Browsing by Author "Narayanamurthy, Gopalakrishnan"

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    Healthcare costs' reduction through the integration of Healthcare 4.0 technologies in developing economies
    (ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2020) Tortorella, Guilherme Luz; Fogliatto, Flavio Sanson; Esposto, Kleber Francisco; Mac Cawley, Alejandro Francisco; Vassolo, Roberto; Tlapa, Diego; Narayanamurthy, Gopalakrishnan
    This study aims at examining the effect of Healthcare 4.0 (H4.0) implementation on healthcare costs' reduction in hospitals located in developing economies. For that, 159 middle and senior leaders from hospitals located in Brazil, India, Mexico and Argentina were surveyed regarding their adoption level of H4.0 technologies and cost reduction improvements. Responses were analysed using multivariate data analysis techniques. Our findings indicate that the adoption of H4.0 technologies, empirically grouped into two different bundles (Sensing-Communication and Processing-Actuation), is positively related to healthcare costs' reduction and that the extent of such relationship may vary according to the bundle under analysis. Our results elucidate the impact of digital integration on healthcare costs, suggesting a cost-effective path based on H4.0 implementation. The identification of this relationship in hospitals located in developing economies evidences the benefits of healthcare digital transformation despite the challenging socioeconomic conditions, which has been contradictorily reported in previous studies.
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    Measuring the effect of Healthcare 4.0 implementation on hospitals' performance
    (2022) Tortorella, Guilherme Luz; Fogliatto, Flavio S.; Esposto, Kleber Francisco; Mac Cawley Vergara, Alejandro; Vassolo, Roberto; Tlapa Mendoza, Diego; Narayanamurthy, Gopalakrishnan
    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.