Purpose The purpose of this paper is to understand how digital technologies can help healthcare organisations and improve the exploration-exploitation paradox over time. The authors explore inputs, processes and outcomes of implementing digital transformation programs and advance four testable propositions. Design/methodology/approach The authors conducted multiple case studies with embedded units of analysis: digital transformation processes; hospitals; and regional healthcare systems. Primary sources come from 107 semi-structured interviews with key informants within 14 Italian hospitals between 2009 through 2011. Findings Three complementary paths emerge as fundamental to balance exploratory and exploitatory efforts in healthcare: assets digitalisation within hospitals; digitally based process integration; and disruptive decision-making through analytics. Intra- and inter-path characteristics are discussed to show how digital transformation can both move hospital within the exploration-exploitation space. Research limitations/implications By its very nature, this study is exploratory. Notwithstanding the number of cases and interviews, its generalisability is limited. Practical implications Digital transformation programs are fundamental to resolve the tensions raised by the exploration-exploitation paradox. Their implementation leads to better performance (cost reductions, quality improvements). A framework is provided for practitioners to make better decisions. Originality/value This study sheds new light on how digital technologies are actually adopted and adapted in healthcare contexts. It does it by entailing a longitudinal perspective.
Abstract:Ageing has significant impacts on the organization of healthcare systems and on social inclusion-especially for elderly people affected by Cognitive Impairment (CI). These people are significantly exposed to undeniable risks that can affect their health and wellbeing (falling, malnutrition, hygiene issues, etc.) -especially when living alone. This paper defines a Business Model (BM) allowing independent living for elderly people affected by CI. This BM include: (i) an up-to-date, modular, flexible and scalable organizational model describing the activities to be accomplished by regulators and service suppliers; and (ii) a digital platform based on innovative and easy-to-replicate information and communication technologies. The organic approach to the development of the BM is then focused in an Italian use case as a part of "DECI", a "Horizon 2020" project with four pilot projects in Israel, Italy, Spain and Sweden.
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