The impact of digital transformational leadership on digital intensity among primary healthcare entities: a moderated mediation model
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 (D...
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BMC
2025-01-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-025-12283-x |
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| author | Magdalena Kludacz-Alessandri Liliana Hawrysz Katarzyna Żak Wei Zhang |
| author_facet | Magdalena Kludacz-Alessandri Liliana Hawrysz Katarzyna Żak Wei Zhang |
| author_sort | Magdalena Kludacz-Alessandri |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-ef6914e70777482990e0eb0da99469e6 |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-ef6914e70777482990e0eb0da99469e62025-01-26T12:21:56ZengBMCBMC Health Services Research1472-69632025-01-0125111510.1186/s12913-025-12283-xThe impact of digital transformational leadership on digital intensity among primary healthcare entities: a moderated mediation modelMagdalena Kludacz-Alessandri0Liliana Hawrysz1Katarzyna Żak2Wei Zhang3College of Economics and Social Sciences, Warsaw University of TechnologyFaculty of Management, Department of Management Systems and Organizational Development, Wroclaw University of Science and TechnologyFaculty of Management, Department of Management Systems and Organizational Development, Wroclaw University of Science and TechnologySchool of Medicine and Health Management, Huazhong University of Science and TechnologyAbstract 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.https://doi.org/10.1186/s12913-025-12283-xDigital intensityOrganisational agilityDigital transformational leadershipHealthcare sector |
| spellingShingle | Magdalena Kludacz-Alessandri Liliana Hawrysz Katarzyna Żak Wei Zhang The impact of digital transformational leadership on digital intensity among primary healthcare entities: a moderated mediation model BMC Health Services Research Digital intensity Organisational agility Digital transformational leadership Healthcare sector |
| title | The impact of digital transformational leadership on digital intensity among primary healthcare entities: a moderated mediation model |
| title_full | The impact of digital transformational leadership on digital intensity among primary healthcare entities: a moderated mediation model |
| title_fullStr | The impact of digital transformational leadership on digital intensity among primary healthcare entities: a moderated mediation model |
| title_full_unstemmed | The impact of digital transformational leadership on digital intensity among primary healthcare entities: a moderated mediation model |
| title_short | The impact of digital transformational leadership on digital intensity among primary healthcare entities: a moderated mediation model |
| title_sort | impact of digital transformational leadership on digital intensity among primary healthcare entities a moderated mediation model |
| topic | Digital intensity Organisational agility Digital transformational leadership Healthcare sector |
| url | https://doi.org/10.1186/s12913-025-12283-x |
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