IDEAS home Printed from https://ideas.repec.org/a/gam/jlogis/v9y2025i2p53-d1635206.html
   My bibliography  Save this article

From Adopting Industry 4.0 Technologies to Improving Operational Performance in Hospital Supply Chain: The Moderating Effect of HSC Complexity

Author

Listed:
  • Ahmed Chtioui

    (Laboratory of Artificial Intelligence, Data Technologies and Modeling (AIDTM), Higher National School of Arts and Crafts (ENSAM Meknes), Moulay Ismail University, Meknes 50500, Morocco)

  • Imane Bouhaddou

    (Laboratory of Artificial Intelligence, Data Technologies and Modeling (AIDTM), Higher National School of Arts and Crafts (ENSAM Meknes), Moulay Ismail University, Meknes 50500, Morocco)

  • Asmaa Benghabrit

    (Laboratory of Applied Mathematics and Business Intelligence (LMAID), Higher National School of Mines Rabat (ENSMR), Rabat 10000, Morocco)

Abstract

Background : The hospital supply chain (HSC) is one of the main levers for improving the performance of any healthcare organization. HSC stakeholders evolve in a dynamic environment marked by great complexity. This observation led us to conduct research, through which we examined several factors enabling operational performance to be achieved within the HSC. Methods : For the empirical verification, we opted for a survey of a relevant sample composed of health professionals operating in different Moroccan hospitals, particularly in the logistics departments. Afterwards, the data were analyzed using a Partial Least Squares-Structural Equation Modeling (PLS-SEM) method to test the hypothesized relationships in this study. Results : The results show that the adoption of Industry 4.0 technologies improve collaborative aspects between logistics processes and flows, and thus ensure better integration of HSC. The research also highlights the moderating effect of HSC complexity in the relationship between HSC integration and HSC operational performance, i.e., HSC integration increases HSC operational performance in a context marked by high complexity. Conclusions : This paper explores the impact of Industry 4.0 technologies on HSC operational performance. The study provides hospital managers and practitioners with insights to improve HSC operational performance through integration initiatives, ultimately better meeting the needs of healthcare professionals and contributing to improve the quality of care.

