Abstract

In this study, we identify bundles of technologies and associated implementation barriers that could be viewed as part of Healthcare 4.0 (H4.0) and test their impact on performance improvement in a sample of hospitals. For that, we carried out a cross-sectional study with 181 leaders from hospitals in different countries that have already started H4.0 implementation. The collected data were analyzed using multivariate statistical techniques. Results indicate that H4.0 technologies could be organized into two different bundles according to their role within the hospital. Common barriers to H4.0 implementation were also empirically organized in two groups, following the sociotechnical systems theory. Bundles of H4.0 technologies presented a positive and significant effect on hospitals’ performance. As their interaction with H4.0 barriers displayed a significant effect on performance improvement, it is important to concurrently consider H4.0 technologies and barriers. Our results allow hospital managers to anticipate potential issues in H4.0 implementation, enabling more assertive efforts to improve performance and deliver high-quality and low-cost care in the fourth industrial revolution era.

摘要

在这项研究中，我们确定了可被视为医疗保健 4.0 (H4.0) 一部分的技术束和相关的实施障碍，并测试了它们对医院样本绩效改进的影响。为此，我们对来自不同国家医院的 181 名领导者进行了一项横断面研究，这些医院已经开始实施 H4.0。使用多元统计技术分析收集的数据。结果表明，H4.0 技术可以根据其在医院中的角色分为两个不同的捆绑包。遵循社会技术系统理论，H4.0 实施的常见障碍也根据经验分为两组。捆绑的 H4.0 技术对医院的绩效产生了积极而显着的影响。作为他们与H4的互动。0 壁垒对性能提升有显着影响，重要的是要同时考虑 H4.0 技术和壁垒。我们的结果使医院管理者能够预测 H4.0 实施中的潜在问题，从而在第四次工业革命时代做出更加自信的努力来提高绩效并提供高质量和低成本的护理。