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Customers today expect businesses to cater to their individual needs by tailoring the products they purchase to their own preferences. The term “Industry 5.0” refers to a new wave of manufacturing that aims to meet each customer's unique demands. Even while Industry 4.0 allowed for mass customization, that wasn't good enough before, customers today demand individualized products at scale, and Industry 5.0 is driving the transition from mass customization to mass personalization to meet these demands. It caters to the individual needs of each consumer by meeting their demands. More specialized components for use in medicine are made possible by the widespread customization made possible by Industry 5.0. These individualized parts are included into the medical care of the patient to meet their specific needs and preferences. In the current medical revolution, an enabling technology of Industry 5.0 can produce medical implants, artificial organs, bodily fluids, and transplants with pinpoint accuracy. With the advent of AI-enabled sensors, we now live in a world where data can be swiftly analyzed. Machines may be programmed to make complex choices on the fly. In the medical field, these innovations allow for exact measurement and monitoring of human body variables according to the individual's needs. They aid in monitoring the body's response to training for peak performance. It allows for the digital dissemination of accurate healthcare data networks. In order to collect and exchange relevant patient data, every equipment is online.

This article aims to know the direction of current research based on the previous research in the last ten years (2012–2021).

Text mining was integrated with a network and content analysis as part of the mix methodological approach. The scientific articles, on the other hand, were assembled on Litmaps through web scraping. This process selected 86 articles about medical tourism published between 2012 and 2021. This study employed AntConc, RStudio and Gephi tools for data analysis and visualization.

A total of 138 articles were identified through Litmaps using web scraping and 86 studies met the criteria. The trend of medical tourism research is a positive sign for tourism and health industries; this is the beginning to recognize the importance of elaborating on these two topics. Several researchers have frequently studied issues of destination, hospital, development, quality, stakeholders, surgery, service, economics and policy. Policymakers must establish a medical tourism ecosystem to accommodate all stakeholders in this industry. This study also recommends focusing on supply and institution for medical tourism future research.

This literature review presents research trends on medical tourism in 2012–2021 based solely on articles available on the Litmaps search engine. If the time span is extended and the sources of articles are expanded there will be more literature available for analysis. The articles obtained are also only articles published in English due to the language limitations of the author.

Policymakers must establish a medical tourism ecosystem to accommodate all stakeholders in this industry. Stakeholders must work together to provide medical tourism package therefore people can get their health services while visiting available tourist areas.

The literary study of medical tourism over 10 years is considered the most recent systematic literature review.

This study aims to explore the consumer perceptions of cognition and intention to visit pilot zone of international medical tourism as emerging, developed medical tourism destinations.

Using a survey-based quantitative method, based on a survey of 439 tourists who have cross-border travel experience, the partial least squares approach was performed to test the hypotheses.

The results show that internal factors had a stronger influence on destination image compared to external factors. Among different factors, preferential policies had the greatest impact on intention to visit. Perceived quality had a stronger effect on intention to visit than preference. Geographical distance had a varied effect, with those furthest away in Northeast China showing greater intention to visit compared to closer regions.

This study explores the impact of multidimensional destination perception on medical tourists’ behavioural intention in emerging destinations by integrating the push-pull theory and theory of planned behaviour and tests how geographical distance affects intention to visit emerging destinations. Using China international medical tourism pilot area as a typical case of medical tourism emerging destinations for empirical analysis. This research offers guidance for branding and marketing strategies, contributes to a deeper understanding of medical tourists’ destination choices, enriches the theoretical explanation of emerging destination choice in medical tourism and provides valuable insights for destination recovery.

Advancements in responsive manufacturing have been supporting companies over the last few decades. However, manufacturers now operate in a context of continuous uncertainty. This research paper explores a mechanism where companies can “elastically” provision and deprovision their production capacity, to enable them in coping with repeated disruptions. Such a mechanism is facilitated by the imitability and substitutability of production resources.

An inductive study was conducted using Gioia methodology for this theory generation research. Respondents from 20 UK manufacturing companies across multiple industrial sectors reflected on their experience during COVID-19. Resource-based view and resource dependence theory were employed to analyse the manufacturers' use of internal and external production resources.

The study identifies elastic responses at four operational levels: production-line, factory, company and supply chain. Elastic responses that imposed variable-costs were particularly well-suited for coping with unforeseen disruptions. Further, the imitability and substitutability of manufacturers helped others produce alternate goods during the crisis.

