell et al. (2014), Masterson Creber et al. (2016), Stoyanov et al. (2016), Zakerabasali et al. (2021), Kao and Liebovitz (2017) 
15Social and cultural problems (m-HB 15)A social revolution in the case of Internet communiqué as a result of IoT; this has had a substantial impact on the extension of many challenging units, specifically in the field of implantable implantsMascolo, (2010), Kao and Liebovitz (2017), Alsughayr, (2015), Nebeker et al. (2017) 

*Source: Authors own work

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