Table A1

Mean values of all structured response options (T: Technological, O: Organizational, E: Environmental)

OrderChallengeMean of responses
#1O: Financial resources2.6
#2T: Technical AI competence in social and healthcare organizations2.4
#3O: Availability of AI experts in social and healthcare organizations2.4
#4O: Procurement expertise for AI solutions2.4
#5O: Staff time availability for AI adoption and training2.4
#6O: Change management in processes and projects2.3
#7O: Understanding and support from management and decision-makers2.3
#8O: Competence in applying legislation within social and healthcare organizations2.3
#9E: Availability of AI experts in the workforce2.3
#10E: National AI funding2.3
#11O: Management commitment and securing resources for AI adoption2.2
#12E: Uniform practices for AI utilization in public social and healthcare services2.2
#13E: Challenges related to the use of the Findata service (national health data permit authority)2.2
#14T: Information security and data protection of AI solutions2.2
#15O: Challenges in assessing and measuring the impacts of safe AI use2.2
#16O: Reconciling current working methods of different professional groups with AI2.2
#17E: Restrictions related to the processing and use of personal data2.1
#18T: Transparency of AI algorithms (the so-called black box problem)2.1
#19T: Ensuring patient and client safety in AI solutions2.1
#20E: Limitations of national legislation in AI utilization2.1
#21T: Technical costs of AI solutions (implementation and maintenance)2.1
#22T: Challenges in transitioning AI solutions to production after the pilot phase2.0
#23O: Digital skills of healthcare and social welfare staff2.0
#24O: Building a technology-positive organizational culture2.0
#25E: System vendors’ understanding of public sector needs2.0
#26O: Identifying needs and utilization opportunities2.0
#27O: Developing IT management collaboration within social and healthcare organizations2.0
#28E: Impacts of the EU AI Act2.0
#29O: Systematic planning and phasing of AI adoption2.0
#30E: Co-development with private healthcare and social welfare actors1.9
#31T: Accuracy and reliability of AI solutions1.9
#32T: Ethics of AI solutions (e.g., ensuring non-discrimination and accountability)1.9
#33E: Cooperation between wellbeing services counties1.9
#34T: Technical customizability and compatibility of AI solutions with the current technological infrastructure of social and healthcare organizations1.9
#35T: Suitability of international AI solutions for Finnish social and healthcare services1.9
#36E: National coordination and guidelines1.9
#37E: Limitations of tendering and procurement legislation1.9
#38E: Citizens’ trust in AI-assisted social and healthcare services1.8
#39O: Developing an AI strategy1.8
#40O: Staff resistance to change regarding AI1.8
#41T: Trust in cloud-based AI solutions1.7
#42E: Citizens’ readiness to utilize AI-based solutions1.7
#43T: Suitability of AI solutions for the public social and healthcare sector1.7
#44T: Awareness of AI solutions and applications available on the market1.7
#45T: Suitability of AI solutions for different client and patient situations1.7
#46T: Availability or sufficiency of digital materials (e.g., patient or client data)1.6
Source(s): Authors’ own work

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