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Table 1 Overview of content analysis result with subcategories, main categories, and central theme

From: The voice of healthcare: introducing digital decision support systems into clinical practice - a qualitative study

Subcategory

Main Category

Central theme

The value is experienced as low compared to the effort spent

Barriers to change in healthcare

Introduction of digital CDSS in primary healthcare requires a multidimensional perspective and handling

Not involved in the change process

Scepticism to new

Change resistance and lack of inspiration

Motivate people to commit

Success factors for change in healthcare

Healthcare culture for change

Pilot to evaluate

Leadership for change

Communicate to understand

Involve people in the frontline

Strategy for digitalization and integration

See it as an investment

The governance and the organization

Healthcare differentiators

The view of the market and the client

The medical practitioners

The difficulty to measure and follow up

Specific strengths in primary healthcare

Specific weaknesses in primary healthcare

Specific opportunities for primary healthcare

Specific threats to primary healthcare

The level of IT maturity

The level of IT maturity and quality management maturity in healthcare

The level of quality improvement maturity

Restricted capacity

Melanoma diagnosis problems with current solution

Safety

The cost aspect

Safety and validity

Challenges and prerequisites when introducing a digital CDSS (for malignant melanoma)

Operating model

IT security

Product origin, ownership, and liability

The investment

Integrate and support the business

Stakeholders’ commitment

Primary healthcare stakeholders’ commitment to use a digital CDSS solution

Patients’ trust