A framework for the integrated digital transformation of municipal healthcare services in South Africa: The case of Gauteng

South African Journal of Information Management

 
 
Field Value
 
Title A framework for the integrated digital transformation of municipal healthcare services in South Africa: The case of Gauteng
 
Creator Khumalo, Musawakhe H. Moloi, Tankiso S.
 
Subject Information and Communications Technology; Digital transformation digital health; healthcare transformation; municipal healthcare; healthcare AI; health information systems; stakeholder engagement; telemedicine; healthcare digitalisation
Description Background: This study develops a framework for the integrated digital transformation of municipal healthcare services in Gauteng, South Africa, focusing on municipal clinic systems.Objectives: To identify the factors impeding digital transformation, understand key stakeholder perspectives on a systems approach to digital change, and propose a framework for integrated digital municipal clinics. Additionally, this study examines the relationship between implementing digital transformation and quality of care, as well as how digital solutions connect various components within the municipal clinic system.Method: A positivist research paradigm was applied, using quantitative surveys to gather data from 210 healthcare staff in Gauteng municipal clinics. Data were collected using closed-ended Likert-scale questionnaires designed to measure barriers to digital transformation, stakeholder consensus, key constructs for framework development and perceptions of service quality. Quantitative data were analysed using SPSS and MS Excel, employing descriptive statistics, correlation analysis and stepwise multiple regression to examine relationships between digital transformation, stakeholder roles, barriers and service quality outcomes.Results: Findings reveal significant barriers, including infrastructural limitations, funding constraints, skill gaps and low digital service user acceptance. Despite these challenges, there is strong support for digital transformation, with the potential to enhance service integration, communication and overall care quality.Conclusion: This framework aims to improve healthcare quality, access and operational efficiency in Gauteng’s municipal clinics, ultimately leading to better health outcomes for local communities.Contribution: This study proposes a comprehensive framework that emphasises adaptable systems, continuous training and stakeholder collaboration to address these barriers and ensure successful implementation.
 
Publisher AOSIS
 
Contributor
Date 2026-05-30
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Hybrid
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajim.v28i1.2134
 
Source South African Journal of Information Management; Vol 28, No 1 (2026); 12 pages 1560-683X 2078-1865
 
Language eng
 
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https://sajim.co.za/index.php/sajim/article/view/2134/3616 https://sajim.co.za/index.php/sajim/article/view/2134/3617 https://sajim.co.za/index.php/sajim/article/view/2134/3618 https://sajim.co.za/index.php/sajim/article/view/2134/3619
 
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Rights Copyright (c) 2026 Musawakhe H. Khumalo, Tankiso S. Moloi https://creativecommons.org/licenses/by/4.0
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