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Digitalisation Factors Influencing the Dynamic Capabilities of Small and Medium Enterprises in the Healthcare Sector
Makelana, P.1, Kekwaletswe, R.2, & Segooa, M. A.1
 
  
1 Tshwane University of Technology, South Africa
2 University of Johannesburg, South Africa
 

 

Abstract

Background and Aim of Study: Digitalization is problematized as one of the ways to improve dynamic capabilities of healthcare sector small and medium enterprises (SMEs) in their strive to stay competitive in today’s digital society. Digitalisation and dynamic capability are current key issues in both academia and practice due to the recent advances in information and communication technologies. Nonetheless, there is inadequate research informing what and why digitalisation can be leveraged to enhance the dynamic capabilities (DC), in the context of SMEs in healthcare sector. 
The aim of the study: to explore and explain factors influencing DC of healthcare SMEs in South Africa.
Material and Methods: The study employed task-technology fit theory as a lens to explain digitalisation factors influencing the DC of SMEs. To achieve the aim of the study, a deductive approach was followed. The study population was healthcare sector SMEs, in South Africa. The sampling frame was 384 randomly selected SMEs, in a self-administered survey.
Results:
The empirical results show that SME performance (β=0.132, p<0.05), task-technology fit (β=0.052, p<0.05), internet access (β=0.235, p<0.05), customer service (β=0.057, p<0.05), information sharing (β=0.022, p<0.05), innovation (β=0.125, p<0.05), and data security (β=0.427, p<0.05) are highly significant in the digitalisation of DC of SMEs. While cost saving (β=0.178, p>0.05) was found to be less significant.
 Conclusions: The study has explained and shown that appropriating technology to task during digitalisation is key to enhancing dynamic capabilities, in the context of South African healthcare sector SMEs. The cost of digital technology is a none factor. Subsequently, digitalization is a people-driven transformation journey.

 
 
 

Keywords

digitalisation, dynamic capabilities, task-technology fit, small and medium enterprises, healthcare sector, South Africa

 
 
  

References

Achieng, M. S & Malatji, M. (2022). Digital transformation of small and medium enterprises in sub-Saharan Africa : A scoping review. The Journal for Transdisciplinary Research in Southern Africa, 18(1), Article a1257. https://doi.org/10.4102/td.v18i1.1257 

Arega, A., & Sharma, D. P. (2023). Towards smart and green features of cloud computing in healthcare services: A systematic literature review. Journal of Information Systems Engineering and Business Intelligence, 9(2), 161–180. https://doi.org/10.20473/jisebi.9.2.161-180 

Baloyi, F & Khanyile, M. (2020). Innovative mechanisms to improve access to funding for the black-owned small and medium enterprises in South Africa. The Southern African Journal of Entrepreneurship and Small Business Management, 14(1), Article a578. https://doi.org/10.4102/sajesbm.v14i1.578 

Balta, M., Valsecchi, R., Papadopoulos, T., & Bourne, D. J. (2021). Digitalization and co-creation of healthcare value: A case study in occupational health. Technological Forecasting and Social Change, 168, Article 120785. https://doi.org/10.1016/j.techfore.2021.120785 

Benzidia, S., Makaoui, N., & Bentahar, O. (2021). The impact of big data analytics and artificial intelligence on green supply chain process integration and hospital environmental performance. Technological Forecasting and Social Change, 165, Article 120557. https://doi.org/10.1016/j.techfore.2020.120557 

Bolosha, A., Sinyolo, S., & Ramoroka, K. H. (2022). Factors influencing innovation among small, micro and medium enterprises (SMMEs) in marginalized settings: Evidence from South Africa. Innovation and Development, 13(3), 583–601. https://doi.org/10.1080/2157930X.2022.2092681 

Bvuma, S., & Marnewick, C. (2020). An information and communication technology adoption framework for small, medium and micro-enterprises operating in townships South Africa. Southern African Journal of Entrepreneurship and Small Business Management, 12(1), Article a318. https://doi.org/10.4102/sajesbm.v12i1.318 

Cerchione, R., Centobelli, P., Riccio, E., Abbate, S., & Oropallo, E. (2023). Blockchain’s coming to hospital to digitalize healthcare services: Designing a distributed electronic health record ecosystem. Technovation, 120, Article 102480. https://doi.org/10.1016/j.technovation.2022.102480 

