Synthesizing Dimensions of Digital Maturity in Hospitals: Systematic Review

J Med Internet Res. 2022 Mar 30;24(3):e32994. doi: 10.2196/32994.

Abstract

Background: Digital health in hospital settings is viewed as a panacea for achieving the "quadruple aim" of health care, yet the outcomes have been largely inconclusive. To optimize digital health outcomes, a strategic approach is necessary, requiring digital maturity assessments. However, current approaches to assessing digital maturity have been largely insufficient, with uncertainty surrounding the dimensions to assess.

Objective: The aim of this study was to identify the current dimensions used to assess the digital maturity of hospitals.

Methods: A systematic literature review was conducted of peer-reviewed literature (published before December 2020) investigating maturity models used to assess the digital maturity of hospitals. A total of 29 relevant articles were retrieved, representing 27 distinct maturity models. The articles were inductively analyzed, and the maturity model dimensions were extracted and consolidated into a maturity model framework.

Results: The consolidated maturity model framework consisted of 7 dimensions: strategy; information technology capability; interoperability; governance and management; patient-centered care; people, skills, and behavior; and data analytics. These 7 dimensions can be evaluated based on 24 respective indicators.

Conclusions: The maturity model framework developed for this study can be used to assess digital maturity and identify areas for improvement.

Keywords: capability model; digital capability; digital hospitals; digital maturity; eHealth; electronic medical records; literature review; maturity model.

Publication types

  • Review
  • Systematic Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Delivery of Health Care*
  • Hospitals*
  • Humans