INTRODUCTION

Digital transformation has a huge impact on the performance of nearly all industries,
and healthcare is not an exception. Nowadays, it’s integral for the healthcare
industry to provide better patient care digitally no matter where they are. Generally
speaking, digital transformation in the healthcare market is all about adopting
innovative technologies that are aimed at improving work efficiency in hospitals as
well as taking patient care to a whole new level. In fact, more and more different
opportunities appear today in the branch of digital transformation in the healthcare
industry and in diagnostics. Why digital healthcare is important, what benefits it can
bring for the health industry and its consumers, and what future digital trends should
we expect there? In this article, we’ll get it covered. But before we proceed, let’s
define what exactly digitalization in the medical field means.

Digital transformation in healthcare is a completely new way of delivering care while

ameliorating the internal hospital processes and, most importantly, meeting all needs
of patients through embracing and implementing advanced technologies. It’s the
active use of technologies to bring value to people and healthcare organizations to
maximize benefits. The research by Deloitte demonstrated that around 92% of
healthcare units expect to achieve better performance from the patient-centric
business development model. Therefore, the digital healthcare transformation has
forced radical changes in medical services. So, let’s now review the healthcare
business transformation and take a closer look at real examples of digital
transformation in healthcare.

Use Cases of Digital Healthcare Solutions

So, digital transformation in healthcare makes a detailed overview of how the

medical units diagnose, monitor, and manage patient health. Its main goal is to
implement innovative healthcare IT solutions to optimize the major workflow
processes and compliances, and improve patient service while reducing costs. For
this purpose, let’s now take a look at how digital healthcare is already used in
medicine.

1. Automation

Nothing is more powerful than automation for the healthcare industry. It’s worth
noting that its implementation is very beneficial for drug manufacturers and
especially for production safety. Technologies enable very accurate and detailed
examination of materials. Automation algorithms can come in handy for
microbiological studies where they can boost the efficiency of studies, analyze and
assess specimens while improving the outcome of the laboratory research. And it
goes without saying that its advantages for healthcare services are immense.
Automation enables employees to minimize paperwork while reducing human error
and maximizing work productivity across departments. For doctors, it means having
more time at work they can spend on communicating with patients and providing
even better and more personalized care. Also, automation enables us to take care of
larger groups of patients with similar needs and save time on an individualized
approach. Those patients can also receive automated appointment reminders that
will minimize no-shows at hospitals.

2. Connected Ambulance

A connected ambulance serves as an assistant to healthcare providers as it

collects and transfers all vital patient data that can be gathered through wearables,
sensors, and HD cameras, and sends it to the hospital while the patient is being
transported to the required department. Even before the patient arrives at the
hospital, doctors will already have all the required data that will help them provide
the needed procedures faster and more effectively without losing priceless time. In
some particular cases, doctors can also guide paramedics through certain procedures
with the help of connected ambulance technology.

3. On-Demand Healthcare Solutions

During the past decade, society has become more mobile, which makes more
and more organizations keep abreast of cutting-edge technologies, especially those
from the healthcare field. Instead of tethering themselves to one company,
professionals become more eager to work for multiple medical facilities at a time.
For this purpose, the Nomad Health company has launched a platform that links
doctors directly with the healthcare units for short-term work. It enables physicians
to provide the so-called “on-demand” medical services to the patients, and only if it
matches their expertise, experience, and working schedule. Thus, doctors become
more flexible in offering medical services, and can effectively adapt to the patient’s
evolving needs.

4. Telemedicine & Virtual Visits

One of the most notable changes in healthcare is the growth of virtual doctor
visits. It enables meeting the specialists at the most comfortable time and from
nearly anywhere, which is much more time and cost-efficient rather than an in-
person hospital visit. Based on the research, around 83% of surveyed patients are
ready to use telemedicine, which has become even more popular after the COVID-19
pandemic outbreak in 2020. This digital transformation strategy has been already
used in the Brigham Health hospital network (Massachusetts, USA), where the
patients can use virtual visits on a regular basis. They can schedule appointments,
communicate with doctors via video chats using phones or PCs, receive detailed
prescriptions in their emails, and more.
Due to the Brigham Health recent survey, more than 74% of patients feel the virtual
visits positively impacted their interaction with their doctors and healthcare
institutions as well.