While uniqueness of production capability helps manufacturers sustain competitive advantage against competitors during stable operations, imitability and substitutability are beneficial during a crisis. Successful manufacturing companies need to combine these two approaches to respond effectively to repeated disruptions in a context of ongoing uncertainties. The theoretical contribution is in characterising responsive manufacturing in terms of resource heterogeneity and resource homogeneity, with elastic resourcing as the underlying mechanism.

Because of the COVID-19 pandemic and changing market demands, competition for manufacturing industries is increasing and they face numerous challenges. In such a case, it is necessary to use multiple strategies, technologies and practices to improve organizational performance and, as a result, to integrate them for ease of adoption. The purpose of this research is to identify advanced Industry 4.0 technologies, operational excellence (OPEX) strategies and reconfigurable manufacturing system (RMS) practices. The study also computes their weights, as well as identifies and prioritizes the performance metrics for the same.

A thorough review of relevant articles was conducted to identify 28 OPEX strategies, RMS practices and advanced technologies, as well as the 17-performance metrics. The stepwise weight assessment ratio analysis approach was used to compute the weights of the selected practices, while the WASPAS approach was used to prioritize the performance metrics. While developing the framework, the industry expert’s expertise was incorporated in the form of their opinions for pairwise comparison.

According to the study findings, advanced Industry 4.0 technologies were the most prominent for improving organizational performance. As a result, integrating Industry 4.0 technologies with OPEX strategies can assist in improving the performance of manufacturing organizations. The prioritized performance metrics resulted in the production lead time ranking first and the use of advanced technologies ranking second. This emphasizes the significance of meeting dynamic customer needs on time while also improving quality with the help of advanced technologies.

The developed framework can help practitioners integrate OPEX strategies and advanced technologies into their organizations by adopting them in order of importance. Furthermore, the ranked performance metrics can assist managers and practitioners in evaluating the manufacturing system and, as a result, strategic planning for improvement.

According to the authors, this is a novel approach for integrating OPEX strategies with advanced Industry 4.0 technologies, and no comparable study has been found in the current literature.

The case delves into the significant factors contributing to the steep decline of Sintex shares, examining both external and internal factors. Internally, the primary drivers were the expansion plan, the demerger decision, financial mismanagement and the delayed and inadequate integration of Information Technology (IT) into the business.

Sintex, a prominent private sector company listed in the Indian stock markets, operated in the textile and plastics sectors. However, in 2017, Sintex underwent a demerger into two separate entities: Sintex Industries Limited (SIL) and Sintex Plastics Technology Limited (SPTL). While SIL focused on textiles, SPTL dealt with plastics. However, soon after the demerger, the share prices of both companies began plummeting, leading to significant losses for investors. This case investigates the reasons behind this decline through a step-by-step analysis.

This case is suitable for postgraduate students pursuing an MBA, MMS and executive programs such as PGDBM and PGDM, with a specialization in business strategy. It is also beneficial for participants in management development programs (MDPs) designed for higher level executives. Additionally, the case can serve as training material for executives undergoing strategic role training within an organization. It is recommended to teach the case toward the end of the course, where the instructor can provide a summary of the previous classes’ teachings.

CCS7: Management Science

In this paper, the authors examine the strategies used to reduce labour costs in three public hospitals in South Africa, which were effective and why. In the democratic era, after the revelations of large-scale corruption, the authors ask whether their case studies provide lessons for how public service institutions might re-make themselves, under circumstances of austerity.

A comparative qualitative case study approach, collecting data using a combination of interviews with managers, focus group discussions and interviews with shop stewards and staff was used.

Management in two hospitals relied on their financial power, divisions between unions and employees' loyalty. They lacked the insight to manage different actors, and their efforts to outsource services and draw on the Extended Public Works Program failed. They failed to support staff when working beyond their scope of practice, reducing employees' willingness to take on extra responsibilities. In the remaining hospital, while previous management had been removed due to protests by the unions, the new CEO provided stability and union–management relations were collaborative. Her legitimate power enabled unions and management to agree on appropriate cost cutting strategies.

Finding an appropriate balance between the new reality of reduced financial resources and the needs of staff and patients, requires competent unions and management, transparency and trust to develop legitimate power; managing in an authoritarian manner, without legitimate power, reduces organisational capacity. Ensuring a fair and orderly process to replace ineffective management is key, while South Africa grows cohorts of competent managers and builds managerial experience.

