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Effects of contingencies on healthcare 4.0 technologies adoption and barriers in emerging economies

机译:突发事件对新兴经济体的医疗保健4.0技术采用及障碍的影响

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Studies on the influence of contingency factors on the introduction of novel digital technologies into high-complexity systems, such as hospitals, are still incipient. As the introduction of Healthcare 4.0 (H4.0) usually implies in high capital expenditures and requires a more skilled labor force, such understanding gains relevance when considering hospitals in emerging economies, more likely to be resource-constrained. This study examines the effect of five contingency factors on the adoption of H4.0 technologies and associated barriers to H4.0 adoption in emerging economies; they are: hospital's ownership and age, number of employees, number of inpatient beds, and functionality (teaching hospital or not). The analysis is based on a transnational survey with 159 middle and senior managers from 16 hospitals, located in Brazil, India, Mexico and Argentina. Results indicate that contingencies do affect both H4.0 technologies adoption and associated barriers although not homogeneously in terms of effect, being more prominent on technologies' adoption than on barriers to H4.0 implementation. Our study sheds light on these relationships, providing hospitals' managers a means to anticipate potential issues and handle eventual difficulties inherent to the context in which they are inserted.
机译:关于应急因素对新型数字技术引入高度复杂性系统的影响,如医院,仍然初始。由于介绍了医疗保健4.0(H4.0),通常暗示高资本支出,并且需要更熟练的劳动力,这种理解在考虑新兴经济体中的医院时,更有可能是资源受限的相关性。本研究探讨了五种应变因素对新兴经济体采用H4.0技术及相关障碍的影响;它们是:医院的所有权和年龄,员工人数,住院床数量和功能(教学医院或不)。该分析基于来自位于巴西,印度,墨西哥和阿根廷的16家医院的159名中高级管理人员的跨国调查。结果表明,虽然在效果方面不均匀,但仍然影响H4.0技术的采用和相关障碍。我们的研究揭示了这些关系,为医院的管理者提供了一种预测潜在问题的手段,并处理插入它们的背景中固有的最终困难。

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