Digital Readiness Research Articles

Toward a data-informed framework for the assessment of digital readiness of higher education institutions

AbstractThis paper aims to address Digital Readiness in Higher Education Institutions from the perspective of data-informed and evidence-based assessment of Digital Readiness. Related research suggests that existing instruments for assessing digitalization aspects are limited to self-assessment, and there is a need for data-informed frameworks that will allow automated assessments based on data that Higher Education Institutions already collect. To bridge this gap, we propose a conceptual, data-informed framework for assessing Digital Readiness in Higher Education Institutions. We followed a participatory approach informed by related theory and practice to design, together with stakeholders from three academic institutions in three European countries, a Digital Readiness assessment framework on seven dimensions accompanied by 72 data-informed indicators. Digitalization of Higher Education is a priority in political agendas, and educational institutions have acknowledged it as an opportunity to promote digitalization of teaching and learning, organizational structures, and technical services, enabling innovation and internationalization. We envision that this work contributes towards supporting educational institutions in self-reflecting upon their digitalization policies and practices.

Economics and Equity of Large Language Models: Health Care Perspective.

Large language models (LLMs) continue to exhibit noteworthy capabilities across a spectrum of areas, including emerging proficiencies across the health care continuum. Successful LLM implementation and adoption depend on digital readiness, modern infrastructure, a trained workforce, privacy, and an ethical regulatory landscape. These factors can vary significantly across health care ecosystems, dictating the choice of a particular LLM implementation pathway. This perspective discusses 3 LLM implementation pathways-training from scratch pathway (TSP), fine-tuned pathway (FTP), and out-of-the-box pathway (OBP)-as potential onboarding points for health systems while facilitating equitable adoption. The choice of a particular pathway is governed by needs as well as affordability. Therefore, the risks, benefits, and economics of these pathways across 4 major cloud service providers (Amazon, Microsoft, Google, and Oracle) are presented. While cost comparisons, such as on-demand and spot pricing across the cloud service providers for the 3 pathways, are presented for completeness, the usefulness of managed services and cloud enterprise tools is elucidated. Managed services can complement the traditional workforce and expertise, while enterprise tools, such as federated learning, can overcome sample size challenges when implementing LLMs using health care data. Of the 3 pathways, TSP is expected to be the most resource-intensive regarding infrastructure and workforce while providing maximum customization, enhanced transparency, and performance. Because TSP trains the LLM using enterprise health care data, it is expected to harness the digital signatures of the population served by the health care system with the potential to impact outcomes. The use of pretrained models in FTP is a limitation. It may impact its performance because the training data used in the pretrained model may have hidden bias and may not necessarily be health care-related. However, FTP provides a balance between customization, cost, and performance. While OBP can be rapidly deployed, it provides minimal customization and transparency without guaranteeing long-term availability. OBP may also present challenges in interfacing seamlessly with downstream applications in health care settings with variations in pricing and use over time. Lack of customization in OBP can significantly limit its ability to impact outcomes. Finally, potential applications of LLMs in health care, including conversational artificial intelligence, chatbots, summarization, and machine translation, are highlighted. While the 3 implementation pathways discussed in this perspective have the potential to facilitate equitable adoption and democratization of LLMs, transitions between them may be necessary as the needs of health systems evolve. Understanding the economics and trade-offs of these onboarding pathways can guide their strategic adoption and demonstrate value while impacting health care outcomes favorably.

Managing digital transformations: the intermediary function of digital readiness in facilitating strategic renewal within the healthcare industry

Managing digital transformations: the intermediary function of digital readiness in facilitating strategic renewal within the healthcare industry

Digital Readiness and Digital Competences Influence on Information Management System: Organizational Support as Moderator

Digital technology has made its impact globally through changes in both organizational processes and information management system (IMS). The current research aimed to examine the manner in which digital readiness and digital competences influence the implementation of IMS in Chinese organizations with organizational support as a moderator. The study also examines the mediating role of digital competences among digital tool application, digital media awareness and effectiveness of IMS. Survey questionnaires were used to collect data from a sample of 290 employees of private sector organizations in China. SPSS-AMOS data analysis tools were used to check the associations among variables. The outcomes indicated that the digital tool application and digital media awareness have a positive nexus with effectiveness of IMS. The results also revealed that the digital competences significantly mediates among digital tool application, digital media awareness and effectiveness of IMS, and that organizational support also significantly moderates among digital competences and effectiveness of IMS in private sector organizations in China.

