ArticlemedRxiv : the preprint server for health sciences2025
Digitally Delivered, Systemically Challenged: A Qualitative Study of Health System Readiness for Digital Care.
Article in medRxiv : the preprint server for health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The trial behind it
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Authors and funding
6 authors.
Funding
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Abstract
backgroundDigital health technologies can expand healthcare access, improve care coordination, and reduce costs. However, integrating these tools into routine care faces complex barriers. Understanding health system leader perspectives is essential for developing scalable, sustainable digital solutions.
objectiveTo explore the attitudes, experiences, and priorities of health system stakeholders regarding the implementation of digital health technologies in clinical practice.
methodsThe study team conducted semi-structured interviews with 12 stakeholders from diverse U.S. health systems, including clinical, operational, and executive leadership. Interviewees were selected using purposeful and snowball sampling. Interviews were transcribed, de-identified, and analyzed thematically using the Consolidated Framework for Implementation Research (CFIR). A constant comparative coding process was used to identify and organize key themes.
resultsParticipants saw digital tools as a way to enhance healthcare access and efficiency and improve public health operations, especially in rural or underserved settings. However, several major adoption challenges emerged including (1) integrating digital tools into existing workflows and electronic health record is operationally burdensome; (2) digital care can introduce risks to quality, continuity, and equity; and (3) external factors (reimbursement policy, regulatory constraints, infrastructure investment) are critical to long-term adoption.
conclusionsDigital health is seen as essential to the future of healthcare delivery, but meaningful integration requires alignment across clinical, operational, and policy domains. Coordinated investment, regulatory reform, and robust data infrastructure are needed to ensure digital solutions are scalable and sustainable.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.