The impact of digital finance on technological innovation across enterprise life cycles in China.

This study aims to fill a gap in our knowledge by analyzing how digital financing has affected technological innovation in China's firms across different growth phases. This article investigates the relationship between technological innovation efficiency and digital finance in China's A-share listed corporations between 2012 and 2022 using basic logistic modelling. Its main goal is to comprehend how digital finance affects these businesses' technological innovation efficiency from various angles. The study concludes that digital finance significantly improves the efficiency of technological innovation; more importantly, the Digital Finance Adoption Rate (DFAR) has a more significant influence than the Digital Finance Level (DFL). According to the Digital Transformation Maturity (DTM) scale, digital finance helps businesses transform digitally, increasing the effectiveness of technological innovation. State-owned businesses are more affected by the influence of digital finance on innovation efficiency than non-state-owned businesses. Other factors, including enterprise lifecycle, innovation investment, digital leadership, revenue strategies, and market rivalry, also shape the relationship between digital finance and technical innovation efficiency. To increase innovation efficiency, particularly in state-owned businesses, the study suggests expanding access to and adoption of digital finance. It also means leveraging elements such as enterprise lifecycle, innovation investment, digital leadership, revenue strategies, and market competition to spur more technological innovation. The impact of digital finance on technological innovation at different phases of organizational growth in China highlights the need for customized methods to harness its potential.

Digital transformation and synergistic reduction in pollution and carbon Emissions--An analysis from a dynamic capability perspective.

Pollution control and carbon emission reduction pose significant challenges for developing countries, and achieving synergistic reductions in pollution and carbon emissions (SRPCs) has emerged as the optimal choice. Digitization, a prevailing trend in the current era, presents new opportunities for realizing the SRPC. We utilize data from Chinese A-share listed companies from 2007 to 2022 to investigate the impact of corporate digital transformation on the SRPC. The research reveals the following. (1) Enterprise digital transformation significantly promotes the SRPC, a conclusion validated through a series of robustness tests. However, the SRPC resulting from digital transformation is characterized by weak synergy, which is primarily observed in the coordinated reduction in air pollution and carbon emissions. (2) This effect is notably stronger for companies near environmental regulatory authorities, those receiving government environmental subsidies, and state-owned enterprises (SOEs). (3) Enhancing managerial collaborative management capabilities, promoting corporate technological innovation capabilities, and alleviating financing pressure are the primary mechanisms at play. This research provides important policy and practical insights for promoting the SRPC in the context of digitization, fostering sustainable development.

Impact of digital transformation on green production: Evidence from China.

In the global context of development transformation, digital transformation (DT) has emerged as a prevalent practice among international corporations, facilitating the simultaneous enhancement of economic growth. However, limited research on how digital transformation affects green production, especially at a micro level, poses risks by impeding the understanding of strategies for balancing economic growth and environmental sustainability. This study addresses a critical research gap by elucidating the influence of digitization on green total factor productivity (GTFP). We based our findings on a sample of 280 listed non-financial firms from 2007 to 2021 and computed core variables through text analysis and the super-SBM model. The data analysis using fixed effects models, correlation analysis, instrumental variable approach, and difference-in-differences method. The findings underscore the positive impact of DT on enhancing firms' green innovation, investment efficiency, and internal control, consequently significantly elevating the level of GTFP. Additionally, it was observed that normal DT contributes to the sustainable long-term improvement of a firm's GTFP, whereas excessive DT exhibits a positive impact on short-term GTFP. This study's insights into the positive impact of DT on GTFP serve to guide enterprises and policymakers in navigating a transition towards high-quality development, facilitating a balanced approach that fosters environmental conservation alongside economic growth in both emerging and global contexts.

Direct and interaction effects of CEO academic experience and CEO duality on digital transformation.

We used regression analysis to examine the direct and interaction effects of CEO academic experience and CEO duality on digital transformation in order to explain why firms vary in their digital transformation. Data analysis of manufacturing firms listed on the A-share market of the Shanghai and Shenzhen stock exchanges from 2007 to 2022 reveals that both academic experience and duality have significant positive direct effects on digital transformation. Both variables also mutually interact to promote digital transformation. This study not only makes an important contribution to the research on digital transformation and upper echelons theory but also provides useful guidance for firms developing their digitization strategy.