How Does the Nexus Between Digitalization and Banking Performance Drive Digital Transformation in Central and Eastern European Countries?

The aim of this paper is to create a digitalization index for banking sectors using a set of indicators based on World Bank data for the period of 2010–2021, which will allow us to rank the sectors of Central and Eastern European countries (CEECs). The digitalization index is built based on how ready banks are for digitalization, the potential customers available for digital banking, and the level of digital infrastructure, with each of these aspects representing one pillar. Based on the calculation of the digitalization index, we emphasize that Romania is the leader, followed by Latvia and Lithuania, while Hungary and Estonia are at the opposite pole. Furthermore, we applied the fully modified ordinary least squares (FMOLS) method to measure the impact of digitalization on banking performance. This study reveals that Romania, Latvia, and Lithuania lead in digital banking transformation due to significant investments in infrastructure and customer engagement, while Hungary and Poland lag in terms of digital readiness. The results indicate that digitalization has a significant positive effect on banking performance (ROE), although countries experiencing market saturation had the potential to see a decline post-2018, necessitating further innovation to sustain growth. In the digitalization context, the results are relevant for policymakers, showing that investing more in digitalization is important and that there is a need to help people have greater access to banking services due to a lack of willingness and financial education, factors which prevent them from embracing digital changes. The results show that improving banking digitalization positively influences banking performances. This study provides an innovative and complex index for assessing banking digitalization in Central and Eastern Europe, with valuable implications for policymakers. We highlight the need to align digitalization policies with the specific level of digital development of each country in order to optimize the integration of digital technologies and enhance economic competitiveness.

Digital Versus Paper-Based Consent from the UK NHS Perspective: A Micro-costing Analysis.

The paper-based consent pathway can be associated with missing information, error, and inadequate patient comprehension. Digital consent addresses some of these limitations. However, limited research has been conducted to understand relative costs and consequences associated with adopting digital consent pathways. The aim of this study was to compare the relative costs of digital consent pathways with paper-based consent pathways in UK National Health Service (NHS) clinical practice. A micro-costing study was conducted from the UK NHS perspective. Multi-stakeholder involvement contributed to understanding how the paper-based consent pathway varies by department and hospital setting. Sensitivity analyses were conducted to identify the key cost drivers and scenario analyses explored the effect of consent timing and hospital digital readiness. Potential advantages and disadvantages of digital consent were also considered, such as possible impacts associated with consent-related litigation. The cost per consent episode is approximately £0.90 more expensive when completed on paper. The ordering or printing of paper consent forms, and the transportation of forms to storage and back to clinic are process steps that would not be necessary with digital consent. Sensitivity and scenario analyses indicated consultation duration had the greatest impact on the relative costs of both pathways. Per litigation claim prevented, an average of £201,590 could be saved. Digital consent is potentially cost saving for the NHS. Consent for elective procedures is recommended in advance of the day of surgery, and digital consent used in this scenario demonstrated the greatest savings. Consultation duration was estimated to have the greatest impact on the relative costs of both pathways, which should be a focus of further investigation.

Can intergenerational relationships mitigate digital exclusion among China’s elderly population?

ABSTRACT In the burgeoning grey economy, the elderly have been widely praised for their digital readiness dividends. However, there remains a significant gap in the literature regarding solutions to the critical issue of digital exclusion faced by the elderly. This study utilizes the microdata from three waves of the China Family Panel Studies (CFPS) in 2016, 2018, and 2020 to explore how intergenerational relationships influence the digital exclusion of older adults and identify the mechanisms. The findings reveal that strong intergenerational bonds significantly narrow the digital divide for the elderly. The analysis highlights that such relationships have a more pronounced impact on mitigating elderly digital exclusion among early-aged parents, males, residents of rural areas, and families where parents and offsprings cohabit. The mechanisms through which these relationships exert their influence include promoting intergenerational support exchanges, providing digital guidance from children to parents, and enhancing the elderly’s acceptance of digital technology. Furthermore, this paper employs the ‘one-child policy’ as a quasi-natural experiment to examine the moderating role. The findings underscore the value of nurturing parent-child bonds in reducing digital exclusion among the elderly, offering strategic insights for addressing this issue in societies experiencing both ageing populations and declines in birth rates.