Suggested Citation

  • Ahmed Chtioui & Imane Bouhaddou & Asmaa Benghabrit, 2025. "From Adopting Industry 4.0 Technologies to Improving Operational Performance in Hospital Supply Chain: The Moderating Effect of HSC Complexity," Logistics, MDPI, vol. 9(2), pages 1-22, April.
    • Handle: RePEc:gam:jlogis:v:9:y:2025:i:2:p:53-:d:1635206
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2305-6290/9/2/53/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/2305-6290/9/2/53/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Michael Sony & Jiju Antony & Guilherme L. Tortorella, 2023. "Critical Success Factors for Successful Implementation of Healthcare 4.0: A Literature Review and Future Research Agenda," IJERPH, MDPI, vol. 20(5), pages 1-22, March.
    2. Moons, Karen & Waeyenbergh, Geert & Pintelon, Liliane, 2019. "Measuring the logistics performance of internal hospital supply chains – A literature study," Omega, Elsevier, vol. 82(C), pages 205-217.
    3. Sudusinghe, Jayani Ishara & Seuring, Stefan, 2022. "Supply chain collaboration and sustainability performance in circular economy: A systematic literature review," International Journal of Production Economics, Elsevier, vol. 245(C).
    4. Fehrer, Julia A. & Wieland, Heiko, 2021. "A systemic logic for circular business models," Journal of Business Research, Elsevier, vol. 125(C), pages 609-620.
    5. Ayoninuoluwa Oluwadare & Busola Dorcas Akintayo & Olubayo Moses Babatunde & Oludolapo Akanni Olanrewaju, 2024. "Assessing the Impact of Healthcare 4.0 Technologies on Healthcare Supply Chain Management: A Multi-Criteria Evaluation Framework," Logistics, MDPI, vol. 8(2), pages 1-24, April.
    6. Paul Reaidy & Morteza Alaeddini & Angappa Gunasekaran & Muazam Shahzad & Olivier Lavastre, 2024. "Unveiling the impact of industry 4.0 on supply chain performance: the mediating role of integration and visibility," Post-Print hal-04839142, HAL.
    7. Yu, Wantao & Zhao, Gen & Liu, Qi & Song, Yongtao, 2021. "Role of big data analytics capability in developing integrated hospital supply chains and operational flexibility: An organizational information processing theory perspective," Technological Forecasting and Social Change, Elsevier, vol. 163(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kumar, Anil & Naz, Farheen & Luthra, Sunil & Vashistha, Rajat & Kumar, Vikas & Garza-Reyes, Jose Arturo & Chhabra, Deepak, 2023. "Digging DEEP: Futuristic building blocks of omni-channel healthcare supply chains resiliency using machine learning approach," Journal of Business Research, Elsevier, vol. 162(C).
    2. Mauro, Marianna & Noto, Guido & Prenestini, Anna & Sarto, Fabrizia, 2024. "Digital transformation in healthcare: Assessing the role of digital technologies for managerial support processes," Technological Forecasting and Social Change, Elsevier, vol. 209(C).
    3. Sadiq, Muhammad & Nawaz, Muhammad Atif & Sharif, Arshian & Hanif, Sobia, 2024. "Bridging green supply chain practices and environmental performance in Chinese semiconductor sector: With the role of energy efficiency and green HRM," International Journal of Production Economics, Elsevier, vol. 277(C).
    4. Adekunle Oke & Oluyomi Abayomi Osobajo & Samantha Taylor, 2024. "Addressing the Trilemma of Challenges: The Need for More SC Strategic Collaborations in the UK Oil and Gas Sector," Sustainability, MDPI, vol. 16(2), pages 1-16, January.
    5. Xinglin Liu, 2025. "Carbon emission constraint: A catalyst for the shift from real economy to financialization?," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 46(1), pages 590-601, January.
    6. Jingsi Zhang & Liangqun Qi, 2021. "Crisis Preparedness of Healthcare Manufacturing Firms during the COVID-19 Outbreak: Digitalization and Servitization," IJERPH, MDPI, vol. 18(10), pages 1-23, May.
    7. Mohammad Ali Yamin, 2021. "Investigating the Drivers of Supply Chain Resilience in the Wake of the COVID-19 Pandemic: Empirical Evidence from an Emerging Economy," Sustainability, MDPI, vol. 13(21), pages 1-16, October.
    8. Shefali Srivastava & Vernika Agarwal & Ashish Dwivedi & Anchal Patil & Surajit Bag & Cyril R. H. Foropon, 2025. "Contributing Factors for Building a Flexible Supply Chain in the Digital Age: Studying Their Impact on SDGs," Global Journal of Flexible Systems Management, Springer;Global Institute of Flexible Systems Management, vol. 26(1), pages 141-161, March.
    9. Fernando Rojas & Peter Wanke & Víctor Leiva & Mauricio Huerta & Carlos Martin-Barreiro, 2022. "Modeling Inventory Cost Savings and Supply Chain Success Factors: A Hybrid Robust Compromise Multi-Criteria Approach," Mathematics, MDPI, vol. 10(16), pages 1-18, August.
    10. Behl, Abhishek & Gaur, Jighyasu & Pereira, Vijay & Yadav, Rambalak & Laker, Benjamin, 2022. "Role of big data analytics capabilities to improve sustainable competitive advantage of MSME service firms during COVID-19 – A multi-theoretical approach," Journal of Business Research, Elsevier, vol. 148(C), pages 378-389.
    11. Qingyu Zhang & Aman Ullah & Sana Ashraf & Muhammad Abdullah, 2024. "Synergistic Impact of Internet of Things and Big-Data-Driven Supply Chain on Sustainable Firm Performance," Sustainability, MDPI, vol. 16(13), pages 1-20, July.
    12. Surajit Bag & Muhammad Sabbir Rahman & Gautam Srivastava & Peter Kilbourn & Nishikant Mishra, 2024. "Buyer–supplier partnerships and circular economy performance in food supply chains: Serial mediation by commitment contract and innovation performance," Business Strategy and the Environment, Wiley Blackwell, vol. 33(2), pages 1247-1264, February.
    13. Howard, Mickey & Böhm, Steffen & Eatherley, Dan, 2022. "Systems resilience and SME multilevel challenges: A place-based conceptualization of the circular economy," Journal of Business Research, Elsevier, vol. 145(C), pages 757-768.
    14. Ahmad, Farhan & Bask, Anu & Laari, Sini & Robinson, Craig V., 2023. "Business management perspectives on the circular economy: Present state and future directions," Technological Forecasting and Social Change, Elsevier, vol. 187(C).
    15. Marty, Justine & Ruel, Salomée, 2024. "Why is “supply chain collaboration” still a hot topic? A review of decades of research and a comprehensive framework proposal," International Journal of Production Economics, Elsevier, vol. 273(C).
    16. Kadir Kaan Göncü & Onur Çetin, 2022. "A Decision Model for Supplier Selection Criteria in Healthcare Enterprises with Dematel ANP Method," Sustainability, MDPI, vol. 14(21), pages 1-16, October.
    17. Marta Negri & Alessandra Neri & Enrico Cagno & Gabriele Monfardini, 2021. "Circular Economy Performance Measurement in Manufacturing Firms: A Systematic Literature Review with Insights for Small and Medium Enterprises and New Adopters," Sustainability, MDPI, vol. 13(16), pages 1-27, August.
    18. Castro, Catarina & Pereira, Teresa & Sá, J.C. & Santos, Gilberto, 2020. "Logistics reorganization and management of the ambulatory pharmacy of a local health unit in Portugal," Evaluation and Program Planning, Elsevier, vol. 80(C).
    19. Oesterreich, Thuy Duong & Anton, Eduard & Teuteberg, Frank & Dwivedi, Yogesh K, 2022. "The role of the social and technical factors in creating business value from big data analytics: A meta-analysis," Journal of Business Research, Elsevier, vol. 153(C), pages 128-149.
    20. Antje Gonera & Hilde Andrea Nykamp & Laura Carraresi, 2023. "Incumbents’ Capabilities for Sustainability-Oriented Innovation in the Norwegian Food Sector—an Integrated Framework," Circular Economy and Sustainability, Springer, vol. 3(3), pages 1299-1326, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jlogis:v:9:y:2025:i:2:p:53-:d:1635206. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.