Professional Competence and Its Effect on the Implementation of Healthcare 4.0 Technologies: Scoping Review and Future Research Directions.

BACKGROUND: The implementation of Healthcare 4.0 technologies faces a number of barriers that have been increasingly discussed in the literature. One of the barriers presented is the lack of professionals trained in the required competencies. Such competencies can be technical, methodological, social, and personal, contributing to healthcare professionals managing and adapting to technological changes. This study aims to analyse the previous research related to the competence requirements when adopting Healthcare 4.0 technologies. METHODS: To achieve our goal, we followed the standard procedure for scoping reviews. We performed a search in the most important databases and retrieved 4976 (2011-present) publications from all the databases. After removing duplicates and performing further screening processes, we ended up with 121 articles, from which 51 were selected following an in-depth analysis to compose the final publication portfolio. RESULTS: Our results show that the competence requirements for adopting Healthcare 4.0 are widely discussed in non-clinical implementations of Industry 4.0 (I4.0) applications. Based on the citation frequency and overall relevance score, the competence requirement for adopting applications of the Internet of Things (IoT) along with technical competence is a prominent contributor to the literature. CONCLUSIONS: Healthcare organisations are in a technological transition stage and widely incorporate various technologies. Organisations seem to prioritise technologies for 'sensing' and 'communication' applications. The requirements for competence to handle the technologies used for 'processing' and 'actuation' are not prevalent in the literature portfolio.

Determining optimal laser-beam cutting equipment investment through a robust optimization modeling approach.

The acquisition of Advanced Manufacturing Technologies (AMT), such as high-power fiber or CO2 laser cutting equipment, generally involves high investment levels. Its payback period is usually more extended, and there is a moderate-to-high risk involved in adopting these technologies. In this work, we present a robust model that optimizes equipment investing decisions, considers the process's technical constraint and finds an optimal production plan based on the available machinery. We propose a linear investment model based on historical demand information and take physical process parameters for a LASER cutting equipment, such as cutting speed and gas consumption. The model is then transformed into a robust optimization model which considers demand uncertainty. Second, we determine the optimal production plan based on the results of the robust optimization model and assuming that demand follows a normal distribution. As a case study, we decided on the investment and productive plan for a company that offers Laser-Beam Cutting (LBC) services. The case study validates the effectiveness of the proposed model and proves the robustness of the solution. For this specific application of the model, results showed that the optimal robust solution could increase the company's expected profits by 6.4%.