Selection of Artificial Intelligence Technology For Digitalization of Order Fulfillment on Drug Factory Using Multi Criteria Decision Making

Objective: This paper aims to identify the most suitable Artificial Intelligence (AI) technology for the order fulfillment process in pharmaceutical factory, along with the key criteria and sub-criteria for successful AI implementation. Theoretical Framework: The study integrates theories of digital transformation, process optimization, and decision-making. Method: The research assesses digital readiness to evaluate a company's preparedness for digital transformation. The as-is process is mapped using BPMN to identify potential AI applications. AI technologies are then ranked using BWM and PROMETHEE methods, followed by scenario analysis to determine the optimal technology. Results and Discussion: Demand Forecasting is the top AI technology for adoption in the pharmaceutical factory's order fulfillment process, reducing cycle time by 29.50% to 21.80 hours. Research Implications: The research contributes to the understanding of selecting the most effective AI technology for optimizing the order fulfillment process in pharmaceutical companies, providing valuable insights for improving efficiency. Originality/Value: The study proposes a perspective on applying AI to optimize the order fulfillment process in pharmaceutical factory, offering valuable insights for improving operational efficiency through digital transformation.

Digital servitization strategies and business model innovation: The role of knowledge-intensive business services

Several studies on digital servitization strategies highlight that their implementation is closely associated with some form of business model innovation. In order to engage in these innovation projects, firms need to expand their internal knowledge and skills while leveraging external organizations that support them in their servitization journey. To date, little is known about the intra-organizational factors accounting for the activation of new relationships with such knowledge-intensive service providers. This paper adopts a configurational approach for investigating the role of knowledge-intensive relationships in digital servitization strategies. Findings are founded on a multi-method investigation based on a structured survey and semi-structured interviews to Italian B2B manufacturers. The study contributes to the digital servitization literature showing the conditions that lead firms to develop relationships with different types of external providers of knowledge-intensive services, highlighting the role of firm’s size, digital readiness, internal commitment, and specific hiring programs in digital servitization paths.

Measuring the Digital Maturity of Organisations in the People Care Sector

This study focuses on the organisations in the people care sector (OPCs), encompassing a broad spectrum of activities ranging from essential healthcare services to various aspects of daily living support. Sustainability in OPCs encompasses multiple dimensions aimed at ensuring the long-term viability, efficiency, and effectiveness of services provided to vulnerable populations. Given the critical role of digital technologies in enhancing the operational efficiency within such organisations and their sustainability, it becomes imperative to gauge their digital maturity levels. To establish a robust framework for assessing the digital maturity of OPCs, we identified 29 factors grouped into five clusters that encapsulate various dimensions of digital readiness that directly influence the sustainability of OPCs. We employed the SNAP methodology to ascertain the relative significance of these factors and clusters. Furthermore, each factor was articulated through the lens of digital maturity using the rubrics approach, offering a nuanced understanding of the OPCs’ digital readiness across four distinct levels. Experts from the people care sector, IT, and multi-criteria decision-making contributed invaluable input during the instrument’s development phase. Theoretical validation of the instrument involved focus group discussions with domain experts, while practical validation entailed applying the instrument to real-world case studies. The instrument enables OPCs to assess their digital maturity levels, providing valuable strategic planning and decision-making insights. Furthermore, the instrument can serve as a roadmap for identifying areas ripe for digital transformation and weak points, facilitating continuous improvement and future readiness. The quantification of the digital maturity of the OPC enables the OPCs to rank at the cluster maturity level and overall maturity level. Overall, this instrument represents a significant step towards enhancing digital maturity assessment within the OPC sector, contributing to its evolution and adaptation in the digital age, and enabling the OPCs’ sustainability.

