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Middle managers are key to successful eHealth implementation in primary care. They navigate change by supporting staff, adapting strategies locally, and fostering readiness for digital transformation.

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Area of Science:

  • Digital Health
  • Healthcare Management
  • Health Informatics

Background:

  • eHealth implementation is complex, requiring organizational readiness, change management, and professional involvement.
  • Leadership is crucial for digital transformation, but managers often lack necessary guidance.
  • This study focuses on Swedish primary care middle managers implementing a digital service system (1177 Direct).

Purpose of the Study:

  • Examine middle managers' experiences with digital transformation in primary care.
  • Identify best practices, barriers, and enablers for successful eHealth adoption.
  • Inform strategies to enhance leadership capacity in digital healthcare implementations.

Main Methods:

  • Conducted semi-structured interviews with 26 primary care middle managers.
  • Interviews occurred two weeks prior to the digital service system launch.
  • Data analyzed using conventional content analysis.

Main Results:

  • Managers navigated their leadership role in top-down change, developing tailored implementation strategies.
  • Key preconditions for leadership included fostering staff support and readiness.
  • Managers adapted the innovation and implementation to local contexts.

Conclusions:

  • Middle managers play a pivotal role in preparing for and leading eHealth implementation.
  • Effective leadership involves supporting staff, managing uncertainty, and using local strategies.
  • Clear communication, contextual adaptation, and feedback are vital for sustainable digital transformation.