{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T17:20:56Z","timestamp":1778692856040,"version":"3.51.4"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"value":"9781643685960","type":"electronic"}],"license":[{"start":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T00:00:00Z","timestamp":1747267200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,15]]},"abstract":"<jats:p>This qualitative case study investigates the main barriers that arise during digital transformation (DT) of public hospitals. Based on a thematic analysis of 29 interviews with informants leading DT or implementing digital initiatives in a public hospital in Canada, we found that the main barriers hindering DT were: fragmented digital leadership, competing strategic priorities, insufficient resources, limited inter-departmental collaboration and digital literacy gap between professionals.<\/jats:p>","DOI":"10.3233\/shti250355","type":"book-chapter","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T08:54:31Z","timestamp":1747385671000},"source":"Crossref","is-referenced-by-count":1,"title":["A Case Study on the Barriers of Digital Transformation in Public Hospitals"],"prefix":"10.3233","author":[{"given":"Yan","family":"Bertrand","sequence":"first","affiliation":[{"name":"\u00c9cole de sant\u00e9 publique, Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Louis","family":"Denis","sequence":"additional","affiliation":[{"name":"Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8052-942X","authenticated-orcid":false,"given":"Aude","family":"Motulsky","sequence":"additional","affiliation":[{"name":"\u00c9cole de sant\u00e9 publique, Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","Intelligent Health Systems \u2013 From Technology to Data and Knowledge"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI250355","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T08:54:31Z","timestamp":1747385671000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI250355"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,15]]},"ISBN":["9781643685960"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti250355","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,15]]}}}