Where Central and Eastern European countries stand in terms of digital readiness

Where Central and Eastern European countries stand in terms of digital readiness

Digital transformation and resilience in family business: an exploratory study of generational dynamics

PurposeThe paper aims to contribute to the advancement of the debate on digital innovation and entrepreneurship from a cross-generational perspective in the context of family businesses. Specifically, the paper explores the contribution provided by the young generations of entrepreneurs to the digital transformation and resilience of family businesses during the pandemic emergence of COVID-19. Focusing on the need for a major understanding of digital resilience in the context of family businesses and small and medium-sized enterprises, the paper aims to provide theoretical and empirical contributions in replying to the following research question: How did young entrepreneurs contribute to the resilience and the digital transformation of their family businesses during COVID-19?Design/methodology/approachThe methodology consisted of a two-stage qualitative investigation including a focus group managed in presence with the involvement of 24 young entrepreneurs and a self-administered online survey involving the family businesses belonging to the Association of Young Entrepreneurs of Confindustria Puglia (South Italy) that has allowed to collect 47 replies, with a 32% response rate.FindingsThe paper presents evidence about the resilience of family businesses during the COVID-19 supported by the disruptive role of emerging digital technologies. Our analysis demonstrates that young entrepreneurs adopted different patterns of digital transformations, depending on the firm’s industry and the family firm’s digital maturity. Digital resilience in the context of the observed family businesses produced different benefits in terms of competitiveness, effectiveness of decision-making, visibility and communication and new opportunities for value creation; it occurred in several business areas, including production, logistics, sales and human resources management.Practical implicationsThe study highlights the relevant role that younger generations can play in exploring innovation opportunities associated with digitalisation as well as in contributing to reinforce innovation and resilience capability of their family businesses through collaboration with external stakeholders and ecosystems.Originality/valueThe value of the research consists in the attempt to analyse the meaning and implication of digital innovation in the context of family business as a driver for their resilience capability. The Family Businesses Digital Readiness and Young Entrepreneurs Contributions Matrix presented into the study as an original contribution of synthesis of the evidence collected.

Amplifying Student E-Learning Impact on Academic Performance in Higher Education

Current research investigates the impact of students' E-Learning Attitudes (ELA), Digital Readiness (DR), and Academic Engagement (AE) on their academic performance in higher education. A survey in the form of an online questionnaire was administered to students through the networks established by the research teams. These networks encompassed academic staff from diverse Malaysian private as well as public universities. These academic staff were directed to share the survey link with their undergraduate students through WhatsApp or email. Two hundred eighty-six (286) valid surveys were collected from students at six public and private university campuses in Malaysia that offer courses and have used E-learning for at least one semester as part of COVID-19. In contrast to previous debates and studies, the outcomes of employing structural equation modeling through PLS 4.0 revealed a positive and noteworthy influence of E-learning platforms on students' academic performance. These findings hold broader implications for policymakers in higher education, researchers as well as educators, particularly in terms of considering the potential incorporation of social media tools within higher education, especially in developing nations. This research suggests that educational institutions that embrace change by aligning the goals of both students and instructors to establish a constructive and encouraging online learning atmosphere. This will foster active academic participation and enhance students' academic achievements.

Digital Transformation in Georgian Banking: Trends and Current Level of Adoption

The significance of digital technologies is crucial in contemporary times. This is especially pertinent for the banking industry, enabling it to deliver high-quality customer service and address market challenges promptly. This article examines the current state of the Georgian banking system, focusing on digital services and products, and the advances banks have made in integrating innovative digital technologies. Using specific criteria, the study evaluates the level of digitization within the banking sector, identifying strengths and areas for improvement. The research also explores the digital transformation experiences of developed countries' banking sectors and considers how these could be implemented in Georgia, taking into account the unique context and challenges faced by the country. The study aims to assess the digital readiness and challenges faced by Georgia's banking sector, leading to the formulation of recommendations to speed up the digital transformation process and enhance competitiveness. Both quantitative and qualitative research methods are used in the research. The digital banking products and services offered by commercial banks are analyzed, with statistical conclusions derived from quantitative data, providing a comprehensive overview of the sector's digital maturity. In the end, the study evaluates the challenges and future prospects for the digital transformation of Georgia's banking system, offering strategic insights and practical solutions for policymakers and industry stakeholders. Keywords: Georgian banking, innovation, digital transformation, mobile banking, online banking, digital payments

