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Data-Driven Technologies as Enablers for Value Creation in the Prevention of Surgical Site Infections: a Systematic Review
Halmstad University, School of Business, Innovation and Sustainability.ORCID iD: 0000-0001-9033-3957
Halmstad University, School of Business, Innovation and Sustainability.ORCID iD: 0000-0002-0030-3402
Halmstad University, School of Business, Innovation and Sustainability.ORCID iD: 0000-0002-0560-7392
2023 (English)In: Journal of Healthcare Informatics Research, ISSN 2509-4971, E-ISSN 2509-498X, Vol. 7, p. 1-41Article, review/survey (Other academic) Published
Abstract [en]

Despite the advances in modern medicine, the use of data-driven technologies (DDTs) to prevent surgical site infections (SSIs) remains a major challenge. Scholars recognise that data management is the next frontier in infection prevention, but many aspects related to the benefits and advantages of using DDTs to mitigate SSI risk factors remain unclear and underexplored in the literature. This study explores how DDTs enable value creation in the prevention of SSIs. This study follows a systematic literature review approach and the PRISMA statement to analyse peer-reviewed articles from seven databases. Fifty-nine articles were included in the review and were analysed through a descriptive and a thematic analysis. The findings suggest a growing interest in DDTs in SSI prevention in the last 5 years, and that machine learning and smartphone applications are widely used in SSI prevention. DDTs are mainly applied to prevent SSIs in clean and clean-contaminated surgeries and often used to manage patient-related data in the postoperative stage. DDTs enable the creation of nine categories of value that are classified in four dimensions: cost/sacrifice, functional/instrumental, experiential/hedonic, and symbolic/expressive. This study offers a unique and systematic overview of the value creation aspects enabled by DDT applications in SSI prevention and suggests that additional research is needed in four areas: value co-creation and product-service systems, DDTs in contaminated and dirty surgeries, data legitimation and explainability, and data-driven interventions. © 2023, The Author(s).

Place, publisher, year, edition, pages
Cham: Springer, 2023. Vol. 7, p. 1-41
Keywords [en]
Healthcare technology, Surgical site infections, Infection prevention and control, Value-based Care, Technology implementation, Systematic review
National Category
Nursing Engineering and Technology
Research subject
Health Innovation, IDC
Identifiers
URN: urn:nbn:se:hh:diva-50052DOI: 10.1007/s41666-023-00129-2ISI: 000939789800001Scopus ID: 2-s2.0-85149042899OAI: oai:DiVA.org:hh-50052DiVA, id: diva2:1740965
Funder
Halmstad University, 220021Knowledge Foundation
Note

Funding: Open access funding provided by Halmstad University.

Available from: 2023-03-02 Created: 2023-03-02 Last updated: 2025-10-01Bibliographically approved
In thesis
1. Value Creation and Digitalization in Healthcare: Technology Adoption and MedTech Firm’s Capabilities
Open this publication in new window or tab >>Value Creation and Digitalization in Healthcare: Technology Adoption and MedTech Firm’s Capabilities
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Background: Healthcare is undergoing a digital transformation as advanced analytics, artificial intelligence (AI), and connected devices revolutionize clinical decision-making, care delivery, and patient outcomes. Digital technologies, particularly AI, have created unprecedented opportunities for value creation through improved diagnostics, automated workflows, and data-driven care. Despite this potential, the adoption of digital technologies in healthcare remains slower than in other industries. Multiple factors contribute to this gap, with value creation emerging as central to adoption decisions. While individual factors - such as healthcare professionals' responses to new technologies - significantly influence adoption, medical technology (MedTech) firms play an essential role in facilitating value creation through digitalization. Previous research has largely overlooked this complexity, particularly the interplay between healthcare professionals' adoption decisions and MedTech firms' capabilities. 

Purpose: The purpose of this doctoral thesis is to explore how healthcare professionals adopt digital technologies and how MedTech firms acquire capabilities to facilitate digitalization and value creation in healthcare. 

Method: To fulfill the overall purpose of this thesis, five independent papers were developed. The papers comprise one qualitative descriptive study, one sys- tematic literature review, one exploratory qualitative study, one embedded case study, and one survey. The data collection is based on exploratory and semi-structured interviews, workshops, observation, and questionnaires. The data analysis follows a thematic analysis technique and linear regression analysis. 

Findings: The findings of this thesis indicate that digitalization and value creation in healthcare emerge through dynamic interactions between healthcare professionals and MedTech firms. Healthcare professionals, as technology adopters, evaluate multiple value dimensions (cost-sacrifice, instrumental, hedonic, and symbolic) that shape their attitudes toward digital technologies. They engage in facilitation activities to manage resistance to change and develop paradoxical mindsets to navigate tensions arising from technological transitions. MedTech firms acquire the necessary capabilities through formal, vii semi-formal, and informal mechanisms to facilitate digitalization. These capabilities - health-related, data-driven, and social capabilities - are primarily accessed through external actors. Value co-creation occurs through structured encounters between healthcare professionals and MedTech firms, where they share resources and knowledge, align expectations, and collaborate to enhance technology adoption and value realization. This interplay creates a foundation for successful healthcare digitalization while ensuring technologies meet clinical needs and create sustainable value. 

Place, publisher, year, edition, pages
Halmstad: Halmstad University Press, 2024. p. 124
Series
Halmstad University Dissertations ; 122
Keywords
Digitalization, Health Technology, Technology Adoption, Value Creation, Organizational Capabilities, Healthcare Professionals, MedTech Firms
National Category
Business Administration
Research subject
Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-54833 (URN)978-91-89587-61-8 (ISBN)978-91-89587-60-1 (ISBN)
Public defence
2024-12-06, S1022, Kristian IV:s väg 3, Halmstad, 13:15 (English)
Opponent
Supervisors
Funder
Knowledge Foundation, 3086
Available from: 2024-11-14 Created: 2024-11-05 Last updated: 2025-10-01Bibliographically approved

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Irgang dos Santos, Luís FernandoBarth, HenrikHolmén, Magnus

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