A Conceptual Decision-Support Framework for Digitalization in Orthotic and Prosthetic Business Processes
Authors
Universiti Poly-Tech Malaysia,56100 Cheras, Kuala Lumpur (Malaysia)
Institute of Graduate Studies Universiti Poly-Tech Malaysia56100 Cheras, Kuala Lumpur (Malaysia)
Institute of Graduate Studies Universiti Poly-Tech Malaysia56100 Cheras, Kuala Lumpur (Malaysia)
Article Information
DOI: 10.47772/IJRISS.2026.100300339
Subject Category: Engineering & Technology
Volume/Issue: 10/3 | Page No: 4561-4569
Publication Timeline
Submitted: 2026-03-17
Accepted: 2026-03-22
Published: 2026-04-08
Abstract
Digitalization holds significant potential for transforming business processes, yet organizations frequently face challenges in identifying optimal areas for technological implementation. This study responds to this critical need by developing and validating a structured decision-support framework designed to systematically evaluate and prioritize digitalization opportunities, with specific application to the orthotic and prosthetic (O&P) industry. Grounded in Business Process Reengineering (BPR) principles, the proposed framework comprises three integrated components: (1) Diagnostic Assessment of current operations, (2) Multi-Criteria Evaluation Matrix for scoring digital intervention opportunities, and (3) Strategic Decision Pathway that recommends manual, hybrid, or full digital adoption strategies.
The framework incorporates a comprehensive evaluation system examining three critical dimensions: (1) quality outcomes, (2) time efficiency, and (3) cost-effectiveness, enabling organizations to assess their digital readiness and prioritize workflow transformations. A distinctive feature of this approach is its practical decision tree model and weighted scoring system, which facilitate customized strategy development ranging from manual process optimization to full digital workflow adoption.
Through a rigorous mixed-methods methodology incorporating literature synthesis, expert consultations, and case study validation in Malaysian O&P clinics, this research makes significant contributions to both theory and practice. The study delivers an evidence-based decision-making tool that effectively bridges the gap between theoretical digitalization models and real-world healthcare manufacturing implementation. By aligning technology adoption with organizational capabilities and strategic objectives, this framework empowers small and medium enterprises to make informed investment decisions, effectively manage transition risks, and optimize the impact of their digitalization initiatives.
Keywords
Digital transformation, orthotics and prosthetics, decision tool, business process reengineering, additive manufacturing, framework model
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References
1. Al-Mashari, M., & Zairi, M. (2000). Business process reengineering: a survey of international experience. Business Process Management Journal, 6(1), 10–39. [Google Scholar] [Crossref]
2. Barrios-Muriel, J.; Romero-Sánchez, F.; Alonso-Sánchez, F.J.; Rodríguez Salgado, D. Advances in Orthotic and Prosthetic Manufacturing: A Technology Review. Materials 2020, 13, 295. https://doi.org/10.3390/ma13020295 [Google Scholar] [Crossref]
3. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. [Google Scholar] [Crossref]
4. Chiara Cimini, Roberto Pinto, Sergio Cavalieri,The business transformation towards smart manufacturing: a literature overview about reference models and research agenda,IFAC-PapersOnLine,Volume 50, Issue 1,2017,Pages 14952-14957,ISSN 2405-8963,https://doi.org/10.1016/j.ifacol.2017.08.2548. [Google Scholar] [Crossref]
5. De Vivo Nicoloso, L.G., Pelz, J., Barrack, H. and Kuester, F. (2021), "Towards 3D printing of a monocoque transtibial prosthesis using a bio-inspired design workflow", Rapid Prototyping Journal, Vol. 27 No. 11, pp. 67-80. https://doi.org/10.1108/RPJ-06-2021-0136 [Google Scholar] [Crossref]
6. Elshaer, I. A., et al. (2021). Digital transformation and healthcare service quality: Evidence from developing countries. Technological Forecasting and Social Change, 166, 120620. [Google Scholar] [Crossref]
7. Faisal Imran, Khuram Shahzad, Aurangzeab Butt & Jussi Kantola (2021):Digital Transformation of Industrial Organizations: Toward an Integrated Framework, Journal of Change Management, DOI: 10.1080/14697017.2021.1929406 [Google Scholar] [Crossref]
8. Gibson, I., Rosen, D. W., & Stucker, B. (2015). Additive Manufacturing Technologies. Springer. [Google Scholar] [Crossref]
9. Hammer, M., & Champy, J. (1993). Reengineering the Corporation: A Manifesto for Business Revolution. HarperBusiness. [Google Scholar] [Crossref]
10. Kangas, J., Kangas, A., Leskinen, P., & Kurttila, M. (2001). Space and time in multi-criteria decision making in natural resource management. Forest Ecology and Management, 146(1–3), 75–85. [Google Scholar] [Crossref]
11. Mavroidis, C., Ranky, P. G., Sivak, M., Lancia, M., DiPietro, L., Caddle, A., ... & Martello, R. (2011). Patient-specific ankle-foot orthoses using rapid prototyping. Journal of NeuroEngineering and Rehabilitation, 8(1), 1-13. [Google Scholar] [Crossref]
12. Munda, G. (2004). Social multi-criteria evaluation: Methodological foundations and operational consequences. European Journal of Operational Research, 158(3), 662–677. [Google Scholar] [Crossref]
13. Olsen J, Turner S, Chadwell A, Dickinson A, Ostler C, Armitage L, McGregor AH, Dupan S, Day S. The Impact of Limited Prosthetic Socket Documentation: A Researcher Perspective. Front Rehabil Sci. 2022 Mar 7;3:853414. doi: 10.3389/fresc.2022.853414. PMID: 36189046; PMCID: PMC9397974. [Google Scholar] [Crossref]
14. Paterson, A. M., Bibb, R., & Campbell, R. I. (2020). A review of existing anatomical data capture methods for the fabrication of bespoke orthotic devices. Virtual and Physical Prototyping, 15(1), 47–67. [Google Scholar] [Crossref]
15. Sagala, G.H., Őri, D. Toward SMEs digital transformation success: a systematic literature review. Inf Syst E-Bus Manage 22, 667–719 (2024). https://doi.org/10.1007/s10257-024-00682-2 [Google Scholar] [Crossref]
16. Stephan Weyer, Mathias Schmitt, Moritz Ohmer, Dominic Gorecky, Towards Industry 4.0 - Standardization as the crucial challenge for highly modular, multi-vendor production systems, IFAC-PapersOnLine, Volume 48, Issue 3, 2015, Pages 579-584, ISSN 2405-8963, https://doi.org/10.1016/j.ifacol.2015.06.143. [Google Scholar] [Crossref]
17. Telfer, S., Pallari, J., Munguia, J., Dalgarno, K., McGeough, M., & Woodburn, J. (2012). Embracing additive manufacture: implications for foot and ankle orthosis design. BMC Musculoskeletal Disorders, 13(1), 84. [Google Scholar] [Crossref]
18. Triantaphyllou, E. (2000). Multi-criteria decision making methods: A comparative study. Springer. [Google Scholar] [Crossref]
19. Zairi, M. (2022). Strategic transformation through process management: The role of BPR. International Journal of Productivity and Performance Management. [Google Scholar] [Crossref]
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