Implementing a rapid application development course in higher education and measuring its impact using Kirkpatrick’s model: a case study at Vilnius Gediminas Technical University

Nowadays, technological development and improvement in business is happening rapidly, so higher education (HE), and not only, studies should constantly provide and develop new up-to-date knowledge and skills to students, in order to train competitive specialists, address digital transformation by developing digital readiness of higher institutions, and increase employment opportunities of students. Consequently, this paper discusses the implementation of the newly developed courses for teaching Rapid Application Development (RAD) on the Oracle Application Express platform into the studies at Vilnius Gediminas Technical University (VILNIUS TECH) and presents the effectiveness of the implementation of this course measured using Kirkpatrick’s model. The obtained results show that students’ knowledge of RAD increased after attending the course. In addition, a 76% agreed that this course increased their knowledge of the subject matter.

Navigating the Digital Transformation of Education: Insights from Collaborative Learning in an Erasmus+ Project

Collaborative Opportunities for Professional Inquiry Leading to Organisational Transformation (COPILOT) represents an Erasmus+ initiative involving four transnational partners from three EU countries including IES Cristobal de Monroy secondary school [Spain], Laois Offaly Education Training Board (LOETB) [Ireland], University College Dublin (UCD) School of Education [Ireland], and Akadimos, a teacher continuing professional development provider [Greece]. The project encompassed three primary objectives, aligned with the Erasmus+ programmes’s emphasis on supporting teachers and school leaders to address digital transformation. These included the following: the identification of participatory approaches and digital methodologies employed by schools to facilitate digital transformation among educators; exploring and establishing dynamic professional environments in schools by identifying synergies with organisations operating in diverse fields or socio-economic contexts and enhancing the capacity and professionalism of partners to engage in EU/international collaboration. To investigate the outcomes of the project objectives, a small-scale qualitative study was conducted, which involved analysing participants’ reports on the project’s collaborative activities. Additionally, a focus group was held at the conclusion of the project to gain insights into the digital readiness, capacity, and resilience of teachers and school leaders within their respective organisations. Thematic analysis was employed to analyse the collected data. The findings of the study offer encouraging indications regarding the crucial symbiotic role played by school leaders and “early adopter” teachers in promoting digital transformation. Moreover, participating teachers displayed a general willingness to adapt their teaching methods to incorporate more technology, provided they receive both formal and informal support. Furthermore, there exists a willingness among transnational partners to digitise and share resources both at present and in the future.

Transforming digital learning and assessment strategies in higher education

This study proposes a transformative approach to integrate modern technology and online assessments in higher education, emphasizing the shift from traditional methods to advanced-conceptualized digital platforms. It explores the potential of technologies such as artificial intelligence (AI), virtual reality (VR), and mobile applications to reshape education by offering scalability, real-time feedback, and personalized learning experiences. These technologies provide opportunities to create immersive learning environments and enable students to engage with content more interactively. Through a survey conducted with 367 sophomores from four faculties at Universitas Terbuka, digital readiness, challenges, and expectations were assessed. The survey results indicated a diverse range of digital proficiency among students, highlighting both strengths and areas needing improvement in digital skills. Preliminary findings indicate significant differences in digital readiness and expectations for interactive and flexible learning environments among faculties. Students from technology-oriented faculties exhibited higher readiness and adaptability to digital tools compared to those from humanities and social sciences faculties. The study underscores the need for targeted strategies to enhance digital competencies and support systems, ensuring equitable access to digital learning tools. Additionally, it identifies key barriers such as limited access to reliable internet and insufficient digital literacy training, which must be addressed to fully realize the benefits of online education. For instance, students reported difficulties in accessing advanced educational software due to limited bandwidth, which impacts the efficacy of online learning platforms. These insights provide practical recommendations for educators, developers, and policymakers to optimize digital learning experiences and address emerging educational challenges, setting the stage for future transformative practices in higher education. The findings advocate for a comprehensive institutional policy that promotes continuous digital skills development and infrastructure investment to support inclusive and innovative learning experiences.