Different studies have been conducted on the relationship between technological capability and firm performance. These studies obtain different values for the relationship, known as heterogeneous results. The purpose of this paper is to analyze the relationship between technological capability and firm performance and its statistical between-study heterogeneity.

In order to analyze all the results from this relationship that were found in the literature, we adopted the literature review with a meta-analytic method. We consulted the Scopus and Web of Science databases, which returned, after the application of inclusion criteria, 23 primary studies with data from 5,882 manufacturing firms.

We observed that technological capability and performance are positively related; however, the results regarding this relationship are heterogeneous. We discovered four possible sources of statistical between-study heterogeneity: (i) the statistical between-study heterogeneity of the variables to measure technological capability and performance; (ii) orientation of the thematic approach – some illustrate the relationship between technological capability and performance using mathematical and theoretical models, while others examine the relationship between technological capability and performance and propose implications pertaining to that relationship; (iii) the source of data for primary studies and (iv) the context in which this relationship is observed.

It is necessary to standardize a set of variables through which technological capability and performance are evaluated so that results and implications can be usefully compared between countries and industrial sectors.

The contribution to knowledge is identifying the statistical between-study heterogeneity on the relationship between technological capabilities and firm performance, as well as its potential sources.

This paper aims to investigate how value drivers of internet medical business model affect value creation through a configurational approach. The internet medical business model (IMBM) is such a business model that integrates online and offline medical services with the driving force of internet technologies covering prediagnosis, in-diagnosis and postdiagnosis. The outbreak of COVID-19 and the support of national policies have boosted the development of internet health care. However, there are still many challenges in practice, such as the unclear innovation path, as well as difficulties in landing and profiting. Academic research has not yet provided sufficient theoretical insights. Therefore, to better explain and guide practice, it is urgent to clarify the innovation path and mechanism of value creation for IMBM.

Based on the sample of 58 internet medical firms in China, this paper adopts fuzzy-set qualitative comparative analysis (fsQCA) to explore the configurational effects of IMBM’s value drivers on value creation.

Building on the business model canvas and the characteristics of internet health care, five value drivers of IMBM are identified, namely, functional value proposition, emotional value proposition, user involvement, resource capabilities and connection properties. And the five value drivers form three configurations, which are, respectively, labeled as resource-driven configuration, user-operated configuration and product-combined configuration. From the perspective of the integration of traditional and emerging theories, such as resource-based view, internet economics and value cocreation, each configuration leads to value creation and improves value results with different mechanisms behind it.

First, combined with the business model canvas and the characteristics of internet health care, this paper identifies five value drivers of IMBM, thus improving the relevant research on internet health care. Second, based on the configurational effects, this paper discusses the mechanism behind the configurational effects of IMBM’s value drivers on value creation, thus expanding relevant research on the value creation of business models. Third, applying fsQCA and combining the advantages of qualitative research and quantitative research, this paper adds to the configurations of IMBM’s value drivers that achieve high-value results.

Infection and cross-contamination have been massive concerns in the medical field. This study aims to investigate consumers’ awareness and their choices of endoscopes, which may deter them from the cross-contamination problem.

A discrete choice experiment survey was administered to 166 respondents in Penang, Malaysia. Participants were asked to make hypothetical choices and estimate their preference for endoscopes. The multinomial logit model was used to estimate the assumptions based on the stated preference data collected.

Only two-fifths of respondents are aware of their rights regarding endoscope selection. The findings are consistent with utility theory, where choices are made to maximise personal satisfaction. If given the choice, consumers preferred the single-use endoscope over the reusable or the doctor’s preferred endoscope. Price, insurance coverage and personal income are significant determinants of the consumer’s choice of endoscopes.

This study only investigates subjects living in Penang. Other possible important attributes to endoscope choices, such as environmental and device availability may be considered in future study.

The findings may create awareness among consumers about their rights when choosing medical devices. It may also improve health-care institutions’ (users’) and device manufacturers’ (industry players’) understanding of consumer needs and demands from socioeconomic perspectives.

The research offers insights into consumer rights and awareness of health-care services. Ultimately leading to better policy to protect consumers’ rights and safety.

This study contributes to the rare literature on consumer rights toward medical devices, in particular, the consumer’s awareness of the choice of endoscopes.