Purpose

The paper aims to study the influence of Industry 4.0 technologies on the business sustainability of private hospitals by focusing on the mediating role of total quality management practices in private hospitals in the West Bank.

Design/methodology/approach

Data from the top and middle managers of private hospitals in the West Bank regions of Palestine were collected through a questionnaire assessed for validity and reliability. Furthermore, we used the structural equation modelling technique of partial least squares for the data analysis.

Findings

The findings confirm that Industry 4.0 technologies do not affect business sustainability. The findings also emphasise the association between Industry 4.0 technologies and total quality management philosophy, and total quality management completely mediates the relationship between Industry 4.0 and business sustainability.

Practical implications

This study provides practical implications for achieving the hospital sector's sustainability by merging Industry 4.0 technologies with total quality management practices, which provides valuable insights into the hospital's policies and practices and individuals vital to data exchange and policy enforcement within the sustainability of organisations.

Originality/value

This study is one of the first to investigate the combined effects of Industry 4.0 technologies, total quality management and business sustainability in the healthcare industry following the COVID-19 outbreak. This research is one of few empirical works exploring the interface between Industry 4.0 technologies and total quality management in developing countries, specifically Palestine.

Title

International Journal of Quality & Reliability Management

Publisher

Emerald Publishing Limited

Publisher Country

United Kingdom

Indexing

Thomson Reuters

Impact Factor

2.7

Publication Type

Both (Printed and Online)

Volume

42

Year

2025

Pages

438-1462