Discovering patterns and trends in customer service technologies patents using large language model.

The definition of service has evolved from a focus on material value in manufacturing before the 2000s to a customer-centric value based on the significant growth of the service industry. Digital transformation has become essential for companies in the service industry due to the incorporation of digital technology through the Fourth Industrial Revolution and COVID-19. This study utilised Bidirectional Encoder Representations from Transformer (BERT) to analyse 3029 international patents related to the customer service industry and digital transformation registered between 2000 and 2022. Through topic modelling, this study identified 10 major topics in the customer service industry and analysed their yearly trends. Our findings show that as of 2022, the trend with the highest frequency is user-centric network service design, while cloud computing has experienced the steepest increase in the last five years. User-centric network services have been steadily developing since the inception of the Internet. Cloud computing is one of the key technologies being developed intensively in 2023 for the digital transformation of customer service. This study identifies time series trends of customer service industry patents and suggests the effectiveness of using BERTopic to predict future trends in technology.

How digital transformation enhances corporate innovation performance: The mediating roles of big data capabilities and organizational agility.

Digital transformation has emerged as a key driver of high-quality enterprise development and an essential tool in forging an innovation-driven paradigm.Existing studies fail to delve into the specific mechanisms of their impact on firms' innovation performance, and views on their impact are divergent. Some studies suggest that digital transformation can enhance innovation performance, while others point out that it may have negative impacts, and cannot clearly answer how big data capabilities and organisational agility play a role in the digital transformation process. Therefore, based on dynamic capability theory and systems engineering theory, this study adopts the logical framework of "strategy-behaviour-performance" to systematically explore the process of digital transformation that enhances firms' innovation performance through the enhancement of big data capability and organisational agility. By empirically analysing the survey data of 476 manufacturing enterprises in China, the study reveals the chain-mediated effects of big data capability and organisational agility, and confirms the key roles of both in the transformation process. The findings suggest that digital transformation significantly improves firms' innovation performance, and that the dual mediating effects of big data capability and organisational agility are important links in its influencing mechanism. These findings not only provide empirical support for the theoretical model of digital transformation, but also provide practical guidance for enterprises to formulate strategies and optimise resource allocation in the digital era. We suggest that enterprises should strengthen the cultivation of big data capabilities and organisational agility while promoting digital transformation to better adapt to and lead market changes.

Digital Health in Brazil: Trends and Opportunities.

The aim of this paper is to present the evolution of Digital Health (DH) in Brazil, in relation to the adoption of DH as a basis for the development of public policies, with a focus on improving the delivery of health care to patients and expanding its coverage. Data from the ICT in Health survey from the Regional Centre for Studies on the Development of the Information Society (Cetic.br) were analysed. The main challenges identified are related to gaps in patient information, which requires interaction between different facilities and to more complex functionalities related to guidelines and guidance in patient care.

Digital Reimbursement Systems in a Student-Run Clinic.

The increasing reliance on digital tools for standard healthcare practices in uninsured populations is poorly understood. This study aims to assess the impacts of a newly implemented digital reimbursement system at a student-run primary care clinic associated with an academic medical institution serving uninsured New York City residents. Pharmacy records of 94 unique patients receiving a total of 2770 reimbursements between October 17th, 2016, and May 18th, 2023, were analyzed. Patients were divided into two groups (in-person vs. digital) based on their reimbursement preferences type. Demographic analyses were performed in addition to assessing reimbursement volumes, number of refunds, and duration until receipt of payment for each group. The clinic's total monthly reimbursement volume, number of prescriptions, and number of patients for the period before introduction of digital refunds was compared to the period after. The mean age (in-person = 52.7 ± 14.7 years, digital = 54.9 ± 12.9 years) was not statistically different between the groups. Patients in the digital group requested on average more refunds (digital = 47 refunds, in-person = 14 refunds), received higher total reimbursement amount (digital = $1131.24, in-person = $289.36), and they were reimbursed faster (digital = 56 days, in-person = 62 days). Since the introduction of the digital reimbursement option, our three-month reimbursement volume more than doubled from $481 to $1298. The average number of monthly reimbursements increased from 27 to 45 refunds, and the number of monthly patients increased from 6 to 9 patients. In summary, digital reimbursement options can facilitate medication reimbursement among uninsured patients. These results suggest that digital reimbursement systems result in higher utilization, faster refunds, and larger total reimbursements amount for uninsured and underserved patients.

