Evidence map›Paper›PMID 41637735›Full record

ArticleJournal of participatory medicine2026

Barriers and Facilitators of Digital Transformation in Health Care: Mixed Methods Study.

Marina Veldanova, Polina Glazkova, Elizaveta Krasilnikova, Marina Kazanfarova, Marina Bezuglova, Ekaterina Sosunova, Marina Zhuravleva

Abstract read
In one paragraph

Article in Journal of participatory medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Marina VeldanovaSKOLKOVO School of Management, Odintsovo, Russian Federation.ORCID https://orcid.org/0009-0004-9396-2715
Polina GlazkovaSKOLKOVO School of Management, Odintsovo, Russian Federation.ORCID https://orcid.org/0000-0002-8830-7503
Elizaveta KrasilnikovaSKOLKOVO School of Management, Odintsovo, Russian Federation.ORCID https://orcid.org/0009-0008-1601-4905
Marina KazanfarovaSKOLKOVO School of Management, Odintsovo, Russian Federation.ORCID https://orcid.org/0000-0001-7401-9538
Marina BezuglovaIpsos Comcon LLC, Moscow, Russian Federation.ORCID https://orcid.org/0009-0004-3017-0630
Ekaterina SosunovaIpsos Comcon LLC, Moscow, Russian Federation.ORCID https://orcid.org/0009-0001-7192-5081
Marina ZhuravlevaIpsos Comcon LLC, Moscow, Russian Federation.ORCID https://orcid.org/0009-0000-0204-7476

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital transformation is now a fundamental component of health care systems worldwide. To develop effective digital health strategies, it is essential to examine physicians' perspectives on the barriers and facilitators of implementation, with particular attention to regional and cultural factors influencing technology adoption.

objectiveThis study aims to identify and analyze key barriers and facilitators to the implementation of digital health technologies from physicians' perspectives in Russia.

methodsA 2-phase nationwide mixed methods study was conducted involving 460 physicians from various specialties. The first phase comprised in-depth interviews with 10 physicians to develop a specialized questionnaire. The second phase involved a nationwide cross-sectional survey with 450 physicians using the developed questionnaire. Inclusion criteria were working in a Russian city with a population of more than 100,000, age 22 years and older, at least 3 years of specialty experience, and employment in public or private health care institutions. The analysis focused on 4 categories of digital health technologies: remote consultations, remote monitoring, digital diagnostic solutions, and clinical decision support systems.

resultsThe main barriers identified were fear of making erroneous decisions (25% of physicians), technical difficulties (up to 25%), and legal insecurity (21% of physicians). Notably, the barrier profile varied depending on the type of technology. Key drivers for implementation included time saving (59% of physicians), practical benefits (55% of physicians), and legal security (54% of physicians). Additionally, a convenient training organization was a crucial motivator, with the availability of free training (53% of physicians) and provision of study leave (52% of physicians). These facilitators were consistent across all categories of digital solutions. Based on these findings, key recommendations for the implementation of digital transformation in medical organizations were formulated.

conclusionsThe findings highlight the need for comprehensive, technology-specific digital implementation strategies to improve health care digital transformation effectiveness, considering physician concerns about decision-making accuracy, technical challenges, and legal frameworks.

Indexed as

clinical decision support systemsdigital healthdigital transformationeHealthhealth care innovationmHealthphysician barriersremote patient monitoringtechnology acceptancetelemedicine

Identifiers

PMID41637735
PMCPMC12917481

What Socratic holds

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LicenceCC BY
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Registered trials

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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 Socratic graph.