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Digital transformation (DT) is a priority for the healthcare sector. In many countries, it is still considered in the early stages with an underestimation of its benefits and potentiality. Especially in Italy, little is known about the impact of digitalization – particularly of the Internet of Things (IoT) – on the healthcare sector, for example, in terms of clinician's jobs and patient's experience. Drawing from such premises, the paper aims to focus on an overlooked healthcare area related to the chronic heart diseases field and its relationship with DT. The authors aim at exploring and framing the main variables of remote Monitoring (RM) adoption as a specific archetype of healthcare digitalization, both on patients and medical staff level, by shedding some lights on its overall implementation.

The authors empirically inquiry the RM adoption within the context of the Cardiology Department of the Casilino General Hospital of Rome. To answer our research question, the authors reconstruct the salient information by using induction-type reasoning, direct observation and interviewees with 12 key informants, as well as secondary sources analysis related to the hospital (internal documentation, presentations and technical reports).

According to a socio-technical framework, the authors build a model composed of five main variables related to medical staff and patients. The authors classify such variables into an input-process-output (I-P-O) model. RM adoption driver represents the input; cultural digital divide, structure flexibility and reaction to change serve the process and finally, RM outcome stands for the output. All these factors, interacting together, contribute to understanding the RM adoption process for chronic disease management.

The authors' research presents two main limitations. The first one is related to using a qualitative method, which is less reliable in terms of replication and the interpretive role of researchers. The second limitation, connected to the first one, is related to the study's scale level, which focuses on a mono-centric consistent level of analysis.

The paper offers a clear understanding of the RM attributes and a comprehensive view for improving the overall quality management of chronic diseases by suggesting that clinicians carefully evaluate both hard and soft variables when undertaking RM adoption decisions.

RM technologies could impact on society both in ordinary situations, by preventing patient mobility issues and transport costs, and in extraordinary times (such as a pandemic), where telemedicine contributes to supporting hospitals in swapping in-person visits with remote controls, in order to minimize the risk of coronavirus disease (COVID-19) contagion or the spread of the virus.

The study enriches the knowledge and understanding of RM adoption within the healthcare sector. From a theoretical perspective, the authors contribute to the healthcare DT adoption debate by focusing on the main variables contributing to the DT process by considering both medical staff and patient's role. From a managerial perspective, the authors highlight the main issues for RM of chronic disease management to enable the transition toward its adoption. Such issues range from the need for awareness of the medical staff about RM advantages to the need for adapting the organizational structure and the training and education process of the patients.

Artificial intelligence (AI) can help in defining preventive strategies in taking decisions in complex situations. This paper aims to research how workers might deal with intervening AI tools, with the goal of improving their daily working decisions and movements. We contribute to deepening how workers might deal with intervening AI tools aiming at improving their daily working decisions and movements. We investigate these aspects within a field, which is growing in importance due to environmental sustainability issues, i.e. waste management (WM).

This manuscript intends to (1) investigate if AI allows better performance in WM by reducing social security costs and by guaranteeing a better continuity of service and (2) examine which structural change is required to operationalize this predictive risk model in the real working context. To achieve these goals, this study developed a qualitative inquiry based on face-to-face interviews with highly qualified experts.

There is a positive impact of AI schemes in helping to detect critical operating issues. Specifically, AI potentially represents a tool for an alignment of operational behaviours to business strategic goals. Properly elaborated information, obtained through wearable digital infrastructures, allows to take decisions to streamline the work organization, reducing potential loss due to waste of time and/or physical resources.

Being a qualitative study, and the limited extension of data, it is not possible to guarantee its replication and generalizability. Nevertheless, the prestige of the interviewees makes this research an interesting pilot, on such an emerging theme as AI, thus eliciting stimulating insights from a deepening of information coming from respondents’ knowledge, skills and experience for implementing valuable AI schemes able to an align operational behaviours to business strategic goals.

The most critical issue is represented by the “quality” of the feedback provided to employees within the business environment, specifically when there is a transfer of knowledge within the organization.

The study focuses on a less investigated context, the role of AI in internal decision-making, particularly, for what regards the interaction between managers and workers as well as the one among workers. Algorithmically managed workers can be seen as the players of summarized results of complex algorithmic analyses offered through simpleminded interfaces, which they can easily use to take good decisions.