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The drivers of the digital transformation in the healthcare industry: An empirical analysis in Italian hospitals

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  • Raimo, Nicola
  • De Turi, Ivano
  • Albergo, Francesco
  • Vitolla, Filippo

Abstract

In recent years, driven by the spread of the COVID-19 pandemic, digital transformation in the healthcare sector is becoming increasingly important. Digital healthcare technologies, if adopted in a targeted manner and implemented in a cost-effective way, make it possible to reduce healthcare inequalities, improve the quality of healthcare provided and increase the well-being of citizens. The importance of digital transformation in healthcare is also attracting interest from academics. However, at present, there are few studies aimed at examining the degree of digital transformation in healthcare and the drivers of the adoption and implementation of digital solutions by healthcare facilities. This study aims to fill this gap by analysing the level of digital transformation of Italian hospitals and the factors that can affect this level of digital transformation. The analysis, conducted on a sample of 103 hospitals, shows a positive and significant impact of the hospital size, hospital age and hospital teaching status on the level of digital transformation. Furthermore, in relation to hospital complexity, it shows a positive effect of the presence of the emergency room and a non-significant influence of the number of hospital departments on the level of digital transformation.

Suggested Citation

  • Raimo, Nicola & De Turi, Ivano & Albergo, Francesco & Vitolla, Filippo, 2023. "The drivers of the digital transformation in the healthcare industry: An empirical analysis in Italian hospitals," Technovation, Elsevier, vol. 121(C).
    • Handle: RePEc:eee:techno:v:121:y:2023:i:c:s0166497222001055
    DOI: 10.1016/j.technovation.2022.102558
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    as
    1. Yoon, Seong No & Lee, DonHee & Schniederjans, Marc, 2016. "Effects of innovation leadership and supply chain innovation on supply chain efficiency: Focusing on hospital size," Technological Forecasting and Social Change, Elsevier, vol. 113(PB), pages 412-421.
    2. Satish Nambisan, 2017. "Digital Entrepreneurship: Toward a Digital Technology Perspective of Entrepreneurship," Entrepreneurship Theory and Practice, , vol. 41(6), pages 1029-1055, November.
    3. Vedran Capkun & Martin Messner & Clemens Rissbacher, 2012. "Service Specialization and Operational Performance in Hospitals," Post-Print hal-00715580, HAL.
    4. María Verónica Alderete & Luis H. Gutiérrez, 2014. "Drivers of information and communication technologies adoption in Colombian services firms," International Journal of Business Information Systems, Inderscience Enterprises Ltd, vol. 17(4), pages 373-397.
    5. Paul Alpar & Sharon Reeves, 1990. "Predictors of MS/OR Application in Small Businesses," Interfaces, INFORMS, vol. 20(2), pages 2-11, April.
    6. Robert D. Dewar & Jane E. Dutton, 1986. "The Adoption of Radical and Incremental Innovations: An Empirical Analysis," Management Science, INFORMS, vol. 32(11), pages 1422-1433, November.
    7. Keller, Wolfgang, 1996. "Absorptive capacity: On the creation and acquisition of technology in development," Journal of Development Economics, Elsevier, vol. 49(1), pages 199-227, April.
    8. Premkumar, G. & Roberts, Margaret, 1999. "Adoption of new information technologies in rural small businesses," Omega, Elsevier, vol. 27(4), pages 467-484, August.
    9. Chen-Wei Yang, 2015. "Implementing hospital innovation in Taiwan: the perspectives of institutional theory and social capital," International Journal of Health Planning and Management, Wiley Blackwell, vol. 30(4), pages 403-425, October.
    10. Elia, Gianluca & Margherita, Alessandro & Passiante, Giuseppina, 2020. "Digital entrepreneurship ecosystem: How digital technologies and collective intelligence are reshaping the entrepreneurial process," Technological Forecasting and Social Change, Elsevier, vol. 150(C).
    11. Kraus, Sascha & Schiavone, Francesco & Pluzhnikova, Anna & Invernizzi, Anna Chiara, 2021. "Digital transformation in healthcare: Analyzing the current state-of-research," Journal of Business Research, Elsevier, vol. 123(C), pages 557-567.
    12. Timothy Dunne, 1994. "Plant Age and Technology Use in US. Manufacturing Industries," RAND Journal of Economics, The RAND Corporation, vol. 25(3), pages 488-499, Autumn.
