Table 4 Scenario characteristics
From: What’s next in hospital digitization? A Delphi-based scenario study
No | Core characteristic | Driving descriptors | Scenario characteristics |
|---|---|---|---|
Scenario 1 | Degree of digitization: low Structural change: small Disruption potential: weak | Staff | Insufficient skilled workers for digitization tasks |
Competition | Low level of competition within the provisioning landscape | ||
Integrated care | Stagnant integrated care | ||
Service planning | Continued sectoral supply planning by different entities | ||
Data protection | Comprehensive data protection requirements | ||
Cybersecurity | High cyber risks and growing cybersecurity measures | ||
Digital maturity | Extraordinarily low increase in digital maturity level | ||
Scenario 2 | Degree of digitization: advanced Structural change: partial Disruption potential: moderate | Efficiency | Behind potential efficiency gains |
Investments | Insufficient investment to expand digital infrastructure and personnel resources | ||
Reimbursement | Lack of reimbursement and innovation incentives | ||
Data platforms | Data-driven platforms are rather underutilized | ||
Assistance | Assistance systems are not used sufficiently in every area | ||
Interoperability | Continued problems with data integration due to lack of interfaces | ||
Prevention | Full potential of data-driven prevention is not being exploited | ||
Health literacy | Improved health literacy, but not comprehensively developed | ||
Scenario 3 | Degree of digitization: increased Structural change: comprehensive Disruption potential: expanded | Qualification | An offensive of further education and training is taking place |
Regional need | The healthcare delivery environment is geared to regional conditions | ||
Patient journey | Platforms and data-driven information significantly control patient journey | ||
Privatization | Profit-oriented providers spread out in the market with increasing attractiveness | ||
Real-time data | Real-time data is available and used for adequate capacity utilization | ||
Gatekeeper | Digital applications exercise control function with extended steering modality | ||
Transparency | High transparency about the service offering, quality, and availabilities | ||
Scenario 4 | Degree of digitization: high Structural change: enormous Disruption potential: strong | Ambulantization | Broad substitution of inpatient services into the outpatient sector |
Autonomous | Use of autonomous systems in all available operational areas | ||
Value creation | Transfer of value creation from hospitals to digital service providers | ||
Market extension | Expansion of the market for healthcare services | ||
External player | New companies from outside the industry enter the market | ||
Platforms | Platforms enable new business models and control patient flow | ||
Digital interaction | High direct digital interaction between patients and healthcare providers | ||
Digital affinity | Significantly increased acceptance of and affinity for using digital services |