Digital maturity and its determinants in General Practice: A cross-sectional study in 20 countries.
digital maturity
digital technology
electronic health records
health information interoperability
primary care
quality of care
Journal
Frontiers in public health
ISSN: 2296-2565
Titre abrégé: Front Public Health
Pays: Switzerland
ID NLM: 101616579
Informations de publication
Date de publication:
2022
2022
Historique:
received:
19
07
2022
accepted:
20
12
2022
entrez:
30
1
2023
pubmed:
31
1
2023
medline:
1
2
2023
Statut:
epublish
Résumé
The extent to which digital technologies are employed to promote the delivery of high-quality healthcare is known as Digital Maturity. Individual and systemic digital maturity are both necessary to ensure a successful, scalable and sustainable digital transformation in healthcare. However, digital maturity in primary care has been scarcely evaluated. This study assessed the digital maturity in General Practice (GP) globally and evaluated its association with participants' demographic characteristics, practice characteristics and features of Electronic Health Records (EHRs) use. GPs across 20 countries completed an online questionnaire between June and September 2020. Demographic data, practice characteristics, and features of EHRs use were collected. Digital maturity was evaluated through a framework based on usage, resources and abilities (divided in this study in its collective and individual components), interoperability, general evaluation methods and impact of digital technologies. Each dimension was rated as 1 or 0. The digital maturity score was calculated as the sum of the six dimensions and ranged between 0 to 6 (maximum digital maturity). Multivariable linear regression was used to model the total score, while multivariable logistic regression was used to model the probability of meeting each dimension of the score. One thousand six hundred GPs (61% female, 68% Europeans) participated. GPs had a median digital maturity of 4 (P25-P75: 3-5). Positive associations with digital maturity were found with: male gender [ Our study demonstrated notable factors that impact digital maturity and exposed discrepancies in digital transformation across healthcare settings. It provides guidance for policymakers to develop more efficacious interventions to hasten the digital transformation of General Practice.
Sections du résumé
Background
The extent to which digital technologies are employed to promote the delivery of high-quality healthcare is known as Digital Maturity. Individual and systemic digital maturity are both necessary to ensure a successful, scalable and sustainable digital transformation in healthcare. However, digital maturity in primary care has been scarcely evaluated.
Objectives
This study assessed the digital maturity in General Practice (GP) globally and evaluated its association with participants' demographic characteristics, practice characteristics and features of Electronic Health Records (EHRs) use.
Methods
GPs across 20 countries completed an online questionnaire between June and September 2020. Demographic data, practice characteristics, and features of EHRs use were collected. Digital maturity was evaluated through a framework based on usage, resources and abilities (divided in this study in its collective and individual components), interoperability, general evaluation methods and impact of digital technologies. Each dimension was rated as 1 or 0. The digital maturity score was calculated as the sum of the six dimensions and ranged between 0 to 6 (maximum digital maturity). Multivariable linear regression was used to model the total score, while multivariable logistic regression was used to model the probability of meeting each dimension of the score.
Results
One thousand six hundred GPs (61% female, 68% Europeans) participated. GPs had a median digital maturity of 4 (P25-P75: 3-5). Positive associations with digital maturity were found with: male gender [
Conclusion
Our study demonstrated notable factors that impact digital maturity and exposed discrepancies in digital transformation across healthcare settings. It provides guidance for policymakers to develop more efficacious interventions to hasten the digital transformation of General Practice.
Identifiants
pubmed: 36711349
doi: 10.3389/fpubh.2022.962924
pmc: PMC9880412
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
962924Informations de copyright
Copyright © 2023 Teixeira, Li, Laranjo, Collins, Irving, Fernandez, Car, Ungan, Petek, Hoffman, Majeed, Nessler, Lingner, Jimenez, Darzi, Jácome and Neves.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The handling editor ME declared a past collaboration with the authors.
Références
JAMA Netw Open. 2020 Oct 1;3(10):e2021476
pubmed: 33006622
Digit Health. 2015 Jan 01;1:2055207614561571
pubmed: 29942537
Patient Educ Couns. 2015 Jul 8;:
pubmed: 26215571
J Med Internet Res. 2020 Nov 6;22(11):e22280
pubmed: 33079693
J Rural Stud. 2020 Oct;79:169-176
pubmed: 32863561
J Am Med Inform Assoc. 2021 Mar 1;28(3):494-503
pubmed: 33249472
Int J Med Inform. 2020 Nov;143:104260
pubmed: 32919345
J Med Internet Res. 2016 Apr 14;18(4):e75
pubmed: 27080852
BMC Med Inform Decis Mak. 2018 Nov 13;18(1):101
pubmed: 30424758
Future Healthc J. 2017 Oct;4(3):189-192
pubmed: 31098469
J Med Internet Res. 2021 Jan 11;23(1):e20195
pubmed: 33427676
NPJ Digit Med. 2019 May 16;2:41
pubmed: 31304387
Eur J Public Health. 2019 Oct 1;29(Supplement_3):7-12
pubmed: 31738442
BMC Med Inform Decis Mak. 2016 Jan 25;16:8
pubmed: 26810606
J Biomed Inform. 2022 Oct;134:104199
pubmed: 36100164
BMJ Open. 2020 Dec 12;10(12):e041690
pubmed: 33310807
Mayo Clin Proc. 2019 Sep;94(9):1681-1694
pubmed: 30803733
JMIR Med Inform. 2019 Jan 11;7(1):e12465
pubmed: 30632973
Adv Healthc Mater. 2021 Sep;10(17):e2101548
pubmed: 34495580
Int J Med Inform. 2014 Jan;83(1):37-46
pubmed: 24231269
Can Fam Physician. 2017 May;63(5):e284-e290
pubmed: 28500211
Cienc Innov Salud. 2020 Jul 10;e74:68-75
pubmed: 32656302
N Engl J Med. 2008 Mar 6;358(10):1064-71
pubmed: 18322289
J Med Internet Res. 2019 Sep 26;21(9):e14956
pubmed: 31573914
ACS Nano. 2021 Feb 23;15(2):1960-2004
pubmed: 33534541
Ann Transl Med. 2016 Mar;4(6):111
pubmed: 27127764
Health Promot Int. 2021 Dec 13;36(Supplement_1):i70-i80
pubmed: 34897444
JMIR Res Protoc. 2021 Aug 26;10(8):e30099
pubmed: 34292867