5. Patient Portals

Another great trend in the transformation healthcare solutions feature is creating

specific healthcare platforms where the patients can:

 Review their health records

 Check prescriptions

 Schedule appointments with the specialists

 Ask for a consultation or get additional information from their doctors

 Receive the laboratory results

 Share their health data with the healthcare provider

And that’s only a few options available on the healthcare platforms for patients. At
the same time, this system enables quicker and more convenient access to electronic
health records and significantly reduces the burden for the medical staff. A great
example of patient portal technology use is the Follow My Health system. It covers
the most essential features we’ve already introduced above and also can be used by
the doctors of general medicine and those of more specific healthcare areas.
However, this digital innovation in healthcare is still in its early stages of use.
According to the patient surveys, over 40% of participants say that these systems are
still too confusing, and their interface features are difficult to interpret and use.
6. Health Wearables

At present, people have become more conscious about their health: they’re
not visiting a doctor when they get sick, instead, they’re always looking for effective
yet convenient ways to track their health metrics. Basically, that was the main reason
why we’ve seen a tremendous increase in the sales of wearable medical devices. The
digital transformation in healthcare enables tracking the various health metrics and
providing accurate health data in real-time. Some of the common types of health
devices include:

 Heart rate trackers

 Exercise & fit (duration, type of activity, distance, calories burnt, etc)

 Sweat meters (for tracking blood sugar - an essential routine of diabetics)

 Oximeters (for monitoring the oxygen carried in the blood - used for the patients
with COPD, asthma, severe cases of COVID-19, and other respiratory illnesses)

One of the most popular wearables introduced on the device market is Apple Watch.
The smartwatch was first released on September 9, 2014, and so far can track heart
rate and exercise, reminders about drinking water or washing hands, used for
recording body temperature, weight, and periods. This data, in turn, can be later
used by doctors for analyzing health metrics, diagnosis, and more.

7. Disease History Analysis

Nowadays there are more and more tools that analyze a patient's disease
history in order to give doctors recommendations about treatment outcomes. An
example of such a solution is the company BostonGene. The BostonGene's algorithm
conducts a profound analysis of a patient's previous conditions and offers a
personalized treatment plan that would potentially deem the best results. Benefits
Of Digital Transformation in Healthcare In fact, medical digital transformation
provides plenty of benefits for all the patients involved, as well as the medical
institutions they’re been used by. With these innovations used, physicians and
hospitals can speed up their workflow, get more accurate patient data and health
metrics, and build up a more effective treatment in a shorter time. All these factors
can significantly impact the outcome, of course, for the better. After you know the
most popular and up-to-date technologies and trends implemented nowadays, it’s
time to briefly review what benefits they can bring to the healthcare enterprises and
their patients correspondingly.
Statement of the Study:

In an increasingly digital competitive environment, especially in the healthcare

ecosystem, digital transformation leaders have an important role, with only a
handful of companies evolving into more upgraded digitalisation systems. To
renovate experiences of customer, companies required to adapt digital marketing
achievement in the drastically modified digital era, reinventing marketing with this
kind of travel in the healthcare industry. Also, it is very important to evaluate the
impact of digital transformation over the professional competencies and the cutting
edge of digital marketing in healthcare industries, which are an integral part of some
organization, is to improve digital marketing capabilities as well as invest in current
skills training. One way to think strategically is to attract and give alternative services
health quality that guarantee their likelihood and satisfaction of recommending
additional health care. This research demonstrates that social media sites play a
significant part in promoting social networking. The results of this research showed
that digital approaches are necessary to improve medical services to expand an
enterprise.
Scope of the Study:

