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"Digital Unless?" Evaluating Digital Transformation in a Dutch Hospital.

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  • 1Hospital Rivierenland Tiel, the Netherlands.

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Summary

Digital transformation in healthcare requires more than strategy; it needs cultural readiness and staff alignment. Hybrid care is the realistic default, emphasizing patient autonomy and tailored support for successful digital health implementation.

Keywords:
Digital healthhospital transformationhybrid careimplementation barrierspatient-centered care

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Area of Science:

  • Health Services Research
  • Digital Health
  • Healthcare Management

Background:

  • Healthcare systems face increasing demands, workforce shortages, and cost pressures.
  • Digital transformation is viewed as essential for modern healthcare delivery.
  • A Dutch hospital adopted a "digital unless" principle for care provision.

Purpose of the Study:

  • To qualitatively evaluate digital transformation efforts in a Dutch hospital.
  • To identify barriers and facilitators to implementing the "digital unless" principle.
  • To gather insights from diverse stakeholders on digital health adoption.

Main Methods:

  • A structured internal session with multi-stakeholder participation (April 2025).
  • Inclusion of executive board, medical staff, nursing staff, management, innovation committee, CMIO, CIO, and patient advisory council.
  • Thematic analysis of strategic proposition review, staff experience dialogue, and patient needs debate.

Main Results:

  • Hybrid care is the realistic default model.
  • Mindset and technology are interdependent for effective implementation.
  • Tailored staff support, adoption of proven innovations, and patient autonomy are critical.
  • Five key lessons emerged from the stakeholder session.

Conclusions:

  • Digital health success hinges on cultural readiness, staff alignment, and patient inclusion, not just vision.
  • Practical, evidence-informed recommendations are provided for hospitals.
  • Translating digital ambitions into measurable impact requires addressing organizational, cultural, and practical barriers.