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Aligning Organization and Health System Digitalization Efforts.

Aude Motulsky1, Susan Usher2, Jean-Louis Denis3

  • 1École de santé publique de l'Université de Montréal, Canada.

Studies in Health Technology and Informatics
|May 17, 2025
PubMed
Summary
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Digitalization in Ontario academic health centres (AHC) historically lacked provincial alignment. The COVID-19 pandemic and new policies improved coordination and the perceived value of digital health initiatives.

Area of Science:

  • Health Informatics
  • Health Systems Management
  • Digital Health Transformation

Background:

  • Aligning digitalization across health systems presents significant challenges.
  • Academic health centres (AHCs) often develop digital capacities independently.
  • Understanding factors influencing internal digital capacity and system-level alignment is crucial.

Purpose of the Study:

  • To trace digital development in six Ontario AHCs over three decades.
  • To identify factors influencing internal digital capacities.
  • To assess the contribution of AHC digitalization to system-level policy objectives, particularly patient-centred integrated care.

Main Methods:

  • Case study methodology involving six academic health centres in Ontario, Canada.
Keywords:
Digital transformationacademic health centercase study

Related Experiment Videos

  • Data collection through document review and interviews with AHC leaders.
  • Data collection conducted in 2019 and repeated in 2021 to capture the impact of the COVID-19 pandemic and system reforms.

    • Main Results:

    • Digitalization efforts within AHCs showed minimal intersection or coordination with provincial initiatives over three decades.
    • The COVID-19 pandemic positively influenced the perceived value of digitalization.
    • Recent policy shifts towards patient-centred integrated care present improved prospects for alignment.

    Conclusions:

    • Historical lack of coordination between AHC digitalization and provincial efforts requires attention.
    • The pandemic and evolving policy landscape offer opportunities to enhance digital health alignment.
    • Future strategies should leverage these opportunities to foster integrated digital health systems.