In a situation where digital corporations are switching to healthcare, the state obliges
medical institutions to constantly improve the quality of services provided, and
patients seek high-quality care, which has serious implications for the healthcare
sector. The purpose of the study was to understand the growing role of digitalization
of health care, based on the experience of Tamilnadu, to consider the benefits and
identify possible problems faced by medical institutions and their patients. As a
result of the study, it was revealed that digital transformation makes it possible to
improve the efficiency of healthcare by reducing costs and improving the quality of
medical care
Objectives:

1. To evaluate the markets impact on healthcare and professional

culture by means of Digital Transformation.
2. To know the changes in Health care ecosystem by digitalization
3. To evaluate the patients or end Users perception towards digital
healthcare eco system

RESEARCH METHODOLOGY
The authors define research methodology as "the strategy or architectural design by
which the researcher maps out an approach to problem-finding or problem-solving."
Research Design.

The present study is descriptive and analytical in nature

Sampling Design

The survey is not taken from the entire population. Where only a few units of
population under the study are considered for analysis, it is called as sampling. As for
the present study, the population size is infinite; the adoption of sampling method
was inevitable. The sampling plan consists of sample unit, sample size and sampling
method.

(a) Sample Unit

The sample unit refers to the respondents who are to be surveyed. The Sampling
Unit may be Geographical, Construction Unit, Social unit or it may be an individual.
The size of this study comprises of the individuals, employees, working groups,
housewives and every person who uses digital healthcare products in and around
Coimbatore.

(b) Sample Size

The sample size refers to the number of items to be selected from the universe to
constitute a sample. A sample of 450 respondents has taken for the study.

(c) Sampling Method

This study has based on convenience sampling method.

Review of Literature:
Dr.Oyvind A Bjertnase2011 works to estimate the effects of different predictors of
overall Patient satisfaction with hospitals, including patient reported experience,
fulfillment of Patient satisfaction and socio demographic variables. He concluded in
his study that the most importance predictors for over all patient satisfaction with
hospitals are non reported experiences and fulfillment of expectations.

P R H New some & G H Wright,1999,wants to convey that in present scenario of

growing consumerism satisfying patient has become a key task for all healthcare
providers through conceptual models of consumer satisfaction including one most
dominant in the marketing literature disconfirmation theory.

Peggy J. Wagner, Ginger C Moseley,Michael M Grant,Johnathan R Gore;2002,in their

study investigated the relation between patient satisfaction and on a test of
emotional intelligence, race, gender and resident/faculty status were compared via t
tests .After the study they concluded that there is a limited relationship between
physician’s scores on a test of emotional intelligence and patient satisfaction.

PanchapakesanPadmaChandrasekharanRajendran,PrakashSaiLokachari,2010,studied
the service quality and it’s impact on customer satisfaction in Indian hospitals. The
purpose was to conceptualize hospital service quality into its component dimensions
from the perspective of patients and their attendants and to analyze the relation
between service quality and customer satisfaction. In Government and private
hospitals. The research was designed in questionnaire survey approach and collected
data was analyzed by bi- variate correlation and multiple regression. The study
revealed that the hospital service provider have to understand the need of both
patients and attendants in order to gather a holistic view of their services.

Dr.Ranjit Chakraborty and Anirban Malumdar , 2011 carried out the study of
measuring consumer satisfaction in healthcare sector. They conducted the literature
survey and found that SERVQUAL is a popular model for measuring a service quality
though it has it’s limitation buy most of the health care sector uses this model
measuring a service quality.
Rondeau,KentV,Wager,Terry H 2001,analysed the approach of human resource
manager by collecting data through mail and suggested that once leaders of the
hospital have concluded the necessity of a workforce reduction the choice of
approach used to carry out these cuts can significantly impact organizational
performance.

Rivers,Patrick A,Glover,Saundra,2008,studied about health care competition,

strategy and patient satisfaction .As competition ensures the provision of better
products and services to satisfy the needs of computers, this study provides a modal
that can be used to empirically investigate a number of complex issues and
relationship associated with competition in healthcare industry through review of
almost 50 items of literature.

S.K. Jawahar,2007, studied on out patient satisfaction at super specialty hospital in

India,.As outpatient department is ‘ Shop window ,Patients satisfaction leads to drifts
in both new and old patients which hinders the sustainability any hospital in long
run. He conducted the study to know the satisfaction level of patients and take the
feedback of the patient about the services provided in the hospital and concluded
that 90 % of patients were satisfied with the services of the hospital.

