This case study draws on documentary, observational, and interview data to compare digitalization efforts over 3 decades in four academic health centres in Quebec (Canada). The different experiences of these organizations underline the importance of adapting national strategies and providing support to implementers, building on acquired strengths, and arriving at the right balance of guidance from the top and autonomy to develop innovative capacities.
Motulsky, A., Usher, S., Gauvin, L., Hébert, P., Regis, C., Lehoux, P., Ray, T., Baker, R., Denis, JL. (2025). Policy context and digital development: a comparative study of trajectories in four Canadian academic health centres over 30 years. Journal of the American Medical Informatics Association. 32(8):1286–1298.