Hospital Resilience: A Comprehensive Framework for Understanding and Enhancing Healthcare Performance

The purpose of the study is to explore the relationship between information and communication technologies (ICTs), digital skills, internal and external information integration and hospital resources and to analyse the moderating effects of operational contingencies in terms of operational efficiency and service complexity, adopting the contingent resource-based view perspective. The study utilizes a Hierarchical Moderated Regression Analysis, to test hypotheses using mixed data collection with primary data on ICTs, hospital resilience, digital skills, and internal and external information integration, along with secondary data on operational contingencies. Our findings reveal that all the resources and capabilities significantly impact hospital resilience. Notably, operational contingencies, such as service complexity and operational efficiency, moderate the relationships between digital skills, ICTs, and hospital resilience. These results underscore the importance of considering operational factors in the development of strategies to enhance hospital resilience. Our study contributes to the understanding of how hospitals can navigate crises effectively by leveraging technology, skills, and operational efficiencies to bolster their resilience.