Academic Journal
Does System Choice Matter? Influence of Hospital Information Systems on Digital Maturity.
| Τίτλος: | Does System Choice Matter? Influence of Hospital Information Systems on Digital Maturity. |
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| Συγγραφείς: | Backes J; Chair of Health Economics, Policy and Management, School of Medicine, University of St. Gallen, St. Gallen, Switzerland. jonas.backes@unisg.ch., Geissler A; Chair of Health Economics, Policy and Management, School of Medicine, University of St. Gallen, St. Gallen, Switzerland., Subelack J; Chair of Health Economics, Policy and Management, School of Medicine, University of St. Gallen, St. Gallen, Switzerland., Ehlig D; Chair of Health Economics, Policy and Management, School of Medicine, University of St. Gallen, St. Gallen, Switzerland. |
| Πηγή: | Journal of medical systems [J Med Syst] 2026 Aug 08; Vol. 50 (1). Date of Electronic Publication: 2026 Aug 08. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Kluwer Academic/Plenum Publishers Country of Publication: United States NLM ID: 7806056 Publication Model: Electronic Cited Medium: Internet ISSN: 1573-689X (Electronic) Linking ISSN: 01485598 NLM ISO Abbreviation: J Med Syst Subsets: MEDLINE |
| Imprint Name(s): | Publication: 1999- : New York, NY : Kluwer Academic/Plenum Publishers Original Publication: New York, Plenum Press. |
| Ιατρικοί όροι (MeSH): | Hospital Information Systems*/organization & administration , Hospital Information Systems*/statistics & numerical data, Humans ; Digital Health ; Germany |
| Περίληψη: | Hospitals worldwide invest heavily in digital infrastructure to improve efficiency, safety, and patient-centeredness. Hospital Information Systems (HIS) form the backbone of these efforts. However, the HIS provider market remains fragmented and heterogeneous, thus potentially influencing hospitals' ability to achieve digital transformation. Empirical evidence on how HIS choice relates to digital maturity remains limited. Using data from more than 1,600 hospitals participating in the German-wide DigitalRadar (DR) project (i.e., covering about 90% of all hospitals), we examined the relationship between HIS provider characteristics and hospitals' digital maturity. The DR dataset comprises 234 standardized items per hospital and provides a maturity score from 0 to 100 for each hospital. Four HIS provider features (i.e., module utilization, integration ratio, external provider variation, and maximum hospital size coverage) were derived and used for k-means clustering. Multivariate linear regressions, controlling for hospital characteristics, quantified associations with digital maturity. K-means clustering identified four clusters of HIS providers. Higher module utilization (β = 6.87, p < 0.05) and integration ratios (β = 14.35, p < 0.01) were consistently associated with greater digital maturity. External provider variation and maximum hospital size coverage were not significantly associated with overall digital maturity. The choice of HIS provider is associated with hospitals' digital maturity, particularly with respect to broader module coverage and stronger integration. Providers with low module utilization and limited integration are associated with lower maturity. Our findings highlight the need for strategic HIS procurement, targeted system/organizational improvements, and policy incentives to accelerate digital transformation. (© 2026. The Author(s).) |
| Competing Interests: | Declarations. Ethical Approcal and Consent to Participate: Not applicable. Clinical Trial Number: Not applicable. Competing interests: The authors declare no competing interests. |
| References: | Health Aff (Millwood). 2011 Mar;30(3):464-71. (PMID: 21383365) J Am Med Inform Assoc. 2019 Oct 1;26(10):989-998. (PMID: 31348514) Health Policy. 2024 Apr;142:105012. (PMID: 38422802) J Am Med Inform Assoc. 2016 Sep;23(5):899-908. (PMID: 26911829) Lancet. 2017 Aug 26;390(10097):882-897. (PMID: 28684025) J Med Internet Res. 2019 Sep 26;21(9):e14956. (PMID: 31573914) Front Public Health. 2023 Jan 13;10:962924. (PMID: 36711349) J Med Syst. 2024 Sep 13;48(1):85. (PMID: 39269612) Ann Fam Med. 2014 Nov-Dec;12(6):573-6. (PMID: 25384822) Stud Health Technol Inform. 2017;238:165-168. (PMID: 28679914) Int J Med Inform. 2024 Dec;192:105643. (PMID: 39368301) Mayo Clin Proc Innov Qual Outcomes. 2022 May 31;6(3):269-278. (PMID: 35669522) J Am Med Inform Assoc. 2025 Jan 1;32(1):20-27. (PMID: 39401254) Appl Clin Inform. 2020 Oct;11(5):742-754. (PMID: 33176389) J Med Internet Res. 2022 Nov 10;24(11):e40124. (PMID: 36355423) J Am Med Inform Assoc. 2008 Jul-Aug;15(4):408-23. (PMID: 18436903) Int J Med Inform. 2007 Jun;76 Suppl 1:S252-60. (PMID: 16815740) Iran Red Crescent Med J. 2013 Dec;15(12):e11716. (PMID: 24693386) J Med Internet Res. 2025 Feb 05;27:e65546. (PMID: 39909404) J Med Internet Res. 2024 Aug 6;26:e56316. (PMID: 39106100) BMC Med Inform Decis Mak. 2023 Jan 24;23(1):18. (PMID: 36694161) NPJ Digit Med. 2024 Jan 13;7(1):12. (PMID: 38218892) Inform Health Soc Care. 2018 Dec;43(4):401-426. (PMID: 28829650) Health Serv Insights. 2022 Mar 3;15:11786329211070722. (PMID: 35273449) NPJ Digit Med. 2019 Aug 20;2:79. (PMID: 31453374) Ann Intern Med. 2006 May 16;144(10):742-52. (PMID: 16702590) JAMIA Open. 2020 Sep 03;3(3):369-377. (PMID: 33215072) BMC Med Inform Decis Mak. 2016 Jan 25;16:8. (PMID: 26810606) |
| Contributed Indexing: | Keywords: Digital maturity; Digitalization; Hospital information systems (HIS); Interoperability |
| Entry Date(s): | Date Created: 20260808 Date Completed: 20260808 Latest Revision: 20260923 |
| Update Code: | 20260923 |
| PubMed Central ID: | PMC13452863 |
| DOI: | 10.1007/s10916-026-02450-w |
| PMID: | 42570133 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1573-689X |
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| DOI: | 10.1007/s10916-026-02450-w |