Evidence map›Paper›PMID 42175799›Full record

ArticleScandinavian journal of primary health care2026

Responsible digital transformation in rural primary healthcare services: critical factors from a Norwegian case study.

Raj Kumar Thapa, Trond Bliksvær, Trude Fløystad Eines, Merete Kvamme Fabritius, Cecilie Katrine Utheim Grønvik, Solrun Holm, Nadra Jesmine Nilsen, Finn Robert Verlo, Trude Hartviksen

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Raj Kumar ThapaNordland Research Institute, Bodø, Norway.
Trond BliksværNordland Research Institute, Bodø, Norway.ORCID 0000-0003-3148-6085
Trude Fløystad EinesMolde University College, Molde, Norway.ORCID 0000-0002-9195-3442
Merete Kvamme FabritiusNordland Research Institute, Bodø, Norway.
Cecilie Katrine Utheim GrønvikMolde University College, Molde, Norway.ORCID 0000-0003-3748-6406
Solrun HolmVestvågøy kommune, Leknes, Norway.
Nadra Jesmine NilsenCentre for Health Innovation, Kristiansund, Norway.
Finn Robert VerloCentre for Health Innovation, Kristiansund, Norway.
Trude HartviksenVestvågøy kommune, Leknes, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the critical factors that shape the potential for co-creating and implementing a virtual department for home-based healthcare in a rural municipality.

methodsA qualitative case study was conducted in a rural municipality in Northern Norway. Data were collected through semi-structured interviews, focus groups, and co-creation workshops involving healthcare leaders, frontline staff, service users and relatives, and representative from the pensioners' federation. Thematic analysis was applied to identify organisational, contextual, and cultural factors influencing digital transformation.

resultsWhile the co-creation of virtual department for home-based healthcare showed potential for piloting, readiness for full implementation was limited. Six critical factors were identified: structural readiness, digital competence, technology in practice, cultural change, autonomy and care, and motivation and dedication. These factors highlight the importance of organisational culture, workforce capacity, and stakeholder engagement in shaping readiness for responsible digital transformation.

conclusionDigital transformation holds potential for addressing healthcare challenges in rural municipalities, but success depends on more than technological efficacy. Effective coordination between bottom-up and top-down approaches is required to ensure responsible and sustainable transformation of primary healthcare services.

Indexed as

Home Care ServicesPrimary Health CareRural Health ServicesDigital HealthFocus GroupsHumansInterviews as TopicNorwayOrganizational CultureQualitative ResearchHome-based careprimary healthcarequalitative case studyresponsible digital transformationrural municipality

Identifiers

PMID42175799
PMCPMC13202684

What OpenQuestion holds

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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.