The paradox of aging population and firm digital transformation in China.

Although a number researchers have acknowledged that the aging population inhibits firm digital transformation, others find it promoting digital transformation in some firms. As the relevant literature to clarify such paradox is still scare, this paper wants to fill the gap regarding the labor cost theory, the capital-skill complementarity hypothesis, and the human capital externality theory. Based on the empirical tests of Chinese A-share listed companies from 2001 to 2022, this study detected a U-shaped relationship between the aging population and digital transformation. In terms of the institutional environment, higher marketization strengthens the U-shaped relationship by making the slopes on either side of it steeper. However, higher minimum wage levels weaken the U-shaped relationship. In terms of firm strategy, firms with stronger marketing capabilities strengthened the U-shaped relationship. However, firms with higher customer concentration weakened the U-shaped relationship. Overall, we enriched scholarly understanding of the impact of the aging population on digital transformation and demonstrated the dual potential impact of aging populations. Instead of assuming they are detrimental to the economy and society, positive contributions in the form of innovation and progress for companies can be detected.

Requirements and Barriers for Human-Centered SMEs.

With the advantages of new technologies and rising demand from customers, it is necessary to improve the manufacturing process. This necessity was recognized by the industry; therefore, the concept of Industry 4.0 has been implemented in various areas of manufacturing and services. The backbone and main aspect of Industry 4.0 is digitalization and the implementation of technologies into processes. While this concept helps manufacturers with the modernization and optimization of many attributes of the processes, Industry 5.0 takes a step further and brings importance to the human factor of industry practice, together with sustainability and resilience. The concept of Industry 5.0 contributes to the idea of creating a sustainable, prosperous, and human-friendly environment within companies. The main focus of the article is to analyze the existing literature regarding what is missing from the successful implementation of human centricity into industry practice, namely in small and medium-sized factories (SMEs). These findings are then presented in the form of requirements and barriers for the implementation of human centricity into SME factories, which can serve as guidelines for implementing human-centered manufacturing using axiomatic design theory in SMEs, which can serve as a roadmap for practitioners.

Can sharing auditors with customers improve suppliers digital transformation?

Introduction: Promoting enterprises' digital transformation is fundamental to implementing the digital China strategy and realizing high-quality development. Methods: Taking China's A-share listed companies from 2007 to 2021 as a research sample, this study examines the impact of sharing auditors with customers on the digital transformation of suppliers. Results: The results show that sharing auditors with customers can promote suppliers' digital transformation, and this promotion effect is stronger among suppliers with weaker bargaining power, lower media attention, and higher auditor industry expertise. In terms of the mechanism of action, sharing auditors with customers can help strengthen the supplier's supervision, alleviate suppliers' financing constraints, and thus facilitate their digital transformation. Further research finds that when suppliers share auditors with their customers, suppliers' digital transformation helps promote innovation. Discussion: The research conclusion provides effective empirical evidence for alleviating the dilemma of digital transformation of enterprises.

Virtual Objective Structured Clinical Examination (OSCE) Training in the Pandemic Era: Feasibility, Satisfaction, and the Road Ahead.

