In this paper, we examine the contributions of digital applications to the resilience of healthcare organizations during the COVID-19 outbreak. The studied applications are framed as Healthcare 4.0 (H4.0), comprising bundles of information and communication technologies used to improve operations in the health value chain. Data collection was carried out through semi-structured interviews with 10 senior managers from clinician and non-clinician departments of two large-sized Brazilian hospitals treating patients infected with SARS-CoV-2. Interviews were analyzed through content analysis, using data analysis categories related to the application focus (i.e., supply chain, patient diagnosis, patient treatment, and patient follow-up) and targeted resilience ability (i.e., monitor, anticipate, respond, and learn). Results indicate that applications oriented to supply chain and patient diagnosis contribute to all resilience abilities. Furthermore, depending on the resilience ability to be improved, different applications may be prioritized. Four research propositions for theory-testing in future studies are also presented.

在本文中，我们研究了数字应用程序在 COVID-19 爆发期间对医疗保健组织弹性的贡献。研究的应用程序被定义为医疗保健 4.0 (H4.0)，包括用于改善健康价值链运营的信息和通信技术包。数据收集是通过对来自巴西两家大型医院的临床医生和非临床医生部门的 10 名高级管理人员进行半结构化访谈来进行的，这些管理人员正在治疗感染 SARS-CoV-2 的患者。访谈通过内容分析，使用与应用重点（即供应链、患者诊断、患者治疗和患者随访）和目标弹性能力（即监测、预测、响应和学习）相关的数据分析类别进行分析. 结果表明，面向供应链和患者诊断的应用程序有助于所有恢复能力。此外，根据要提高的弹性能力，可以优先考虑不同的应用程序。还提出了在未来研究中进行理论检验的四个研究命题。