Cheung, G. W., Cooper-Thomas, H. D., Lau, R. S., & Wang, L. C. (2023). Reporting reliability, convergent and discriminant validity with structural equation modeling: A review and best-practice recommendations. Asia Pacific Journal of Management. https://doi.org/10.1007/s10490-023-09871-y 

Deloitte UK’s Centre for Health Solution. (2020). Digital transformation: Shaping the future of European healthcare. Deloitte. https://www2.deloitte.com/content/dam/Deloitte/uk/Documents/life-sciences-health-care/deloitte-uk-shaping-the-future-of-european-healthcare.pdf 

Drydakis, N. (2022). Artificial intelligence and reduced SMEs’ business risks. A dynamic capabilities analysis during the COVID-19 pandemic. Information Systems Frontiers, 24(4), 1223–1247. https://doi.org/10.1007/s10796-022-10249-6 

Dzomonda, O., & Fatoki, O. (2019). Evaluating the impact of organisational culture on the entrepreneurial orientation of small and medium enterprises in South Africa. Bangladesh E-Journal of Sociology, 16(1), 82–96. https://openurl.ebsco.com/EPDB%3Agcd%3A7%3A11946119/detailv2?sid=ebsco%3Aplink%3Ascholar&id=ebsco%3Agcd%3A134440681&crl=c  

Enaifoghe, A., & Vezi-Magigaba, M. F. (2023). Conceptualizing the role of entrepreneurship and SME in fostering South Africa’s local economic development. International Journal of Research in Business and Social Science, 12(4), 96–105. https://doi.org/10.20525/ijrbs.v12i4.2444 

Engelmann, A. (2024). A performative perspective on sensing, seizing, and transforming in small- and medium-sized enterprises. Entrepreneurship and Regional Development, 36(5–6), 632–658. https://doi.org/10.1080/08985626.2023.2262430 

Farida, I., & Setiawan, D. (2022). Business strategies and competitive advantage: The role of performance and innovation. Journal of Open Innovation: Technology, Market, and Complexity, 8(3), Article 163. https://doi.org/10.3390/joitmc8030163 

Fatoki, O. (2021). Dynamic capabilities and performance of hospitality firms in South Africa: The mediating effect of innovation. Geojournal of Tourism and Geosites, 36(2spl), 616–623. https://doi.org/10.30892/GTG.362SPL08-690 

Gaglio, C., Kraemer-Mbula, E., & Lorenz, E. (2022). The effects of digital transformation on innovation and productivity: Firm-level evidence of South African manufacturing micro and small enterprises. Technological Forecasting and Social Change, 182, Article 121785. https://doi.org/10.1016/j.techfore.2022.121785 

Gautam, A., Chirputkar, A., & Pathak, P. (2022). Opportunities and challenges in the application of artificial intelligence-based technologies in the healthcare industry. Proceedings of the International Interdisciplinary Humanitarian Conference for Sustainability (pp. 1521–1524). IEEE. https://doi.org/10.1109/IIHC55949.2022.10059767 

Goodhue, D. L., & Thompson, R. L. (1995). Task-technology fit and individual performance. MIS Quarterly, 19(2), 213–233. https://doi.org/10.2307/249689 

Hall, J. R., Savas-Hall, S., & Shaw, E. H. (2023). A deductive approach to a systematic review of entrepreneurship literature. Management Review Quarterly, 73, 987–1016. https://doi.org/10.1007/s11301-022-00266-9 

Hermawati, A., & Gunawan, E. (2019). The implementation of dynamic capabilities for small and medium-sized enterprises in creating innovation. VINE Journal of Information and Knowledge Management Systems, 51(1), 92–108. https://doi.org/10.1108/VJIKMS-08-2019-0121 

Kademeteme, E., & Twinomurinzi, H. (2019). The ineffectiveness of technology adoption models in the 4IR era: A case of SMEs in South Africa. In M. N. Ochara, J. N. Odhiambo (Eds.), Proceedings of the 2019 Open Innovations Conference (pp. 252–261). IEEE. https://doi.org/10.1109/OI.2019.8908220 

