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Managing Directors’ Perspectives on Digital Maturity in German Hospitals—A Multi-Point Online-Based Survey Study

Author

Listed:
  • Anja Burmann

    (Chair of Health Informatics, Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany
    Department Healthcare, Fraunhofer Institute for Software and Systems Engineering, 44227 Dortmund, Germany)

  • Burkhard Fischer

    (Krankenhausgesellschaft Nordrhein-Westfalen e. V, 40237 Düsseldorf, Germany)

  • Nico Brinkkötter

    (Krankenhausgesellschaft Nordrhein-Westfalen e. V, 40237 Düsseldorf, Germany)

  • Sven Meister

    (Chair of Health Informatics, Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany
    Department Healthcare, Fraunhofer Institute for Software and Systems Engineering, 44227 Dortmund, Germany)

Abstract

Background: The digitalization and integration of data are increasingly relevant for hospitals. Several methods exist to assess and structurally develop digital maturity. However, it is notable that German hospitals lag behind the European average with respect to digitalization. Objective: We hypothesized that: (a) the perspective of hospital managing directors regarding the state of digitalization in German hospitals plays an important role in the investigation of barriers, and (b) the Hospital Future Act in 2020 may help to surmount those barriers. Methods: Aligned with the Checklist for Reporting Results of Internet E-Surveys (CHERRIES), two online surveys were conducted, one in 2019 and one in 2021. Results: The first study covered 184/344 hospitals and the second, 83/344. The responsibility for deciding on the implementation of digitalization lay with the management (115/184; 62.5%). About 54.9% (101/184) of the managing directors desired digitally supported workflows, together with employees or users. In total, 74.7% (62/83) of hospital managing directors expressed an increase in digitization compared to 2019, with a percentage increase of 25.4% (SD 14.41). In some cases, we analyzed the data using an ANOVA, chi-squared test and Pearson’s correlation, but there was no significant relation identified among the variables. Conclusions: This online-based survey study demonstrated that the development of a digitalization strategy is still strongly tied to or dominated by the attitude of the management. One could assume a lack of acceptance among employees, which should be surveyed in future research. The Hospital Future Act, as well as the COVID-19 pandemic, has positively influenced the digital maturity of hospitals.

Suggested Citation

  • Anja Burmann & Burkhard Fischer & Nico Brinkkötter & Sven Meister, 2022. "Managing Directors’ Perspectives on Digital Maturity in German Hospitals—A Multi-Point Online-Based Survey Study," IJERPH, MDPI, vol. 19(15), pages 1-18, August.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9709-:d:882104
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    References listed on IDEAS

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    1. Annika Herr, 2008. "Cost and technical efficiency of German hospitals: does ownership matter?," Health Economics, John Wiley & Sons, Ltd., vol. 17(9), pages 1057-1071, September.
    2. Jelke Bethlehem, 2010. "Selection Bias in Web Surveys," International Statistical Review, International Statistical Institute, vol. 78(2), pages 161-188, August.
    3. Kokshagina, Dr Olga, 2021. "Managing shifts to value-based healthcare and value digitalization as a multi-level dynamic capability development process," Technological Forecasting and Social Change, Elsevier, vol. 172(C).
    4. Elina Laukka & Moona Huhtakangas & Tarja Heponiemi & Outi Kanste, 2020. "Identifying the Roles of Healthcare Leaders in HIT Implementation: A Scoping Review of the Quantitative and Qualitative Evidence," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    5. Kraus, Sascha & Schiavone, Francesco & Pluzhnikova, Anna & Invernizzi, Anna Chiara, 2021. "Digital transformation in healthcare: Analyzing the current state-of-research," Journal of Business Research, Elsevier, vol. 123(C), pages 557-567.
    6. Beaulieu, Martin & Bentahar, Omar, 2021. "Digitalization of the healthcare supply chain: A roadmap to generate benefits and effectively support healthcare delivery," Technological Forecasting and Social Change, Elsevier, vol. 167(C).
    7. Martin Beaulieu & Omar Bentahar, 2021. "Digitalization of the healthcare supply chain: A roadmap to generate benefits and effectively support healthcare delivery," Post-Print hal-03208957, HAL.
    8. Stavytskyy Andriy & Kharlamova Ganna & Stoica Eduard Alexandru, 2019. "The Analysis of the Digital Economy and Society Index in the EU," TalTech Journal of European Studies, Sciendo, vol. 9(3), pages 245-261, September.
    9. Sven Meister & Anja Burmann & Wolfgang Deiters, 2019. "Digital Health Innovation Engineering: Enabling Digital Transformation in Healthcare: Introduction of an Overall Tracking and Tracing at the Super Hospital Aarhus Denmark," Management for Professionals, in: Nils Urbach & Maximilian Röglinger (ed.), Digitalization Cases, pages 329-341, Springer.
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