A Systematic Literature Review of Success Factors for Digital Transformation in Ontario’s Healthcare System

Abstract: This research investigates the essential elements that drive digital transformation in Ontario’s healthcare system through a systematic analysis of ten peer-reviewed articles from 2018 to 2025. The qualitative study employs the Technology-Organization-Environment (TOE) framework to analyze diverse healthcare settings including community-based clinics, primary care and hospital systems. The researcher conducted targeted searches on Google Scholar and PubMed to select articles that focused on digital health implementation efforts in Ontario or offered transferable relevance. The research identifies recurring patterns in three main areas which include technological aspects like EMR usability, interoperability and organizational aspects including leadership involvement, staff education and environmental factors such as policy consistency and intersectoral teamwork. The review unifies evidence from various real-world settings to help healthcare planners; digital health leaders and policymakers create equitable and scalable digital strategies. The study establishes a thematic framework which will direct upcoming digital health initiatives throughout Ontario's changing healthcare environment.

Keywords: Digital Health Transformation, Ontario Healthcare System, Technology-Organization-Environment (TOE) Framework, Health Care Digital Transformation Success Factors.