Kelly, D. T., Shumba, K., Zindiye, S., & Donga, G. (2021). An evaluation of government support services for SMMEs in Thohoyandou, South Africa. Journal of Entrepreneurial Innovations, 2(1), 69–83. https://doi.org/10.14426/jei.v2i1.1163 

Khaki, A. A., & Khan, T. A. (2023). Social media marketing and its influence on the performance of micro, small, and medium-sized tourism enterprises: Mediation of innovation capabilities. Journal of Global Marketing, 37(1), 1–23. https://doi.org/10.1080/08911762.2023.2250998 

Khan, O., Daddi, T., & Iraldo, F. (2021). Sensing, seizing, and reconfiguring: Key capabilities and organizational routines for circular economy implementation. Journal of Cleaner Production, 287, Article 125565. https://doi.org/10.1016/j.jclepro.2020.125565 

Khurana, I., Dutta, D. K., & Singh Ghura, A. (2022). SMEs and digital transformation during a crisis: The emergence of resilience as a second-order dynamic capability in an entrepreneurial ecosystem. Journal of Business Research, 150, 623–641. https://doi.org/10.1016/j.jbusres.2022.06.048 

Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607–610. https://doi.org/10.1177/001316447003000308 

Loury-Okoumba, W. V., & Mafini, C. (2021). Supply chain management antecedents of performance in small to medium scale enterprises. South African Journal of Economic and Management Sciences, 24(1), Article a3661. https://doi.org/10.4102/SAJEMS.V24I1.3661 

Madzimure, J., Mafini, C., & Dhurup, M. (2020). E-procurement, supplier integration and supply chain performance in small and medium enterprises in South Africa. South African Journal of Business Management, 51(1), Article a1838. https://doi.org/10.4102/SAJBM.V51I1.1838 

Martinez-Corona, J. I., Palacios-Almon, G. E., & Juarez-Hernandez, L. G. (2020). Analysis of construct validity of the instrument: “Managerial approach in the management for the results in the knowledge society.” Retos Revista de Ciencias de la Administración y Economía, 10(19), 143–154. https://doi.org/10.17163/ret.n19.2020.09 

Mashal, N., & Morrish, S. C. (2023). Enablers and barriers of digitalisation impacting the innovation life cycle of primary health organisations specifically general practices medical centres during a pandemic: A New Zealand study. Australian Medical Journal, 16(4), 592–603. https://www.amj.net.au/index.php/AMJ/article/viewFile/3946/2094 

Mashavira, N., Guvuriro, S., & Chipunza, C. (2022). Driving SMEs’ performance in South Africa: Investigating the role of performance appraisal practices and managerial competencies. Journal of Risk and Finacial Management, 15(7), Article 283. https://doi.org/10.3390/jrfm15070283 

Masocha, R. (2019). Social sustainability practices on small businesses in developing economies: A case of South Africa. Sustainability, 11(12), Article 3257. https://doi.org/10.3390/SU11123257 

Matarazzo, M., Penco, L., Profumo, G., & Quaglia, R. (2021). Digital transformation and customer value creation in Made in Italy SMEs: A dynamic capabilities perspective. Journal of Business Research, 123, 642–656. https://doi.org/10.1016/j.jbusres.2020.10.033 

Matekenya, W., & Moyo, C. (2022). Innovation as a driver of SMME performance in South Africa: A quantile regression approach. African Journal of Economic and Management Studies, 13(3), 452–467. https://doi.org/10.1108/AJEMS-06-2021-0306 

Mhlongo, T., & Daya, P. (2023). Challenges faced by small, medium and micro enterprises in Gauteng: A case for entrepreneurial leadership as an essential tool for success. Southern African Journal of Entrepreneurship and Small Business Management, 15(1), Article a591. https://doi.org/10.4102/sajesbm.v15i1.591 

Moretti, N., Mukherjee, A., Chan, Y.-C., Yilmaz, G., Merino, J., Sasidharan, M., Rosun, Z., Carr, C., McFarlane, D., & Parlikad, A. K. (2023). Low-cost digitalisation opportunities in healthcare: A histopathology department case study. Proceedings of the Low-Cost Digital Solutions for Industrial Automation Conference (pp. 62–68). IEEE. https://doi.org/10.1049/icp.2023.1735 

Moyo, M., & Loock, M. (2021). Conceptualising a cloud business intelligence security evaluation framework for small and medium enterprises in small towns of the Limpopo Province, South Africa. Information, 12(3), Article 128. https://doi.org/10.3390/info12030128 

