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Impacts of cybersecurity on hospital efficiency and financial performance

Author

Listed:
  • C. Christopher Lee

    (Central Connecticut State University)

  • Jeong Hoon Choi

    (Youngstown State University)

  • Jung Young Lee

    (Northern Illinois University)

  • Sima Fortsch

    (Northern Kentucky University)

Abstract

This study investigates the impact of cybersecurity on hospital efficiency and financial performance, with hospital size as a moderating factor. The objective is to assess whether the implementation of multi-factor authentication (MFA), as a measure of cybersecurity, influences hospital efficiency and financial performance. The results show that hospitals implementing MFA experience higher efficiency and better financial performance compared to those without MFA. However, hospital size slightly moderates this effect, with larger hospitals seeing a reduced benefit from cybersecurity implementation. These findings highlight the importance of cybersecurity and suggest that hospitals must tailor their cybersecurity efforts considering their size.

Suggested Citation

  • C. Christopher Lee & Jeong Hoon Choi & Jung Young Lee & Sima Fortsch, 2025. "Impacts of cybersecurity on hospital efficiency and financial performance," Service Business, Springer;Pan-Pacific Business Association, vol. 19(1), pages 1-24, March.
    • Handle: RePEc:spr:svcbiz:v:19:y:2025:i:1:d:10.1007_s11628-024-00574-y
    DOI: 10.1007/s11628-024-00574-y
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    References listed on IDEAS

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    1. Chia-Chi Lee, 2014. "Performance evaluation of CPA firms in Taiwan from the perspective of industry-specific client groups," Service Business, Springer;Pan-Pacific Business Association, vol. 8(2), pages 267-293, June.
    2. Leandro Miletto Tonetto & Tarcísio Abreu Saurin & Flavio Sanson Fogliatto & Guilherme Luz Tortorella & Gopalakrishnan Narayanamurthy & Valentina Marques da Rosa & Jeslyn Tengkawan, 2023. "Information and communication technologies in emergency care services for patients with COVID-19: a multi-national study," International Journal of Production Research, Taylor & Francis Journals, vol. 61(24), pages 8384-8400, December.
    3. Sang M. Lee & DonHee Lee, 2022. "Effects of healthcare quality management activities and sociotechnical systems on internal customer experience and organizational performance," Service Business, Springer;Pan-Pacific Business Association, vol. 16(1), pages 1-28, March.
    4. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November.
    5. Matthias Staat, 2006. "Efficiency of hospitals in Germany: a DEA-bootstrap approach," Applied Economics, Taylor & Francis Journals, vol. 38(19), pages 2255-2263.
    6. Watkins, Ann L., 2000. "Hospital financial ratio classification patterns revisited: Upon considering nonfinancial information," Journal of Accounting and Public Policy, Elsevier, vol. 19(1), pages 73-95.
    7. Abraham, Chon & Chatterjee, Dave & Sims, Ronald R., 2019. "Muddling through cybersecurity: Insights from the U.S. healthcare industry," Business Horizons, Elsevier, vol. 62(4), pages 539-548.
    8. Jin Sung Rha & Hong-Hee Lee, 2022. "Research trends in digital transformation in the service sector: a review based on network text analysis," Service Business, Springer;Pan-Pacific Business Association, vol. 16(1), pages 77-98, March.
    9. DonHee Lee, 2020. "Impact of organizational culture and capabilities on employee commitment to ethical behavior in the healthcare sector," Service Business, Springer;Pan-Pacific Business Association, vol. 14(1), pages 47-72, March.
    10. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
    11. Preyra, Colin & Pink, George, 2006. "Scale and scope efficiencies through hospital consolidations," Journal of Health Economics, Elsevier, vol. 25(6), pages 1049-1068, November.
    12. Yiannis E. Spanos & Spyros Lioukas, 2001. "An examination into the causal logic of rent generation: contrasting Porter's competitive strategy framework and the resource‐based perspective," Strategic Management Journal, Wiley Blackwell, vol. 22(10), pages 907-934, October.
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