Starting the path of Digital Transformation in Health Innovation in Digital Health: Conference proceeding

Fernández, Ariel; Beratarrechea, Andrea; Rojo, Marina; Ridao, Marina; Celi, Leo

doi:10.17081/innosa.74

Cited by 4 publications

(5 citation statements)

References 5 publications

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“…Simultaneously, the dissemination of electronic medical devices (4), as well as adoption of systems enabling digital drug prescriptions, referrals, billing, scheduling tests and appointments are also major contributors to this change (5). Advances in digital technologies can also be seen from the proliferation of implantable devices which offer real time monitoring of physiological parameters (6,7), to telemedicine (1) and mobile health-the use of mobile devices to improve health outcomes (8)(9)(10)(11). This already ongoing digital transition has been further accelerated as a result of the COVID-19 pandemic (1,12).…”

Section: Introductionmentioning

confidence: 99%

“…More than the modernization of medical resources, digital transformation is a complex multidimensional process (8) and therefore digital maturity, as any care intervention, needs to be rigorously evaluated and monitored to ensure successful implementation (16). While there have been studies focused on the assessment of digital maturity in secondary care (20,21), similar efforts are likewise needed in primary care (3).…”

Section: Introductionmentioning

confidence: 99%

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Digital maturity and its determinants in General Practice: A cross-sectional study in 20 countries

Teixeira

Laranjo

et al. 2023

Front. Public Health

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BackgroundThe extent to which digital technologies are employed to promote the delivery of high-quality healthcare is known as Digital Maturity. Individual and systemic digital maturity are both necessary to ensure a successful, scalable and sustainable digital transformation in healthcare. However, digital maturity in primary care has been scarcely evaluated.ObjectivesThis study assessed the digital maturity in General Practice (GP) globally and evaluated its association with participants' demographic characteristics, practice characteristics and features of Electronic Health Records (EHRs) use.MethodsGPs across 20 countries completed an online questionnaire between June and September 2020. Demographic data, practice characteristics, and features of EHRs use were collected. Digital maturity was evaluated through a framework based on usage, resources and abilities (divided in this study in its collective and individual components), interoperability, general evaluation methods and impact of digital technologies. Each dimension was rated as 1 or 0. The digital maturity score was calculated as the sum of the six dimensions and ranged between 0 to 6 (maximum digital maturity). Multivariable linear regression was used to model the total score, while multivariable logistic regression was used to model the probability of meeting each dimension of the score.ResultsOne thousand six hundred GPs (61% female, 68% Europeans) participated. GPs had a median digital maturity of 4 (P25–P75: 3–5). Positive associations with digital maturity were found with: male gender [B = 0.18 (95% CI 0.01; 0.36)], use of EHRs for longer periods [B = 0.45 (95% CI 0.35; 0.54)] and higher frequencies of access to EHRs [B = 0.33 (95% CI 0.17; 0.48)]. Practicing in a rural setting was negatively associated with digital maturity [B = −0.25 (95%CI −0.43; −0.08)]. Usage (90%) was the most acknowledged dimension while interoperability (47%) and use of best practice general evaluation methods (28%) were the least. Shorter durations of EHRs use were negatively associated with all digital maturity dimensions (aOR from 0.09 to 0.77).ConclusionOur study demonstrated notable factors that impact digital maturity and exposed discrepancies in digital transformation across healthcare settings. It provides guidance for policymakers to develop more efficacious interventions to hasten the digital transformation of General Practice.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Digital maturity and its determinants in General Practice: A cross-sectional study in 20 countries

Teixeira

Laranjo

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…5 Advances in digital technologies can also be seen from the proliferation of implantable devices which offer real time monitoring of physiological parameters, to telemedicine 1 and mobile healththe use of mobile devices to improve health outcomes. 6 This already ongoing digital transition has been further accelerated by the COVID-19 pandemic. 1,7 From facilitating communication between providers to improving prevention, achieving early diagnosis and providing timely treatments, digital technologies have a tremendous potential to improve health care delivery, 8,9 however they have not yet played a major role among efforts to improve primary healthcare.…”

Section: Introductionmentioning

confidence: 99%

“…11 The digital maturity of health professionals and systems is necessary to ensure a successful, scalable and sustainable digital transformation. 12,14 More than modernisation of medical resources, digital transformation is a complex multidimensional process 6 and therefore digital maturity, as any care intervention, needs to be rigorously evaluated and monitored to ensure successful implementation. 11 While there have been studies focused on the assessment of digital maturity in secondary care, 15,16 research is also needed in primary care practice.…”

Section: Introductionmentioning

confidence: 99%

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Digital maturity and its determinants in General Practice: a cross-sectional study in 20 countries

