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@article{Teixeira:2023:10.3389/fpubh.2022.962924,
author = {Teixeira, F and Li, E and Laranjo, L and Collins, C and Irving, G and Fernandez, MJ and Car, J and Ungan, M and Petek, D and Hoffman, R and Majeed, A and Nessler, K and Lingner, H and Jimenez, G and Darzi, A and Jácome, C and Neves, AL},
doi = {10.3389/fpubh.2022.962924},
journal = {Frontiers in Public Health},
pages = {1--10},
title = {Digital maturity and its determinants in General Practice: a cross- sectional study in 20 countries},
url = {http://dx.doi.org/10.3389/fpubh.2022.962924},
volume = {10},
year = {2023}
}

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TY  - JOUR
AB  - Background: The extent to which digital technologies are employed to promote the delivery of high-quality healthcare is known as Digital Maturity. Individual and systemic digital maturity are both necessary to ensure a successful, scalable and sustainable digital transformation in healthcare. However, digital maturity in primary care has been scarcely evaluated.Objectives: This study assessed the digital maturity in General Practice (GP) globally and evaluated its association with participants' demographic characteristics, practice characteristics and features of Electronic Health Records (EHRs) use.Methods: GPs across 20 countries completed an online questionnaire between June and September 2020. Demographic data, practice characteristics, and features of EHRs use were collected. Digital maturity was evaluated through a framework based on usage, resources and abilities (divided in this study in its collective and individual components), interoperability, general evaluation methods and impact of digital technologies. Each dimension was rated as 1 or 0. The digital maturity score was calculated as the sum of the six dimensions and ranged between 0 to 6 (maximum digital maturity). Multivariable linear regression was used to model the total score, while multivariable logistic regression was used to model the probability of meeting each dimension of the score.Results: One thousand six hundred GPs (61% female, 68% Europeans) participated. GPs had a median digital maturity of 4 (P25–P75: 3–5). Positive associations with digital maturity were found with: male gender [B = 0.18 (95% CI 0.01; 0.36)], use of EHRs for longer periods [B = 0.45 (95% CI 0.35; 0.54)] and higher frequencies of access to EHRs [B = 0.33 (95% CI 0.17; 0.48)]. Practicing in a rural setting was negatively associated with digital maturity [B = −0.25 (95%CI −0.43; −0.08)]. Usage (90%) was the most acknowledged dimension while interoperability (47%) and use of best practice gen
AU  - Teixeira,F
AU  - Li,E
AU  - Laranjo,L
AU  - Collins,C
AU  - Irving,G
AU  - Fernandez,MJ
AU  - Car,J
AU  - Ungan,M
AU  - Petek,D
AU  - Hoffman,R
AU  - Majeed,A
AU  - Nessler,K
AU  - Lingner,H
AU  - Jimenez,G
AU  - Darzi,A
AU  - Jácome,C
AU  - Neves,AL
DO  - 10.3389/fpubh.2022.962924
EP  - 10
PY  - 2023///
SN  - 2296-2565
SP  - 1
TI  - Digital maturity and its determinants in General Practice: a cross- sectional study in 20 countries
T2  - Frontiers in Public Health
UR  - http://dx.doi.org/10.3389/fpubh.2022.962924
UR  - https://www.frontiersin.org/articles/10.3389/fpubh.2022.962924/full
UR  - http://hdl.handle.net/10044/1/101266
VL  - 10
ER  -

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