Related Experiment Video
Updated: Sep 24, 2026
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Digital Transformational Leadership and Coordinated Care in European Primary Healthcare: The Mediating Role of
Liliana Hawrysz1, Magdalena Kludacz-Alessandri2, Wioletta Pomaranik2
1Faculty of Management, Department of Organization and Management, Wroclaw University of Science and Technology, Wroclaw, Poland.
Purpose:
This study aims to examine how digital transformational leadership (DTL) is associated with coordinated care (CR) in primary healthcare organizations, with particular focus on the mediating role of patient agility (PA). By integrating the dynamic capabilities perspective, the resource-based view, and socio-technical systems theory, the study seeks to explain how leadership is associated with coordination outcomes in complex healthcare environments.
Patients And Methods:
Data were collected from a cross-national sample of 1,208 primary care managers in Sweden, Italy, Spain, and Germany using a structured self- reported online survey. The constructs were measured using validated multi-item scales and analyzed using structural equation modeling (SEM) in IBM SPSS AMOS. Reliability and validity were assessed through Cronbach's alpha, composite reliability (CR), average variance extracted (AVE), and the heterotrait-monotrait ratio (HTMT).
Results:
The findings indicate that DTL is positive associated with patient agility (β = 0.733, p < 0.001), which in turn is positively associated with coordinated care (β = 0.761, p < 0.001). While the direct effect of DTL on coordinated care is statistically significant but weaker (β = 0.163, p < 0.01), patient agility partially mediates this relationship (β = 0.558, p < 0.001). The model demonstrates substantial explanatory power, accounting for 78.7% of the variance in coordinated care.
Conclusion:
The results suggest that digital transformational leadership is associated with coordinated care primarily through the development of patient agility as a dynamic organizational capability. The study highlights the importance of moving beyond technology adoption toward capability development in digital transformation initiatives. By identifying patient agility as a key mediating mechanism, the study offers theoretical and practical insights into how leadership can enhance coordination processes in primary healthcare.
Related Concept Videos
01:18Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:29Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:13Patient-centered Care
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic illness...