{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T01:04:13Z","timestamp":1755219853350,"version":"3.43.0"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"value":"9781643686080","type":"electronic"}],"license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"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":[[2025,8,7]]},"abstract":"<jats:p>Japan\u2019s healthcare digital transformation integrates top-down national initiatives, like the National Medical Information Platform, with diverse, locally driven regional networks. Although early efforts established over 200 regional collaboration networks, many proved unsustainable due to financial, infrastructure, and coordination challenges. This study uses a multi-method approach\u2014including case studies, regulatory sandbox experiments, and international comparisons\u2014to identify success factors for sustainable healthcare DX. Key findings highlight the need for adaptive governance, community engagement, and collaborative monetization. While top-down systematization works for smaller populations, it must be complemented by bottom-up mechanisms as stakeholder numbers grow.<\/jats:p>","DOI":"10.3233\/shti251329","type":"book-chapter","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T11:48:47Z","timestamp":1754567327000},"source":"Crossref","is-referenced-by-count":0,"title":["Bridging the Gap: Strategies for Sustainable Healthcare Data-Sharing in Japan"],"prefix":"10.3233","author":[{"given":"Masei","family":"Suda","sequence":"first","affiliation":[{"name":"Suwa Central Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jota","family":"Maki","sequence":"additional","affiliation":[{"name":"Okayama University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Kubota","sequence":"additional","affiliation":[{"name":"Keio University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryo","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Kanagawa University of Human Services"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Sato","sequence":"additional","affiliation":[{"name":"Fujita Health University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4372-6090","authenticated-orcid":false,"given":"Takanori","family":"Fujita","sequence":"additional","affiliation":[{"name":"Keio University"},{"name":"Kanagawa University of Human Services"},{"name":"The Tokyo Foundation"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","MEDINFO 2025 \u2014 Healthcare Smart \u00d7 Medicine Deep"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI251329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T11:48:47Z","timestamp":1754567327000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI251329"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,7]]},"ISBN":["9781643686080"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti251329","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,7]]}}}