JMIR Publications

ABSTRACT

Background:

Digital transformation is now a fundamental component of healthcare 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.

Objective:

To identify and analyze key barriers and facilitators to the implementation of digital health technologies from physicians’ perspectives in Russia.

Methods:

A two-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 over 100,000, age over 22 years, at least 3 years of specialty experience, and employment in public or private healthcare institutions. The analysis focused on four categories of digital health technologies: remote consultations, remote monitoring, digital diagnostic solutions, and clinical decision support systems.

Results:

The 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, convenient training organization was a crucial motivator, with 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.

Conclusions:

The findings highlight the need for comprehensive, technology-specific digital implementation strategies to improve healthcare digital transformation effectiveness, considering physician concerns about decision-making ac-curacy, technical challenges, and legal frameworks.