Similarities and differences between digitalization indexes

<p class="MsoNormal" style="margin-top: 12pt; text-align: justify;"><span lang="EN-US" style="font-family: 'times new roman', times, serif; color: black; font-size: 14pt;">Digitalization is nowadays one of the fastest developing processes. The adoption of digital technologies can provide innumerous opportunities for the organizations to evolve and gain competitive advantage by leveraging of technologies to respond to dynamic expectations and demands. Information about the country digitalization level is essential to decision makers in both public and private organizations. It can present insights on which areas need the most investment, and furthermore to gain feedback on the outcomes of these investments. For companies, it can create a certain predictability on which products and services will be required the most. To assess the evolution of this process in different countries, various indexes were proposed and employed by different corporations. The Digital Economy and Society Index (DESI) and ICT Development Index (IDI) are used by public organizations. Digitalization Index (DiGiX) and Cisco Digital Readiness Index (CISCO) are used by private companies. Comparing two sectors highlights the most common factors of digital evaluation. Indexes are analyzed thoroughly by their structure, coverage, weights, methodology and ranking. The result of the practical work is a equivalence table which shows the percentage of their similarity. Additionally, a new digitalization index is proposed, based on the result of the previous comparison, which can be applied to analyze both public and private sector of the country’s digitalization level. </span></p>

Energy transition policy and Chinese rural revitalization: The roles of industrial upgrading and digital economy

This study investigates the impact of China's energy transition policy on rural revitalization, emphasizing the mediating role of industrial upgrading and the moderating influence of the digital economy. The research examines how new energy pilot city policies contribute to rural economic development, social welfare, and environmental sustainability. The results show that industrial upgrading plays a significant mediating role in linking energy policies to rural revitalization, while the digital economy strengthens this effect, highlighting the importance of digital infrastructure and literacy. The heterogeneity analysis reveals that these impacts vary across regions, with developed areas benefiting more significantly due to stronger economic foundations and digital readiness, while less developed regions face greater challenges. The findings provide actionable insights for policymakers and stakeholders, advocating for tailored and integrated strategies that combine energy transition, industrial upgrading, and digital technologies to promote sustainable rural development across diverse regional contexts.

Development and Preliminary Validation of a Screener for Digital Health Readiness

While telehealth use has grown, patient uptake is variable, which has the potential to increase health disparities. Identifying and understanding individuals' barriers to digital health readiness can help health systems efficiently deploy resources to provide personalized patient-centered support. To develop and validate an instrument to evaluate digital health readiness to identify and quantify barriers to digital readiness. In this qualitative mixed-methods study conducted from April 26, 2022, to June 8, 2023, the instrument was created in 4 phases. Patients and health care professionals were interviewed to explore barriers to telehealth use, scale items were developed for the screener, cognitive interviews were conducted to refine scale items, and psychometric properties of the screener were evaluated. The study was conducted in an urban, multisite academic health system and the surrounding community. Participants were older than 18 years, English-speaking, and able to provide informed consent. Professionals worked within the Jefferson Health system and were involved in telehealth services. Participants completed a semistructured interview (duration: 6-19 minutes), a cognitive interview (duration: 13-137 minutes), or the draft screener survey (duration: 5-10 minutes). Development and validation of a screener for digital health readiness. Of 519 patients approached, 19 were ineligible, 122 declined, and 11 were excluded from analysis, resulting in inclusion of 367 participants (32 patient interviews, 16 professional interviews, 15 cognitive interviews, 304 psychometric survey testing). All 16 professionals who were approached participated. Most patient participants were Black (46.7%) or White (37.9%), male (56.4%), and had a high school degree or some college (49.6%); mean (SD) age was 45 (23) years for participants in cognitive interviews, 53 (18) years for survey respondents, and 57 (14) years for patient interviews. The structured interviews uncovered 21 concepts, leading to 48 items that were refined through cognitive interviews. Psychometric analyses of the 29 items that emerged from the cognitive interviews resulted in a final screener with 24 items across 2 factors: technical readiness (18 items; factor loading range, 0.488-0.968) and quality-of-care concerns (6 items; factor loading range, 0.619-0.942). In this qualitative study of digital health readiness, the findings suggest that the screener items may be valid to assess the complexity of factors influencing digital health uptake and highlight several areas for potential intervention.