    13. Rippa, Pierluigi & Secundo, Giustina, 2019. "Digital academic entrepreneurship: The potential of digital technologies on academic entrepreneurship," Technological Forecasting and Social Change, Elsevier, vol. 146(C), pages 900-911.
    14. Verhoef, Peter C. & Broekhuizen, Thijs & Bart, Yakov & Bhattacharya, Abhi & Qi Dong, John & Fabian, Nicolai & Haenlein, Michael, 2021. "Digital transformation: A multidisciplinary reflection and research agenda," Journal of Business Research, Elsevier, vol. 122(C), pages 889-901.
    15. Hollenstein, Heinz, 2004. "Determinants of the adoption of Information and Communication Technologies (ICT): An empirical analysis based on firm-level data for the Swiss business sector," Structural Change and Economic Dynamics, Elsevier, vol. 15(3), pages 315-342, September.
    16. Ali, Omar & Shrestha, Anup & Soar, Jeffrey & Wamba, Samuel Fosso, 2018. "Cloud computing-enabled healthcare opportunities, issues, and applications: A systematic review," International Journal of Information Management, Elsevier, vol. 43(C), pages 146-158.
    17. Ritu Agarwal & Guodong (Gordon) Gao & Catherine DesRoches & Ashish K. Jha, 2010. "Research Commentary ---The Digital Transformation of Healthcare: Current Status and the Road Ahead," Information Systems Research, INFORMS, vol. 21(4), pages 796-809, December.
    18. Subhasish Dasgupta & Devraj Agarwal & Anthony Ioannidis & Shanthi Gopalakrishnan, 1999. "Determinants of Information Technology Adoption: An Extension of Existing Models to Firms in a Developing Country," Journal of Global Information Management (JGIM), IGI Global, vol. 7(3), pages 30-40, July.
    19. Salvi, Antonio & Vitolla, Filippo & Rubino, Michele & Giakoumelou, Anastasia & Raimo, Nicola, 2021. "Online information on digitalisation processes and its impact on firm value," Journal of Business Research, Elsevier, vol. 124(C), pages 437-444.
    20. Ancarani, Alessandro & Di Mauro, Carmela & Gitto, Simone & Mancuso, Paolo & Ayach, Ali, 2016. "Technology acquisition and efficiency in Dubai hospitals," Technological Forecasting and Social Change, Elsevier, vol. 113(PB), pages 475-485.
    21. Samayita Guha & Subodha Kumar, 2018. "Emergence of Big Data Research in Operations Management, Information Systems, and Healthcare: Past Contributions and Future Roadmap," Production and Operations Management, Production and Operations Management Society, vol. 27(9), pages 1724-1735, September.
    22. Wang, Yichuan & Kung, LeeAnn & Byrd, Terry Anthony, 2018. "Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations," Technological Forecasting and Social Change, Elsevier, vol. 126(C), pages 3-13.
    23. Fariborz Damanpour, 1996. "Organizational Complexity and Innovation: Developing and Testing Multiple Contingency Models," Management Science, INFORMS, vol. 42(5), pages 693-716, May.
    24. Tortorella, Guilherme Luz & Fogliatto, Flávio Sanson & Espôsto, Kleber Francisco & Vergara, Alejandro Mac Cawley & Vassolo, Roberto & Mendoza, Diego Tlapa & Narayanamurthy, Gopalakrishnan, 2020. "Effects of contingencies on healthcare 4.0 technologies adoption and barriers in emerging economies," Technological Forecasting and Social Change, Elsevier, vol. 156(C).
    25. Amit Kumar Arora & Priya Rathi, 2019. "An Analysis of Implementation of Digitalisation in SMEs in India," International Journal of Online Marketing (IJOM), IGI Global, vol. 9(3), pages 70-81, July.
    26. Gary J. Young & Martin P. Charns & Stephen M. Shortell, 2001. "Top manager and network effects on the adoption of innovative management practices: a study of TQM in a public hospital system," Strategic Management Journal, Wiley Blackwell, vol. 22(10), pages 935-951, October.
    27. Danielle Galliano & Pascale Roux & Maryline Filippi, 2001. "Organisational and Spatial Determinants of ICT Adoption: The Case of French Industrial Firms," Environment and Planning A, , vol. 33(9), pages 1643-1663, September.
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    4. Gabriella Piscopo & Simona Mormile & Paola Adinolfi & Andrzej Piotrowski, 2023. "Digital Health, Telemedicine, and Patient-centeredness: New Trends for Italian Healthcare after COVID-19," MECOSAN, FrancoAngeli Editore, vol. 2023(125), pages 29-46.
    5. Xuejun Jin & Xiao Pan, 2023. "Government Attention, Market Competition and Firm Digital Transformation," Sustainability, MDPI, vol. 15(11), pages 1-27, June.
    6. Antonello Garzoni & Vitiana L'Abate & Nicola Raimo & Filippo Vitolla, 2024. "Exploring online sustainability disclosure in the healthcare industry: Evidence from best international hospitals," Business Strategy and the Environment, Wiley Blackwell, vol. 33(4), pages 2669-2682, May.

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