Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2026
[The impact of motivation on the digital transformation of the German healthcare system - an exploratory derivation].
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Krebs Stephanie, Hasseler Martina
Аннотация
INTRODUCTION: In international comparison, the German healthcare system lags in digital transformation behind. This has been attributed to insufficient involvement of professional groups, limited availability and use of specific digital tools, inadequate development of digital literacy, as well as various structural factors. The following focuses on the influence of motivation on digital transformation within the German healthcare system.
METHOD: Based on a secondary data analysis of 249 datasets derived from a questionnaire survey assessing the subjective perception of digital competencies among professional groups in the healthcare sector, indicators and determinants of motivation will be identified. As motivation related to the digital transformation of the healthcare system was not explicitly assessed, (partial) assumptions regarding interactions between psychological well-being using the validated WHO-5 Well-Being Index, frequency of use of specific digital tools along a five-point Likert scale, and organizational readiness for change following the Organizational Readiness for Implementing Change (ORIC) scale are employed as proxies for motivation.
RESULTS: The frequency of use varies depending on the digital tool. Furthermore, an average psychological well-being was determined. There is a discernible trend that higher organizational readiness for change is associated with higher commitment (mean=3.0, SD=0.9) and higher capacity for change (mean=3.9, SD=1.1). Capacity for change is being rated higher overall than commitment to change. The high standard deviations indicate very heterogeneous assessments, especially in the occupational groups of medical professionals and nursing staff.
DISCUSSION: Based on the assumed interactions, it can be inferred that motivation of professional groups regarding digital transformation in the German healthcare system ranges from low to moderate. Hierarchical structures within the healthcare system, legally mandated access and usage regulations, as well as the availability of digital tools and risk assessments associated with their use - particularly in light of age-related, contextual, and socialization-based differences between societal generations - may significantly influence motivation.
CONCLUSION: The identified indicators and determinants of motivation for developing digital competence among healthcare professionals in the German healthcare system need to be deepened and verified.
METHOD: Based on a secondary data analysis of 249 datasets derived from a questionnaire survey assessing the subjective perception of digital competencies among professional groups in the healthcare sector, indicators and determinants of motivation will be identified. As motivation related to the digital transformation of the healthcare system was not explicitly assessed, (partial) assumptions regarding interactions between psychological well-being using the validated WHO-5 Well-Being Index, frequency of use of specific digital tools along a five-point Likert scale, and organizational readiness for change following the Organizational Readiness for Implementing Change (ORIC) scale are employed as proxies for motivation.
RESULTS: The frequency of use varies depending on the digital tool. Furthermore, an average psychological well-being was determined. There is a discernible trend that higher organizational readiness for change is associated with higher commitment (mean=3.0, SD=0.9) and higher capacity for change (mean=3.9, SD=1.1). Capacity for change is being rated higher overall than commitment to change. The high standard deviations indicate very heterogeneous assessments, especially in the occupational groups of medical professionals and nursing staff.
DISCUSSION: Based on the assumed interactions, it can be inferred that motivation of professional groups regarding digital transformation in the German healthcare system ranges from low to moderate. Hierarchical structures within the healthcare system, legally mandated access and usage regulations, as well as the availability of digital tools and risk assessments associated with their use - particularly in light of age-related, contextual, and socialization-based differences between societal generations - may significantly influence motivation.
CONCLUSION: The identified indicators and determinants of motivation for developing digital competence among healthcare professionals in the German healthcare system need to be deepened and verified.