Teixeira

Laranjo

et al. 2022

Preprint

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Background: The extension to which digital technologies are employed to promote the delivery of high-quality healthcare is known as Digital Maturity. Individuals and systems digital maturity are both necessary to ensure a successful, scalable and sustainable digital transformation in healthcare. Digital maturity in primary care has been scarcely evaluated. Objectives: This study assessed the digital maturity - as a whole and in its dimensions - in General Practice and evaluated how participants demographic characteristics, practice characteristics and features of Electronic Health Records (EHRs) use are associated with digital maturity. Methods: General Practitioners (GPs) across 20 countries completed an online questionnaire between June and September 2020. Demographic data, practice characteristics and features of EHRs use were collected. Digital maturity was evaluated through a framework built upon usage, resources and ability (divided in this study in its collective and individual components), interoperability, general evaluation methods and impact of digital technologies. Each dimension was rated as 1 or 0. The digital maturity score is the sum of the six dimensions and ranges from 0 to 6 (maximum digital maturity). Multivariable linear regression was used to model the total score, while multivariable logistic regression was used to model the probability of meeting each dimension of the score. Results: 1,600 GPs (61% female, 68% Europeans) participated. GPs had a median digital maturity of 4 (P25-P75: 3-5). Positive associations with digital maturity were found for: being male (B=0.18 [95%CI 0.01;0.36]), use of EHRs for longer periods (B=0.45 [95%CI 0.35;0.54]) and higher frequencies of access to EHRs (B=0.33 [95%CI 0.17;0.48]). Practising in a rural setting was negatively associated with digital maturity (B=-0.25 [95%CI -0.43;-0.08]). Usage (90%) was the most acknowledged dimension while interoperability (47%) and use of best practice general evaluation methods (28%) were the least. Shorter durations of EHRs use were negatively associated with all digital maturity dimensions (aOR from 0.09 to 0.77). Conclusions: Our study demonstrated notable factors that impact digital maturity and exposed discrepancies in digital transformation across healthcare settings. It provides a roadmap for policymakers to develop more efficacious interventions to hasten and take the best advantage of digital transformation in General Practice.

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Dimensions and Subcategories of Digital Maturity in General Practice: Qualitative Study

Neunaber,

Mortsiefer,

Meister

2024

J Med Internet Res

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Background The status of the digitalization of companies and institutions is usually measured using maturity models. However, the concept of maturity in general practice is currently unclear, and herewith we examine the question of how maturity can be measured. There is a lack of empirical work on the dimensions and subcategories of digital maturity that provide information on the assessment framework. Objective The aim of the study was to answer the question of how many and which dimensions and subcategories describe digital maturity in general practice. Methods An explorative, qualitative research design based on semistructured expert interviews was used to investigate the dimensions of digital maturity. Twenty experts from various areas of the health care sector (care providers, interest groups, health care industry, and patient organizations) were interviewed. The interviews were analyzed based on a content-structuring analysis according to Kuckartz and Rädiker using MAXQDA software (VERBI GmbH). Results In total, 6 dimensions with a total of 26 subcategories were identified. Of these, 4 dimensions with a total of 16 subcategories (1) digitally supported processes, (2) practice staff, (3) organizational structures and rules, and (4) technical infrastructure and were deductively linked to digital maturity. In addition to the use of digital solutions, digital maturity included, for example, individual, organizational, and technical capabilities and resources of the medical practice. The 2 further dimensions, (5) benefits and outcomes and (6) external framework conditions of the medical practice, were identified inductively with a total of 10 subcategories. Digital maturity was associated with the beneficial use of digitalization, for example, with efficiency benefits for the practice, and external framework conditions were associated with influencing factors such as the local patient situation in the medical practice. Conclusions The results indicate that digital maturity is a multidimensional construct that is associated with many dimensions and variables. It is a holistic approach with human, organizational, and technical factors and concerns the way digitalization is used to shape patient care and processes. Furthermore, it is related to the maturity of the organizational environment as well as the benefits of a digitalized medical practice; however, this still needs to be confirmed. To measure the level of digital maturity in outpatient care as accurately as possible, maturity models should therefore be multilayered and take external influencing factors into account. Future research should statistically validate the identified dimensions. At the same time, correlations and dependencies between the measurement dimensions and their subcategories should be analyzed.

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Starting the path of Digital Transformation in Health Innovation in Digital Health: Conference proceeding

Abstract:

Cited by 4 publications

References 5 publications

Digital maturity and its determinants in General Practice: A cross-sectional study in 20 countries

Digital maturity and its determinants in General Practice: A cross-sectional study in 20 countries

Digital maturity and its determinants in General Practice: a cross-sectional study in 20 countries

Dimensions and Subcategories of Digital Maturity in General Practice: Qualitative Study

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