Department of Business Management, Catholic University of Sacred Heart, Via Ludovico Necchi, 7, 20123 Milan, Italy.
Faculty of Economics, Universitas Mercatorum, Piazza Mattei, 10, 00186 Rome, Italy.
Int J Environ Res Public Health. 2020 Mar 30;17(7):2318. doi: 10.3390/ijerph17072318.
This study aims to explore the impact of healthcare digitalization on smart hospital project financing (PF) fostered by pay-for-performance (P4P) incentives. Digital platforms are a technology-enabled business model that facilitates exchanges between interacting agents. They represent a bridging link among disconnected nodes, improving the scalable value of networks. Application to healthcare public-private partnerships (PPPs) is significant due to the consistency of digital platforms with health issues and the complexity of the stakeholder's interaction. In infrastructural PPPs, public and private players cooperate, usually following PF patterns. This relationship is complemented by digitized supply chains and is increasingly patient-centric. This paper reviews the literature, analyzes some supply chain bottlenecks, addresses solutions concerning the networking effects of platforms to improve PPP interactions, and investigates the cost-benefit analysis of digital health with an empirical case. Whereas diagnostic or infrastructural technology is an expensive investment with long-term payback, leapfrogging digital applications reduce contingent costs. "Digital" savings can be shared by key stakeholders with P4P schemes, incentivizing value co-creation patterns. Efficient sharing may apply network theory to a comprehensive PPP ecosystem where stakeholding nodes are digitally connected. This innovative approach improves stakeholder relationships, which are re-engineered around digital platforms that enhance patient-centered satisfaction and sustainability. Digital technologies are useful even for infectious disease surveillance, like that of the coronavirus pandemic, for supporting massive healthcare intervention, decongesting hospitals, and providing timely big data.
本研究旨在探讨医疗数字化对绩效付费（P4P）激励下智能医院项目融资（PF）的影响。数字平台是一种技术支持的商业模式，促进了交互代理之间的交流。它们是连接断开节点的桥梁，提高了网络的可扩展价值。由于数字平台与健康问题的一致性以及利益相关者交互的复杂性，其在医疗保健公私合作伙伴关系（PPP）中的应用具有重要意义。在基础设施 PPP 中，公共和私营部门合作，通常遵循 PF 模式。这种关系由数字化供应链补充，并越来越以患者为中心。本文回顾了文献，分析了一些供应链瓶颈，提出了关于平台网络效应以改善 PPP 交互的解决方案，并通过实证案例研究了数字健康的成本效益分析。虽然诊断或基础设施技术是一项昂贵的投资，回报周期长，但数字化应用可以降低或规避相关成本。“数字化”节省的成本可以通过 P4P 计划在主要利益相关者之间共享，激励价值共创模式。有效的共享可以将网络理论应用于全面的 PPP 生态系统，其中 stakeholding 节点通过数字化连接。这种创新方法可以改善利益相关者关系，围绕增强以患者为中心的满意度和可持续性的数字化平台进行重新设计。数字技术即使在传染病监测方面也很有用，例如冠状病毒大流行的监测，可用于支持大规模医疗干预、缓解医院压力并提供及时的大数据。
