ArticleBMJ health & care informatics2021
Driving digital health transformation in hospitals: a formative qualitative evaluation of the English Global Digital Exemplar programme.
Article in BMJ health & care informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Applying Change Models and Methods During a Period of Vast Digital Transformation: A Systematic Review of Practice in Healthcare.The International journal of health planning and management · 2026Pooled it
- Large-scale system-level digitalisation initiatives in the National Health Service in England: insights from three national evaluations.NPJ digital medicine · 2026Article
- Perceptions and knowledge of machine learning for paediatric related decision support in emergency care - A UK and Ireland network survey study of clinician leaders.PLOS digital health · 2026Article
- Health status in the era of digital transformation and sustainable economic development.BMC health services research · 2025Article
- Providing capacity in glaucoma care using trained and accredited optometrists: A qualitative evaluation.Eye (London, England) · 2024Article
- Development of an Evidence-Based Conceptual Model of the Health Care Sector Under Digital Transformation: Integrative Review.Journal of medical Internet research · 2023Review
- A Systematic Literature Review of Health Information Systems for Healthcare.Healthcare (Basel, Switzerland) · 2023Review
- Digital Transformation in Healthcare: Technology Acceptance and Its Applications.International journal of environmental research and public health · 2023Article
- The Implementation of Pharmacogenetics in the United Kingdom.Handbook of experimental pharmacology · 2023Article
- Health Information System and Health Care Applications Performance in the Healthcare Arena: A Bibliometric Analysis.Healthcare (Basel, Switzerland) · 2022Article
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Corrections and comments
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Authors and funding
12 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is currently a strong drive internationally towards creating digitally advanced healthcare systems through coordinated efforts at a national level. The English Global Digital Exemplar (GDE) programme is a large-scale national health information technology change programme aiming to promote digitally-enabled transformation in secondary healthcare provider organisations by supporting relatively digitally mature provider organisations to become international centres of excellence.
aimTo qualitatively evaluate the impact of the GDE programme in promoting digital transformation in provider organisations that took part in the programme.
methodsWe conducted a series of in-depth case studies in 12 purposively selected provider organisations and a further 24 wider case studies of the remaining organisations participating in the GDE programme. Data collected included 628 interviews, non-participant observations of 190 meetings and workshops and analysis of 9 documents. We used thematic analysis aided by NVivo software and drew on sociotechnical theory to analyse the data.
resultsWe found the GDE programme accelerated digital transformation within participating provider organisations. This acceleration was triggered by: (1) dedicated funding and the associated requirement for matched internal funding, which in turn helped to prioritise digital transformation locally; (2) governance requirements put in place by the programme that helped strengthen existing local governance and project management structures and supported the emergence of a cadre of clinical health informatics leaders locally; and (3) reputational benefits associated with being recognised as a centre of digital excellence, which facilitated organisational buy-in for digital transformation and increased negotiating power with vendors.
conclusionThe GDE programme has been successful in accelerating digital transformation in participating provider organisations. Large-scale digital transformation programmes in healthcare can stimulate local progress through protected funding, putting in place governance structures and leveraging reputational benefits for participating provider organisations, around a coherent vision of transformation.
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