National Planning Commission. (2020). Economic progress towards the National Development Plan’s Vision 2030. https://www.nationalplanningcommission.org.za/publications_reports 

North, K., Aramburu, N., & Lorenzo, O. J. (2020). Promoting digitally enabled growth in SMEs: A framework proposal. Journal of Enterprise Information Management, 33(1), 238–262. https://doi.org/10.1108/JEIM-04-2019-0103 

Ogujiuba, K. K., Olamide, E., Boshoff, E., Agholor, I., & Ogujiuba, C. (2023). SMEs, success, and capital startups: Evidence from the service sector in South Africa. Administrative Sciences, 13(5), Article 127. https://doi.org/10.3390/admsci13050127 

Owoseni, A., & Twinomurinzi, H. (2019). The dynamic capabilities of small and medium-scale enterprises using mobile apps in Lagos, Nigeria. Electronic Journal of Information Systems in Developing Countries, 85(1), Article e12061. https://doi.org/10.1002/isd2.12061 

Ozanne, L. K., Chowdhury, M., Prayag, G., & Mollenkopf, D. A. (2022). SMEs navigating COVID-19: The influence of social capital and dynamic capabilities on organizational resilience. Industrial Marketing Management, 104, 116–135. https://doi.org/10.1016/j.indmarman.2022.04.009 

Raghavan, A., Demircioglu, M. A., & Taeihagh, A. (2021). Public health innovation through cloud adoption: A comparative analysis of drivers and barriers in Japan, South Korea, and Singapore. International Journal of Environmental Research and Public Health, 18(1), Article 334. https://doi.org/10.3390/ijerph18010334 

Raimo, N., De Turi, I., Albergo, F & Vitolla, F. (2023). The drivers of the digital transformation in the healthcare industry: An empirical analysis in Italian hospitals. Technovation, 121, Article 102558. https://doi.org/10.1016/j.technovation.2022.102558 

Rashidirad, M., & Salimian, H. (2020). SMEs’ dynamic capabilities and value creation: The mediating role of competitive strategy. European Business Review, 32(4), 591–613. https://doi.org/10.1108/EBR-06-2019-0113 

Saifudin, A., Havidz Aima, M., Sutawidjaya, A. H., & Sugiyono. (2021). Hospital digitalization in the era of industry 4.0 based on GHRM and service quality. International Journal of Data and Network Science, 5, 107–114. https://doi.org/10.5267/j.ijdns.2021.2.004 

Salah, O. H., & Ayyash, M. M. (2023). E-commerce adoption by SMEs and its effect on marketing performance: An extended of TOE framework with AI integration, innovation culture, and customer tech-savviness. Journal of Open Innovation: Technology, Market, and Complexity, 10(1), Article 100183. https://doi.org/10.1016/j.joitmc.2023.100183 

Schoemaker, P. J. H., Heaton, S., & Teece, D. (2018). Innovation, dynamic capabilities, and leadership. California Management Review, 61(1), 15–42. https://doi.org/10.1177/0008125618790246 

SEDA. (2021). SMME quarterly update. 1st quarter 2021. https://www.seda.org.za/Publications/Publications/SMME%20Quarterly%202021%20Q1%20September.pdf 

Sibiya, A., Van der Westhuizen, J., & Sibiya, B. (2023). Challenges experienced by SMMEs and interventions by the South African national and provincial government: A literature review. African Journal of Inter/Multidisciplinary Studies, 5(1), 1–11. https://doi.org/10.51415/ajims.v5i1.1224 

Spanò, R., Massaro, M., & Iacuzzi, S. (2023). Blockchain for value creation in the healthcare sector. Technovation, 120, Article 102440. https://doi.org/10.1016/j.technovation.2021.102440 

Suhendi, C., Nugroho, M., Yahya, H. B., & Zahari, A. S. M. (2020). Dynamic capabilities for SME’s: Ready to change and cloud service role toward digital business. Proceedings of the 17 International Symposium on Management. Advances in Economics, Business and Management Research, 115, 129–133. https://doi.org/10.2991/aebmr.k.200127.026  

