{"title":"Impact of digital health technologies adoption on healthcare workers' performance and workload: perspective with DOI and TOE models.","authors":"Abdulkadir Jeilani, Abdinur Hussein","doi":"10.1186/s12913-025-12414-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Digital health technologies (DHT) have become an integral component of modern healthcare systems, offering the potential to improve healthcare delivery and outcomes. Guided by the Technology-Organization-Environment (TOE) framework, this study examines the impact of DHT adoption on healthcare workers' performance and workload in public and private hospitals in Mogadishu, Somalia.</p><p><strong>Method: </strong>A stratified random sampling approach was used to collect data from 286 healthcare workers in public and private hospitals. Data were analyzed using Structural Equation Modeling (SEM) to test hypotheses and assess direct and mediating relationships among variables.</p><p><strong>Results: </strong>The analysis revealed that DHT significantly improves healthcare workers' performance and workload respectively (β = 0.452, C.R. = 10.150, p < 0.001) and (β = 0.594, C.R. = 9.972, p < 0.001), organizational and environmental factors are positively impacting on healthcare workers' performance (β = 0.327, C.R. = 8.709, p < 0.001) and (β = 0.102, C.R. = 2.872, p = 0.004). Healthcare workers' performance significantly reduces workload (β = 0.594, C.R. = 9.972, p < 0.001) and the mediating role of healthcare workers' performance between DHT and workload were also confirmed (β = 0.281, C.R. = 5.9787, p < 0.001).</p><p><strong>Conclusion: </strong>The findings underscore the critical role of DHT in enhancing healthcare workers' performance and reducing workload, with the TOE framework and performance acting as significant mediators. These results provide actionable insights for healthcare administrators and policymakers to optimize DHT implementation, support workforce efficiency, and address workload challenges through strategic organizational and environmental adaptations.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"271"},"PeriodicalIF":2.7000,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837663/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Health Services Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12913-025-12414-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Digital health technologies (DHT) have become an integral component of modern healthcare systems, offering the potential to improve healthcare delivery and outcomes. Guided by the Technology-Organization-Environment (TOE) framework, this study examines the impact of DHT adoption on healthcare workers' performance and workload in public and private hospitals in Mogadishu, Somalia.
Method: A stratified random sampling approach was used to collect data from 286 healthcare workers in public and private hospitals. Data were analyzed using Structural Equation Modeling (SEM) to test hypotheses and assess direct and mediating relationships among variables.
Results: The analysis revealed that DHT significantly improves healthcare workers' performance and workload respectively (β = 0.452, C.R. = 10.150, p < 0.001) and (β = 0.594, C.R. = 9.972, p < 0.001), organizational and environmental factors are positively impacting on healthcare workers' performance (β = 0.327, C.R. = 8.709, p < 0.001) and (β = 0.102, C.R. = 2.872, p = 0.004). Healthcare workers' performance significantly reduces workload (β = 0.594, C.R. = 9.972, p < 0.001) and the mediating role of healthcare workers' performance between DHT and workload were also confirmed (β = 0.281, C.R. = 5.9787, p < 0.001).
Conclusion: The findings underscore the critical role of DHT in enhancing healthcare workers' performance and reducing workload, with the TOE framework and performance acting as significant mediators. These results provide actionable insights for healthcare administrators and policymakers to optimize DHT implementation, support workforce efficiency, and address workload challenges through strategic organizational and environmental adaptations.
期刊介绍:
BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.