Due to the latest developments in the healthcare sector, the efficiency and effectiveness of healthcare services are being improved. This investigation aims to shortlist the organizational hindrances that influence the adoption of Healthcare 4.0 technologies and model the mutual relationship between them using the DEMATEL methodology. In addition, this study offers a cause-effect relationship between the barriers and helps to identify the most important challenges to the adoption of Healthcare 4.0 technologies. By reviewing the literature and consulting experts in the case domain, 10 hindrances were identified. The findings of the study highlighted three causal factors namely ‘Lack of vision and commitment from the top management’, ‘Hierarchical structure’, and ‘Lack of skilled workforce’ as critical ones that have the significant causality intensity; whereas, ‘Lack of R&D facilities’ was found be the least significant barrier which belongs to the effect category. It may be noted that the causal factors need to be addressed by the top management of the healthcare organizations for the successful adoption of Health 4.0. Further, the elimination of the causal factors identified by this study would help in reducing the cost of the treatment and enhance the patients' experience. In addition, this research aims to guide managers/decision-makers of healthcare organizations to deduce policies for the adoption of the latest technologies in the case sector.

中文翻译：

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采用医疗保健 4.0 的组织障碍：多标准决策分析框架

由于医疗保健领域的最新发展，医疗保健服务的效率和有效性正在得到提高。这项调查旨在筛选出影响采用医疗保健 4.0 技术的组织障碍，并使用 DEMATEL 方法对它们之间的相互关系进行建模。此外，这项研究提供了障碍之间的因果关系，并有助于确定采用医疗保健 4.0 技术面临的最重要挑战。通过查阅案例领域的文献和咨询专家，确定了 10 个障碍。研究结果强调了三个因果因素，即“高层管理人员缺乏远见和承诺”、“层级结构”、“缺乏熟练的劳动力”是具有显着因果关系的关键因素；而“缺乏研发设施”被认为是影响类别中最不重要的障碍。值得注意的是，为了成功采用健康 4.0，医疗保健组织的高层管理人员需要解决因果关系。此外，消除本研究确定的因果因素将有助于降低治疗成本并增强患者的体验。此外，本研究旨在指导医疗保健组织的管理人员/决策者推断在案例领域采用最新技术的政策。值得注意的是，为了成功采用健康 4.0，医疗保健组织的高层管理人员需要解决因果关系。此外，消除本研究确定的因果因素将有助于降低治疗成本并增强患者的体验。此外，本研究旨在指导医疗保健组织的管理人员/决策者推断在案例领域采用最新技术的政策。值得注意的是，为了成功采用健康 4.0，医疗保健组织的高层管理人员需要解决因果关系。此外，消除本研究确定的因果因素将有助于降低治疗成本并增强患者的体验。此外，本研究旨在指导医疗保健组织的管理人员/决策者推断在案例领域采用最新技术的政策。