NDLI: The impact of digital transformational leadership on digital intensity among primary healthcare entities: a moderated mediation model

Content Provider	Springer Nature : BioMed Central
Author	Kludacz-Alessandri, Magdalena Hawrysz, Liliana Żak, Katarzyna Zhang, Wei
Abstract	Background Uncertain times require healthcare entities to demonstrate strong leadership, develop digitalisation, and respond to change in a creative and flexible manner. Based on emerging new institutional theory, we developed and tested a model of how digital transformational leadership (DTL) affects digital intensity (DI) among healthcare entities through the mediating role of organisational agility (OA). In this article, we also examine the moderating role of the country in the studied relationship. Methods The study population consisted of 400 managers of primary healthcare entities from Poland and the Netherlands. Data was collected using a questionnaire method with a seven-point Likert scale. The gathered data was analysed using descriptive statistics and structural equation modelling (SEM). The analysis was performed using the statistical package SPSS with Andrew F. Hayes PROCESS macro and AMOS v. 29 (Predictive Solution, Poland). Results The results of structural equation modelling (SEM) revealed that DTL directly and indirectly affects DI, and OA mediates this relationship. Moreover, this indirect effect is moderated by a country. Conclusion This study contributes to the development of DI and offers practical insights for managers of primary healthcare entities navigating the uncertainty and volatility of the post-pandemic market. Ultimately, this work provides important insights into the leadership style and agility of healthcare organizations in relation to digital transformation, considering the healthcare system's role.
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-025-12283-x.pdf
Ending Page	15
Page Count	15
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-025-12283-x
Journal	BMC Health Services Research
Issue Number	1
Volume Number	25
Language	English
Publisher	BioMed Central
Publisher Date	2025-01-22
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Digital intensity Organisational agility Digital transformational leadership Healthcare sector
Content Type	Text
Resource Type	Article
Subject	Health Policy

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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