INTRODUCTION: Objective Structured Clinical Examinations (OSCEs) are essential assessments for evaluating the clinical competencies of medical students. The COVID-19 pandemic caused a significant disruption in medical education, prompting institutions to adopt virtual formats for academic activities. This study analyzes the feasibility, satisfaction, and experiences of pediatric board candidates and faculty during virtual or electronic OSCE (e-OSCE) training sessions using Zoom video communication (Zoom Video Communications, Inc., San Jose, USA). METHODS: This is a post-event survey assessing the perceptions of faculty and candidates and the perceived advantages and obstacles of e-OSCE. RESULTS: A total of 142 participants were invited to complete a post-event survey, and 105 (73.9%) completed the survey. There was equal gender representation. More than half of the participants were examiners. The overall satisfaction with the virtual e-OSCE was high, with a mean score of 4.7±0.67 out of 5. Most participants were likely to recommend e-OSCE to a friend or colleague (mean score 8.84±1.51/10). More faculty (66.1%) than candidates (40.8%) preferred e-OSCE (P=0.006). CONCLUSION: Transitioning to virtual OSCE training during the pandemic proved feasible, with high satisfaction rates. Further research on virtual training for OSCE in medical education is recommended to optimize its implementation and outcomes.

Roger's diffusion of innovations theory and the adoption of a patient portal's digital anamnesis collection tool: study protocol for the MAiBest project.

BACKGROUND: German hospitals are legally obliged to implement digital patient portals within the next years. Systematic reviews show that the use of patient portals may be associated with improved patient-centeredness and workflows. However, mandatory digital healthcare innovations are sometimes not used by the target group as planned or even completely rejected. Based on Roger's theory of innovation diffusion, it can be assumed that the time factor is of particular importance for the adoption of the patient portal. The aim of the project is to assess determinants of patient portal adoption and to examine whether Roger's theory can be confirmed. METHODS: The project investigates the use of the patient portal in three different clinics of a large academic teaching hospital in Germany using a longitudinal study design with three cross-sectional time points (pre, post, post). Doctors and patients are surveyed about factors that predict the use of the patient portal and whether the strength of these factors changes over time. They are also interviewed about possible barriers they experience when using the patient portal or about the reasons why the patient portal is not used. Regression models and content analyses are used to answer the research questions. DISCUSSION: Determinants of patient portal use will be discussed under the light of the temporal component of Roger's theory. At the same time, it is expected that some determinants will remain unchanged over time. Identifying determinants independent of time allows targeting the groups, enabling specific communication strategies to empower these groups to use the patient portal, contributing to an equal health care system. TRIAL REGISTRATION: The study was prospectively registered in the German register of clinical trials (DRKS00033125) in May 2024.

Veterinary Telemedicine in Lithuania: Analysis of the Current Market, Animal Owner Knowledge, and Success Factors for Digital Transformation of Clinics.

Veterinary telemedicine is used to provide animal health care information, education, and care remotely. Digital transformation of veterinary clinics is a fundamental process for the evolution of telemedicine and is changing the way veterinary care and animal health services are delivered. This study aimed to evaluate the current televeterinary market and to assess the knowledge of animal owners and clinic managers. The goals of this study were met by conducting an analysis of the current televeterinary market through a pet owner (n = 200) survey as well as clinic owner (n = 5) interviews. In contrast to other countries, only 1.85% of Lithuanian veterinary clinics offered a paid veterinary remote consultation service on their websites. In addition, more than half of animal owners who participated in the survey did not even know that remote veterinary consultations existed. The most important established factors for the success of digital transformation of veterinary telemedicine were investments in the marketing of the services, management leadership, the competencies and experience of veterinarians, convenient working hours for the client, faster service availability, and lower price. It is recommended to involve marketing and information technology company professionals and to invest in the specialty, digital, and communication skills of veterinarians.

Digital transformation and enterprise low-carbon innovation: A new perspective from innovation motivation.

From the perspective of innovation motivation, low-carbon innovation is divided into substantive low-carbon innovation and strategic low-carbon innovation. On this basis, this study empirically investigates the impact and mechanism of digital transformation on enterprise low-carbon innovation using data from China's A-share listed enterprises from 2005 to 2019. The results show that digital transformation promotes the overall level of enterprise low-carbon innovation, substantial low-carbon innovation, and strategic low-carbon innovation, with a more significant impact on strategic low-carbon innovation. For enterprises with large-scale, belonging to high-monopoly industries and located in high-marketization regions, the promotion of digital transformation is more significant and facilitates strategic low-carbon innovation more than substantive low-carbon innovation. Based on the internal capability perspective, enhancing management capability, R&D capability, and environmental information disclosure capability are three important channels of digital transformation affecting low-carbon innovation.

