Evaluation of Telemedicine Systems User Satisfaction in Developing Countries: The Case of Mali and Senegal

This article describes how in developing countries, the work on regulatory aspects of telemedicine systems and applications is still in infancy. During our literature review and on-site research in Sub-Saharan Africa, we could not point out any work on measuring the quality of service (QoS) and quality of experience (QoE or QoX) provided by the telemedicine systems, thus making it impossible to measure the overall level of system user satisfaction in Sub-Saharan Africa. Therefore, we conducted a qualitative and quantitative study to measure network QoS performance and end-user QoE perception of telemedicine systems using publicly accessible conversation tool Skype in Mali and Senegal. The results show that about 75% of the users were satisfied with the quality of teleconsultation service provided and 60% of the users have good impression on the network performance. Based on obtained results, we propose KPIs such as global QoS for measuring QoS and propose a mathematical formula to predict the corresponding QoE, since there exists a relationship between QoS and QoE.