Teena Kochukoshy surveys 160 cancer-center research offices to test whether digitalization helps or hinders their work. Regression results show that broader tool adoption lowers staff turnover but slightly reduces minority enrollment. A separate model links higher digital maturity to better perceived data quality while lengthening start-up timelines. Furthermore, qualitative analysis identifies three bottlenecks: generic platforms that ignore local processes, limited funds for training and minimal input from front line staff. The dissertation concludes that digital systems can lighten workloads and improve data integrity; however, hospitals must pair technology with workflow redesign, strong training and targeted outreach if they hope to boost both efficiency and inclusion.
Bridging the Digital Divide: Empowering Clinical Trials Offices for Decentralized Clinical Trial