Stephen J. Aragon and Sabina B. Gessel,2003, studied the primary provider theory a
patient centered approach to the measurement of service satisfaction, across patient
sex in national random samples of emergency patients using multi group structural
equation modeling. Sustaining the primary provider Theory’s robustness across
gender, this investigation provided evidence that emergency department satisfaction
was principally the function of the Theory, underlying network of satisfaction
constructs. Physician service, waiting time and nursing satisfaction explained
48%,41% and 11% of overall service satisfaction and 92% and 93% of female and
male satisfaction respectively.

Shou-Hsia Chang,Ming ChinYang ,Tung-Liang Chiang ,2003 , aimed the patient

satisfaction with and recommendation of a hospital with a special focus on the
correlation of these measures to patient ratings of interpersonal and technical
performance of the hospital.

Saleh M. Aldaqual,HattanAlghamdi,HassanALTurki,BasemS,El-deek and Ahmed

Kensarah 2012, worked to determine the factors that affect patient satisfaction in
the surgical ward at university hospital in Saudi Arabia. They conducted cross
sectional study with a patient satisfaction questionnaire and analyzed the data to
identify potentially modifiable factors associated with patient dissatisfaction. They
prepared the list of the issues which need the concentration of management heads.

Seiler Adrianne,Visintainer,Paul, Brzostek,Richard,2012,conducted the comparative

study between hospital care provided by primary care physicians and hospitalist
through telephonic survey method. Questionnaires included variables
assessing .Patient satisfaction with various physician care domains. By using adjusted
multivariable models to compare patient satisfaction with hospitalist and physicians
for Domains of physician care, physician’s behavior, pain management
communication and concluded that patients are equally satisfied with inpatient care
and by primary care.

TayyabaBasir,AkmalShahzad,Bashir Ahmed Khilji And Rabia Bashir,2011 conducted

the study of patient satisfaction and hospital care in Pakistan. The study was carried
out in 500 bedded teaching hospitals with the objective to measure patient
satisfaction as per psychometric properties of satisfaction to evaluate them and
suggest the measures for improvement.

C Joseph and S Nicholas ,2007 conducted the study over 200 patients who visited
Diabitic and renal public health clinic with the aim to access patient satisfaction and
their quality of life to improve the health status of people by promoting wellness and
providing quality health care in an efficient ,equitable and sustainable manner

Domenico Mastandrea, AngeloMarino, AntonioLasora, ScottLeuchten, Juan F, Oata,

D. O. David Yens,2008, conducted a review on patient satisfaction of an Inner city
level one trauma center ‘s emergency department through survey of the patients
coming to the hospital with the objective of to bring about some changes in the
emergency department waiting room as per the perceptions of the patient and to
increase the usage and performance of the emergency department as satisfied
patients are most likely to recommend the hospital to others.

Emmanuel Kabengele, Mpinga and Phillipe Chastonay,2011, worked with the

objective to know the concept of patient satisfaction and understand the parameters
for measuring Patient satisfaction levels and to correlate them with patients right to
health through various literatures and concluded that patient satisfaction and studies
related to it have very important and useful political, social and ethical impact to
further strengthen and monitor the progress of the sector to protect the right to
health of the population.

Edward Nketiah & Ulrich Hiemenz, 2009 studied the overall satisfaction that
consumers gain from consuming health services from a given provider with the
Primary objective to examine how the choice of a given provider influence Health
care institute. The survey conducted on 531 women who had between them 377
children out of which 317 children had fallen sick four weeks prior to study. The
subject of investigation was the choice of healthcare provider by the consumer
private/public medical care, pharmacy/over the counter drug, traditional/faith
healing/self treatment and the consumer’s satisfaction level. The study tests the
hypothesis that there is no difference in the level of satisfaction with regard to the
choice of the given provider.