Sumaili, A., Dlodlo, N., & Osakwe, J. (2018). Adopting dynamic capabilities of mobile information and communication technology in Namibian small and medium enterprises. In C. Ouma (Ed.), Proceedings of the 2018 Open Innovations Conference (pp. 213–222). IEEE. https://doi.org/10.1109/OI.2018.8535941 

Tshwete, L. M. (2020). Strategies for the growth and survival of small- and medium- sized businesses. [Doctoral dissertation, Walden University]. Walden Dissertations and Doctoral Studies Collection. https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=10731&context=dissertations/1000 

Van Staden, L. J. (2022). The influence of certain factors on South African small and medium-sized enterprises towards export propensity. Development Southern Africa, 39(3), 457–469. https://doi.org/10.1080/0376835X.2021.2019573 

Venter, E., & Hayidakis, H. (2021). Determinants of innovation and its impact on financial performance in South African family and non-family small and medium-sized enterprises. Southern African Journal of Entrepreneurship and Small Business Management, 13(1), Article a414. https://doi.org/10.4102/sajesbm.v13i1.414 

Vishwakarma, L. P., Singh, R. K., Mishra, R., & Kumari, A. (2023). Application of artificial intelligence for resilient and sustainable healthcare system: Systematic literature review and future research directions. International Journal of Production Research, 1–23. https://doi.org/10.1080/00207543.2023.2188101 

Wang, S. L., Lin, H. I., Wang, S. L., & Lin, H. I. (2019). Integrating TTF and IDT to evaluate user intention of big data analytics in mobile cloud healthcare system. Behaviour & Information Technology, 38(9), 974–985. https://doi.org/10.1080/0144929X.2019.1626486 

Warner, K. S. R., & Wäger, M. (2019). Building dynamic capabilities for digital transformation: An ongoing process of strategic renewal. Long Range Planning, 52(3), 326–349. https://doi.org/10.1016/j.lrp.2018.12.001 

Weaven, S., Quach, S., Thaichon, P., Frazer, L., Billot, K., & Grace, D. (2021). Surviving an economic downturn: Dynamic capabilities of SMEs. Journal of Business Research, 128, 109–123. https://doi.org/10.1016/j.jbusres.2021.02.009 

Zamani, E. D., Griva, A., & Conboy, K. (2022). Using business analytics for SME business model transformation under pandemic time pressure. Information Systems Frontiers, 24(4), 1145–1166. https://doi.org/10.1007/s10796-022-10255-8 

 

 

 

  
 

 

Information about the authors:

Makelana Penuel (Corresponding Author)https://orcid.org/0000-0003-0986-1117; This email address is being protected from spambots. You need JavaScript enabled to view it.; Doctor of Computing, Lecturer, Department of Informatics, Tshwane University of Technology, Pretoria, South Africa.

Kekwaletswe Rayhttps://orcid.org/0000-0002-3455-3127; Professor, School of Management, University of Johannesburg, Johannesburg, South Africa.

Segooa Mmmatshuene Annahttps://orcid.org/0000-0002-4190-8256; Doctor of Computing, Lecturer, Department of Informatics, Tshwane University of Technology, Pretoria, South Africa.

 
 
 
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APA


Makelana, P., Kekwaletswe, R., & Segooa, M. A. (2024). Digitalisation factors influencing the dynamic capabilities of small and medium enterprises in the healthcare sector. International Journal of Science Annals, 7(1), 42–50. https://doi.org/10.26697/ijsa.2024.1.4

Harvard


Makelana, P., Kekwaletswe, R., & Segooa, M. A. 2024. "Digitalisation factors influencing the dynamic capabilities of small and medium enterprises in the healthcare sector". International Journal of Science Annals, [online] 7(1), pp. 42–50. viewed 30 June 2024, https://culturehealth.org/ijsa_archive/ijsa.2024.1.4.pdf

Vancouver


Makelana P., Kekwaletswe R., & Segooa M. A. Digitalisation factors influencing the dynamic capabilities of small and medium enterprises in the healthcare sector. International Journal of Science Annals [Internet]. 2024 [cited 30 June 2024]; 7(1): 42–50. Available from: https://culturehealth.org/ijsa_archive/ijsa.2024.1.4.pdf https://doi.org/10.26697/ijsa.2024.1.4

  2018 – 2024 International Journal of Science Annals
DOI: https://doi.org/10.26697/ijsa