STRATEGIC MANAGEMENT OF DIGITAL TRANSFORMATION INVESTMENTS IN THE HEALTHCARE SECTOR: HTDM MODEL PROPOSAL

Öz

Healthcare is undergoing rapid digital transformation through innovations such as AI-assisted diagnostic systems, telemedicine, and electronic health records. However, prior research suggests that many of these investments fail to deliver the expected clinical, operational, and financial value. This underperformance is often driven less by technical limitations than by managerial gaps, including strategic misalignment, governance deficiencies, and organizational resistance. This study proposes the Holistic Digital Transformation Management (HDTM) framework (BDDY in Turkish), which integrates technology selection, change management, and value realization within a unified strategic management perspective. Grounded in an integrative literature synthesis, the framework was developed through traceable consolidation of findings from diverse theoretical traditions. Unlike existing frameworks that explain why digital transformation fails, HDTM prescribes how it should be managed — offering a structured decision–input–output logic across all four phases, while explicitly addressing the sociotechnical complexity of healthcare environments, including multi-stakeholder dynamics, professional resistance, and clinical workflow integration. The framework comprises four iterative phases: (1) Strategic Alignment and Requirements Analysis, (2) Technology Evaluation and Selection, (3) Implementation and Change Management, and (4) Value Realization and Optimization. By framing digital transformation as a continuous sociotechnical management cycle rather than a one-off IT installation project, the model provides healthcare managers with a practical roadmap to govern adoption and sustain measurable value creation, while also offering a testable theoretical foundation for future empirical research.

Anahtar Kelimeler

• Digital Transformation
• Healthcare Sector
• Strategic Management
• Technology Selection
• Change Management
• HDTM

SAĞLIK SEKTÖRÜNDE DİJİTAL DÖNÜŞÜM YATIRIMLARININ STRATEJİK YÖNETİMİ: BDDY MODELİ ÖNERİSİ

Öz

Sağlık sektörü, yapay zekâ destekli karar destek sistemleri, teletıp uygulamaları ve elektronik sağlık kayıtları gibi dijital yeniliklerin hızla yayıldığı bir dönüşüm dönemindedir. Buna karşın literatür, bu yatırımların önemli bir bölümünün beklenen klinik, operasyonel ve finansal faydayı üretmediğini göstermektedir. Başarısızlıkların temelinde çoğu zaman teknik eksikliklerden ziyade stratejik hizalanma eksikliği, yönetişim zafiyetleri ve organizasyonel direnç gibi yönetimsel sorunlar yer almaktadır. Bu çalışma, sağlık kurumlarında dijital dönüşüm yatırımlarını Yönetim Bilişim Sistemleri perspektifinden ele alarak teknoloji seçimi, değişim yönetimi ve değer gerçekleştirme süreçlerini bütünleştiren Bütüncül Dijital Dönüşüm Yönetimi (BDDY) çerçevesini önermektedir. Araştırma, bütünleştirici literatür sentezi yaklaşımıyla yürütülmüş ve farklı kuramsal akımlardan elde edilen bulguların izlenebilir biçimde birleştirilmesiyle kavramsal model geliştirmiştir. Mevcut çerçeveler dijital dönüşümün neden başarısız olduğunu açıklarken, BDDY bu sürecin nasıl yönetilmesi gerektiğini karar–girdi–çıktı mantığıyla ortaya koymakta ve genel yönetim döngülerinden farklı olarak sağlık ortamlarına özgü sosyo-teknik karmaşıklığı her aşamada ele almaktadır. Önerilen çerçeve dört aşamadan oluşur: (i) Stratejik Uyum ve Gereksinim Analizi, (ii) Teknoloji Değerlendirme ve Seçim, (iii) Uygulama ve Değişim Yönetimi, (iv) Değer Gerçekleştirme ve Optimizasyon. BDDY, dijital dönüşümü tek seferlik bir BT (Bilgi Teknolojileri) projesi yerine, karar–girdi–çıktı mantığıyla yönetilen ve sürekli iyileştirme döngüsü içinde sürdürülen bir stratejik yönetim süreci olarak konumlandırmakta; sağlık yöneticilerine uygulanabilir bir yol haritası ve ileri ampirik çalışmalar için test edilebilir bir kuramsal zemin sunmaktadır.

Anahtar Kelimeler

• Dijital Dönüşüm
• Sağlık Sektörü
• Stratejik Yönetim
• Teknoloji Seçimi
• Değişim Yönetimi
• BDDY

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