Figure 1
The figure is divided into four sections, labeled from left to right as follows: “Representative quotes”, “First-order categories”, “Second-order categories”, and “Aggregate dimensions”. The first text box under “Representative quotes” reads as follows: “(Ellipsis) We have an integrated information system to efficiently record and manage data. We have started to collect data not only internally but also analyzing national and international scenarios (Ellipsis) to recognize emergent digital opportunities (Ellipsis). (M 4); My hospital has recently implemented a virtual assistant to respond to patients’ inquiries (Ellipsis). We designed it in partnership with an external provider, offering our medical knowledge and long-lasting experience (Ellipsis). (H P 6); In the digital era, digital literacy (Ellipsis) supports the internal development and implementation of digital skills for exploiting the potential of technologies and avoiding possible misuse (Ellipsis). (M5)” A horizontal line connects this text box to the second text box positioned directly on the right under “First-order categories”. This text box reads, “Data collection and analysis, Digital design thinking, Digital literacy”. The horizontal line continues and connects the second text box to the third text box positioned directly to the right under “Second-order categories”. The text box reads, “Digital Sensing, Redefinition of operating models to better identify external opportunities and threats”. The horizontal line continues and connects the third text box to the fourth text box positioned directly to the right under “Aggregate dimensions”. The text box reads, “Technological innovation, New combinations of digital components to solve emergent needs (for example, E H R, digital booking, digital payments, wearables, chatbots, etcetera)”. The fifth text box is positioned under “Representative quotes”. The text box reads as follows: “We have gradually implemented data management technologies to improve internal and external processes (Ellipsis) efficiency and boost service quality. (Ellipsis) (M 4); Investing in digital transformation is not an option (Ellipsis). Investing in talented people and in the development of the right knowledge and skills (Ellipsis) is essential. (S P 5); (Ellipsis) Working without a strategic orientation is no longer possible. We must plan our activities by focusing on resource allocation. We are doing this using smart solutions, such as AI, big data analytics, and robotic applications. (S P 3)” A horizontal line connects this text box to the sixth text box positioned directly on the right under “First-order categories”. This text box reads, “Data management, DT investment, Digital strategy”. The horizontal line continues and connects the sixth text box to the seventh text box positioned directly to the right under “Second-order categories”. The text box reads, “Digital Seizing, Strategic adaptation to best suit digitalisation”. The horizontal line continues and connects the seventh text box to the eighth text box positioned directly to the right under “Aggregate dimensions”. The text box reads, “Value-driven innovation, New methods to digitally organise managerial and productive processes (for example, business intelligence system, collaborative platform, remote monitoring, etcetera)”. The ninth text box is positioned under “Representative quotes”. The text box reads as follows: “(Ellipsis) We have informed all our decisions, from clinical and administrative ones to those related to R and D on data. Consequently, a shared data-driven approach now informs our decision-making process, prioritizing evidence over assumptions. (M 1); (Ellipsis) A centralized platform allows us to organize the required resources to develop smart programs, procedures, and solutions. (Ellipsis) The platform provided the foundation, the raw data, and the connectivity to innovate and transform our approach to care. (M 3); (Ellipsis) We believe that an integrated and innovation-based approach to medical research and practice is fundamental to creating an interconnected ecosystem that addresses healthcare systemic challenges. An example is the partnership with a leading data analytics firm to leverage de-identified patient data (Ellipsis) for creating targeted community outreach programs dedicated to chronic diseases treatment. (S P 1)” A horizontal line connects this text box to the tenth text box positioned directly on the right under “First-order categories”. This text box reads, “Data-driven culture, Digital platform, Innovation-based partnerships”. The horizontal line continues and connects the tenth text box to the eleventh text box positioned directly to the right under “Second-order categories”. The text box reads, “Digital Reconfiguring, Business model transformation based on the continuous improvement nourished by ongoing data and their knowledge creation and sharing”. The horizontal line continues and connects the eleventh text box to the twelfth text box positioned directly to the right under “Aggregate dimensions”. The text box reads, “System innovation, The agile use of knowledge inflows and outflows to accelerate innovation (for example, A I algorithms, robotic medical solutions)”.Coding scheme. Source: Authors’ elaboration