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Best Practices in Organizing Digital Transformation: Qualitative Case Study in Dutch Hospital Care
Tanja Schiffelers1, Kaya Kapteijns2, Laura Hochstenbach3
1Digital Care Transformation, Zuyderland Medical Centre, Sittard-Geleen, The Netherlands.
Journal of Medical Internet Research
|May 8, 2025
Summary
Dutch hospitals face challenges in digital transformation, but common factors like organizational culture and resources are key to success. This study offers insights for effective hybrid care implementation.
Area of Science:
- Health Services Research
- Digital Health Transformation
- Healthcare Management
Background:
- Healthcare systems face increasing demand, accessibility, affordability, and quality challenges.
- Labor shortages and rising costs necessitate digital transformation in European hospitals, particularly in the Netherlands.
- Integrating digital health into existing workflows is crucial for high-quality hybrid care, yet strategies are lacking.
Purpose of the Study:
- To examine how Dutch hospitals organize digital transformation initiatives.
- To identify strategies and best practices employed by hospitals in their digital transformation journeys.
- To provide evidence-based recommendations for hospitals undertaking digital transformation.
Main Methods:
- Qualitative multicase study involving 8 Dutch hospitals.
- Semistructured interviews with 11 project managers and advisors in digital care.
- Directed content analysis of interview transcripts focusing on strategies, structures, barriers, and facilitators.
Main Results:
- Hospitals vary in organizing digital transformation but face similar facilitators and barriers.
- Key factors identified include program structure, organizational culture, financial and political aspects, patient needs, resources, and technical elements.
- These factors were categorized using frameworks like Consolidated Framework for Implementation Research and ExpandNet.
Conclusions:
- Despite implementation differences, hospitals share common challenges and enablers in digital transformation.
- Organizational culture, financial resources, and technical infrastructure are foundational for successful digital transformation in hospitals.
- Shared factors can guide effective digital health integration and improve hybrid care delivery.
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