GhizlaneSoufi,JihaneBelayachi,SalmaHimmich,Samir,AHID,MehdiSoufi,Aicha
Zekraoui, Redouane Abouqual,2010 studied Patient Satisfaction in an acute medicine
department in Morocco. They performed structured face to face interviews with
patients and used to measure patient satisfaction. They concluded that
demographics, socioeconomics and health characteristics may influence in patient
satisfaction.
Haiyan Qu, Elena A. Platonova, Karen Norman Kennedy, Richard M. Shewchuk
studied 2011the primary care patient satisfaction segmentation .The study aimed to
examine patient satisfaction with non physician staff as related to Patient
demographics ,satisfaction with physicians and intentions to recommend their
Physician’s to others through survey method Latent class analysis was used to detect
patient subpopulation based on profiles of response for five satisfaction with staff
indicators. At the end it was concluded that non physician staff should provide extra
responsiveness to have patients need met.

K. Francis Sudhakar, M.Kameshwar Rao and T Rahul,2012, studied the gap analysis in
hospitals and the relationship between patient satisfaction and the quality of service
in health care industry. With the help of multiple regression approach it was proved
that SERVOQUAL dimensions were the most reliable and important predictor of
patient satisfaction. The theory of continuous improvement showed a deep
understanding of the general source of quality problems. A clean and well planned
marketing strategies leads to success of any health care industry. The gap between
perceived quality of health care and patient satisfaction in public healthcare were
more compared to private sector.

Gunday et al. (2011) and Modimogale & Kroeze (2011) define ICTs as the
technological systems used to transmit, store, process, display, create, and automate
information dissemination. Among these technologies were usually included items
such as television, fixed and mobile phones, radio, satellite systems, video, computer
software and hardware, plus the equipment and services associated with them. This
was the main picture up to the mid-90s.

K.Suma Velly and K.Hema Divya-(2018): In their study on “Digital Payment in India
with Perspective of Consumer Adoption” they said that due to demonetization it’s
resulted tremendous growth in digital payments. These transformations make a
great change toward digital payments and make a more transparency in transactions
which empowers the economy of the country. The purpose of this study is to get a
research the impact of demonetization on adoption of online payments and
digitization of payment system to analyses the level of adoption of digital payment
system by the customers’ E-payment system are important mechanism used by the
individual and organization as a convenient way of making payments over the
internet and at a same time a gateway to technological advancement.

Raghvendra Nayak (2018): It was a conceptual study on “Digitalisation of Banking-

Issues and Challenges in Rural India”. He studied that the campaign of digital India
made a noticeable effect on banking sector of India. Even the development in
digitalization still India lagging behind in the implementation of digitalization to
banking sector and It is true the digitalization of banking will bring revolution in the
Indian economy but it is still needed to implement digital services in rural areas also.
It’s related with many conceptual issues and challenges in implementing
digitalization of rural banking areas. It studied about the efficiency of banking and
enable smoother transactions. It helps to found the factors which enable fast and
furious changes in banking sector in adopting digitalization special references to
rural.

Rajiv Ranjan Singh and Anandita Bagchi (2018): They publish a paper no-351 on
demonetization “A golden opportunity for widening the taxpayer base”. In their
paper they recommended to department act with a focus on the customer and in a
non instructive and tax payer friendly manner with the effect of demonetization
wider the area of tax payer. All transactional data received since 201 the large
amount of historical data and third party available helps to action by government
should be based on proper data analysis since six year after March 2017.

Renita D’souza ( 2018) - He publish his paper on “digitalIndia Getting Incentives

Rights” He publish a key chapter in fourth industrial revolution (4IR) such as
production and management, which is an outcome of leveraging technology and
digital innovation in consider the case of virtual or digital markets. These markets
have made physical space constraints redundant and eliminated the need to visit
sops on ground. Today it is the time for digital transactions. Digital transaction is
positively correlated with the level of education and consumer income. The size of
the informal economy of a nation reflects the productivity of cash use lock in
persistent cash as the inevitable status queue. There are no shortcuts to becoming
irrelevant in this economy banks and other financial institutions will have to consider
reconfiguring their business processes and functioning with Smartphone’s.