Assessing the digital health maturity of general practice in Australia: results from a cross-sectional national survey
Tim Blake A , Debbie Passey B * , Joanne Lee A Farwa Rizvi CA
B
C
Abstract
Australia’s health system combines federal and state roles, with Primary Health Networks supporting primary care. Digital health infrastructure exists, but meaningful use and maturity are limited across general practices.
Digital health maturity was assessed across six domains: infrastructure, meaningful use, readiness, digital literacy, data literacy, and clinical leadership using a cross-sectional survey design. Between August 2020 and July 2024, 1164 general practices from 10 PHN regions were surveyed out of the 2255 practices invited to respond (31.3% of general practice clinics in Australia), this represented a 51.6% response rate.
On average, none of the general practice clinics scored above 80 out of 100 in any of the digital health maturity domains, suggesting a trend towards lower maturity. We found that low overall digital health maturity in practices is related to lower scores in meaningful use, digital health and data literacy, and clinical leadership domains.
Digital health infrastructure alone is not enough. Targeted support is essential for digital adoption. Enhancing digital health and data literacy, leadership, and tailored change management can strengthen digital adoption in practices, potentially improving care quality and digital transformation nationally.
Keywords: data literacy, digital health, digital literacy, general practice, infrastructure, leadership, meaningful use, readiness.
References
ADHA (2024) National digital health strategy 2023–2028. Australian Digital Health Agency. Available at https://www.digitalhealth.gov.au/national-digital-health-strategy [accessed 26 October 2024]
AIHW (2024) Primary Health Care. Australian Institute of Health and Welfare. Available at https://www.aihw.gov.au/reports-data/health-welfare-services/primary-health-care/overview [accessed 26 October 2024]
Arias López MdP, Ong BA, Borrat Frigola X, Fernández AL, Hicklent RS, Obeles AJT, Rocimo AM, Celi LA (2023) Digital literacy as a new determinant of health: a scoping review. PLoS Digital Health 2, e0000279.
| Crossref | Google Scholar |
Badr N (2022) Technology for quintuple aim: evidence of technology innovations in reaching the aim of health equity. Available at https://aisel.aisnet.org/cgi/viewcontent.cgi?article=1004&context=itais2022 [accessed 26 October 2024]
BP (2024) Best Practice Software. BP Partner Network-An Extensive Network of Third Party Integrations. Available at https://bpsoftware.net/ [accessed 10 November 2024]
Braithwaite J, Leask E, Smith CL, Dammery G, Brooke-Cowden K, Carrigan A, Mcquillan E, Ehrenfeld L, Coiera E, Westbrook J, Zurynski Y (2024) Analysing health system capacity and preparedness for climate change. Nature Climate Change 14, 536-546.
| Crossref | Google Scholar |
Chanias S, Hess T (2016) Understanding digital transformation strategy formation: insights from Europe’s automotive industry. In ‘20th Pacific Asia Conference on Information Systems, PACIS 2016 Proceedings’, 27 June–1 July, Chiayi, Taiwan. Available at https://aisel.aisnet.org/pacis2016/296
Cresswell KM, Bates DW, Sheikh A (2013) Ten key considerations for the successful implementation and adoption of large-scale health information technology. Journal of the American Medical Informatics Association 20, e9-e13.
| Crossref | Google Scholar | PubMed |
Duckett S (2015) Medicare at middle age: adapting a fundamentally good system. Australian Economic Review 48, 290-297.
| Crossref | Google Scholar |
Forrester B, Fisher G, Ellis LA, Giddy A, Smith CL, Zurynski Y, Sanci L, Graham K, White N, Braithwaite J (2024) Moving from crisis response to a learning health system: experiences from an Australian regional primary care network. Learning Health Systems 9, e10458.
| Crossref | Google Scholar |
Greenhalgh T, Wherton J, Shaw S, Papoutsi C, Vijayaraghavan S, Stones R (2019) Infrastructure revisited: an ethnographic case study of how health information infrastructure shapes and constrains technological innovation. Journal of Medical Internet Research 21, e16093.
| Crossref | Google Scholar |
Liaw S-T, Kearns R, Taggart J, Frank O, Lane R, Tam M, Dennis S, Walker C, Russell G, Harris M (2017) The informatics capability maturity of integrated primary care centres in Australia. International Journal of Medical Informatics 105, 89-97.
| Crossref | Google Scholar | PubMed |
Mengistu TS, Khatri R, Erku D, Assefa Y (2023) Successes and challenges of primary health care in Australia: a scoping review and comparative analysis. Journal of Global Health 13, 04043.
| Crossref | Google Scholar |
PHN (2023) Primary Health Networks. DHAC, Australia. Available at https://www.health.gov.au/our-work/phn [accessed 26 October 2024]
Schofield P, Shaw T, Pascoe M (2019) Toward comprehensive patient-centric care by integrating digital health technology with direct clinical contact in Australia. Journal of Medical Internet Research 21, e12382.
| Crossref | Google Scholar |
Taylor A, Caffery LJ, Gesesew HA, King A, Bassal A-R, Ford K, Kealey J, Maeder A, Mcguirk M, Parkes D, Ward PR (2021) How Australian health care services adapted to telehealth during the COVID-19 pandemic: a survey of telehealth professionals. Frontiers in Public Health 9, 648009.
| Crossref | Google Scholar |
Woods L, Eden R, Canfell OJ, Nguyen K-H, Comans T, Sullivan C (2023) Show me the money: how do we justify spending health care dollars on digital health? The Medical Journal of Australia 218, 53-57.
| Crossref | Google Scholar | PubMed |