What's different about digital? A qualitative interview study exploring experiences of adapting in-person behaviour change interventions for digital delivery.

OBJECTIVES: Digital health behaviour change interventions may be adapted from in-person interventions, without appropriate consideration of how the digital context might differ. Drawing on the wider literature on behaviour change intervention development, this research aims to explore the digital adaptation process of health behaviour change interventions and the specific considerations for digital modes of delivery. DESIGN: A qualitative interview study. METHODS: Interviews with 15 intervention developers/facilitators were analysed using inductive thematic analysis. RESULTS: Findings highlight a continuum of digitalization, where variation in technology available and human support influences considerations for digital adaptation. 'What vs how: "trying to do the impossible"' describes the balance between retaining the intervention's active ingredients while modifying for digital delivery. Through 'Trial and error', participants described an iterative process based on experience of delivery. 'Creating connection and engagement' emphasizes the importance of social support and the challenges of replicating this. CONCLUSIONS: Several considerations for digital adaptations are proposed including the involvement of end-users (facilitators and recipients) during adaptation, the need to understand the original intervention and new context for use, and the different motivational needs of digital intervention recipients.

Corporate digital transformation and financing constraints: The moderating effect of institutional investors.

In the age of digitization, digital transformation has emerged as a crucial pathway for companies to achieve sustainable development. In a sample of 24,103 firm-year observations from 3,508 listed companies in China's A-share market between 2007 and 2020, we investigate the relationship between corporate digital transformation and financing constraints based on dynamic capability theory. The proportion of intangible assets dedicated to digital technology is employed as a measure of the degree of digital transformation, and the SA index is utilized to assess the level of financing constraints. The findings demonstrate that digital transformation plays a significant role in alleviating financing constraints. In addition, greater institutional ownership leads to a pronounced negative correlation between digital transformation and financing constraints. From the perspective of dynamic capability theory, this study provides empirical evidence supporting research on economic consequences associated with digital transformation. Our results may contribute towards government formulation and implementation of policies promoting digital transformation to create a supportive external environment for businesses. Companies must seize opportunities associated with digital transformation to mitigate financing constraints.

The social representation of digital transformation: The IT professionals' perspective.

In this study, we aimed to identify how Information Technology professionals make sense of digital transformation, in order to compare this perception with the scientific literature on the topic. To conduct the research, we adopted the Social Representation Theory. Thus, via an online tool, we applied the words evocation technique as well as an ancillary questionnaire comprising open and closed questions. The expressions collected were then semantically treated and categorized, being then analyzed vis-à-vis their frequency of evocation, relevance, connectedness, and cooccurrence. Then, we performed similarity and content analyses for the open answers received. In doing so, we detected dissonance between scientific production on the concept of digital transformation and the perception of Information Technology professionals on this construct, concluding that such professionals have a technocentric view of digital transformation, based mainly on its technological aspects, which can prevent digital transformation initiatives from fully achieving the desired objectives.

Digital transformation and strategic risk taking dataset for China's public-listed companies.

This article presents a comprehensive dataset from the annual reports of China's public-listed companies, the China Stock Market and Accounting Research Database, and the Wind database, focusing on digital transformation and strategic risk taking. This dataset covers 14 years from 2008 to 2021 with 17,089 firm-year observations. Digital transformation is calculated using text mining techniques and keyword frequency analyses based on the firms' annual reports. Then, strategic risk taking is a composite strategic index that combines long-term debt, R&D expenditure, and capital expenditure. The dynamic capability is measured by a comprehensive index that includes three dimensions: absorptive capacity, adaptive capability, and innovation capability. This dataset can serve as a reference base for future studies on the effect of digital transformation on corporate strategic behavior. It can also be integrated into building core competencies to assist managers in identifying the role of dynamic capability.