Natural resources are recognized among the key determinants for the improvement of wellness, and thus the development and sustainability of health tourism destinations. This study applied a systematic review to investigate the contributions mapping and analyzing under different perspectives the value of the natural resources of a destination and related activities for health tourism. The main research topics identified from a review of 52 papers include the analysis and exploitation of natural resources in health tourism, the nature-based factors considered in clustering of tourists and their motivations, the development of value offer and marketing, as well as the cultural issues. Research gaps and future directions are summarized in a research agenda laying the foundations for the development of a multidisciplinary research stream focused on nature-based health tourism. Results also represent a key reference for managers and policy makers to identify key issues, areas of intervention and practices for industry development in the health tourism destinations through an effective and sustainable exploitation of natural resources.

Purpose: This paper aims to investigate the effect of specific subsets of digital technologies and governance mechanisms (i.e. relational and contractual) on the efficiency of the automotive supply chain (SC).Design/methodology/approach: Building on the Transaction Costs Economic (TCE) theory, and on the literatures on the governance and Digital Transformation of SCs, the research employs a multi-respondent survey on a sample of 101 Italian automotive suppliers. It analyses the interplay between investments in network and physical–digital interface technologies and buyer–supplier relationship governance models in a joint product development effort. The related effects on costs, from the automotive suppliers' perspective, are considered.Findings: The results confirm the TCE assumptions on governance mechanisms being appropriate to enhance cost performance, but in particular show that digital technologies shape the governance of buyer–supplier relationships with different patterns. The features of synchronisation and accessibility, as ensured by network technologies, are found to strengthen the impact of contractual governance, while the adoption of physical–digital interface technologies, and their enhanced features of virtualisation and traceability, further enhance the impact of relational governance on the efficiency improvements of suppliers.Practical implications: SC actors need to recognise the importance of long-term collaboration and superior coordination through investments in specific subsets of digital technologies, to ensure a higher product and production data codifiability, transparency and thus integration at both an intra- and an inter-firm level.Originality/value: This study is one of the first to have considered Digital Transformation in SCs from the suppliers' perspective and its implications on the efficiency of relationship governance with buyers.

This paper investigates how current megatrends (i.e., aging population, growing urbanization, shifts in consumer demands, geopolitical shifts, depletion of natural resources, climate change) are changing the supply chain landscape and the role of Industry 4.0 (I4.0) technologies to support alignment with these changes. Building on contingency theory, the study employs focus‐group interviews with various experts to generate new insights into fitting supply chain capabilities and enabling technologies. Data collected in the focus groups helped us to identify five supply chain capabilities as prevalent and mostly fitting the external contingencies, i.e., customer‐driven, urban‐centered, resource‐efficient, fast reactive, and human‐centered supply chain. Moreover, this study highlights and compares the potential of I4.0 technologies and their applications in supporting specific supply chain capabilities. The findings of this study can inform supply chain managers in the definition of capabilities to be enhanced at the supply chain level and contribute toward understanding the extent of I4.0 technologies in empowering supply chains to face turbulent and changing conditions.

Augmented reality (AR) and virtual reality (VR), collectively referred to as “extended reality” (XR), have begun to diffuse in industry. However, the current levels of awareness, perceived limitations, and use of AR and VR, as well as the potential differences on these aspects between these technologies are still not well known. Moreover, it is unknown whether small and medium-sized enterprises (SMEs) differ from large companies on these issues. This research employed a mixed methods research design to address this gap by carrying out a cross-sectional survey (n = 208) to gauge European industrial companies’ level of AR and VR awareness and adoption, and by interviewing 45 companies in nine European countries in order to identify critical enabling factors in the adoption of XR for SMEs. Results show no statistical difference between the respondents’ perceptions toward AR and VR or in their use levels. Thus, examining AR and VR under the umbrella term XR seems justified, especially in the context of their organizational use. However, larger companies were found to be using XR more than SMEs. Analysis of interviews based on the technology–organization–environment framework also yielded several enabling factors affecting XR adoption and specified whether they are particularly highlighted in the SME context. Overall, this paper contributes to XR research by providing a holistic multi-country overview that highlights key issues for managers aiming to invest in these technologies, as well as critical organizational perspectives to be considered by scholars.

New models and technological advances are driving the digital transformation of healthcare systems. Ontologies and Semantic Web have been recognized among the most valuable solutions to manage the massive, various, and complex healthcare data deriving from different sources, thus acting as backbones for ontology-based Decision Support Systems (DSSs). Several contributions in the literature propose Ontology engineering methodologies (OEMs) to assist the formalization and development of ontologies, by providing guidelines on tasks, activities, and stakeholders’ participation. Nevertheless, existing OEMs differ widely according to their approach, and often lack of sufficient details to support ontology engineers. This paper performs a meta-review of the main criteria adopted for assessing OEMs, and major issues and shortcomings identified in existing methodologies. The key issues requiring specific attention (i.e., the delivery of a feasibility study, the introduction of project management processes, the support for reuse, and the involvement of stakeholders) are then explored into three use cases of semantic-based DSS in health-related fields. Results contribute to the literature on OEMs by providing insights on specific tools and approaches to be used when tackling these issues in the development of collaborative OEMs supporting DSS.