Abstract
Purpose: This study examines how the Big Data and Cloud Platform (BD+CP) architecture enhances accounting efficiency in public hospitals by integrating business and financial processes to achieve sustainable competitiveness.
Methodology/Approach: Adopting a qualitative–analytical design, the research synthesizes secondary evidence (2019–2025), policy documents, and empirical case studies to construct a tripartite BD+CP implementation framework through document analysis, policy comparison, and conceptual system modeling.
Originality/Relevance: The study bridges fragmented literature on technology, process, and governance by presenting a unified BD+CP model aligned with China’s 2021–2030 healthcare digitalization agenda.
Key Findings: BD+CP adoption led to 75% faster transactions, 81% less redundancy, and 99.2% audit completion, with real-time data access rising from 18% to 94%.
Theoretical/Methodological Contributions: The research introduces a replicable framework linking Digital Capability, Financial Sustainability, and Organizational Intelligence, reframing hospital finance as a proactive, strategic governance system.
References
Liu Guangqiang, Gan Shengdao, Fu Ping, et al. Digital reconstruction of enterprise value chain and application logic [J]. Accounting Monthly, 2023, 44(10): 17-24
Shen Menglin. Discussion on the accounting of government bond funds [J]. Finance and Accounting Communications, 2025, (13): 101-105.
Cui Muhua, Haier. Research on the application of activity-based costing in public hospitals under the background of big data [J]. Health Economics Research, 2023, 40 (12): 49-52.
Zheng Jiangshan, Wang Junyong, Jiao Huichuan, et al. Analysis on the current status and trend of medical service quality research in public hospitals in my country [J]. Chinese Hospital, 2025, 29(10): 29-33.
Ji Hua, Jiang Qiwen, Shi Xinyu, et al. Research on the construction and application of DRG cost accounting management system in public hospitals [J]. Chinese Health Economics, 2025, 44 (09): 73-79.
Zhou Zihan. Construction of enterprise financial risk management system under the background of digital transformation [J]. Finance and Accounting, 2024 (2): 70-71.
Gopal G, Suter-Crazzolara C, Toldo L, Eberhardt W. Digital transformation in healthcare–architectures of present and future information technologies. Clinical Chemistry and Laboratory Medicine (CCLM). 2019 Feb 25;57(3):328-35. https://www.degruyterbrill.com/document/doi/10.1515/cclm-2018-0658/html
Moro Visconti R, Morea D. Big data for the sustainability of healthcare project financing. Sustainability. 2019 Jul 9;11(13):3748. https://doi.org/10.3390/su11133748
Fan C, Zou G, Yang C, Zhao Z. Can the digital transformation of pharmaceutical enterprises' finance improve healthcare equity?. Finance Research Letters. 2024 Sep 1;67:105911. https://doi.org/10.1016/j.frl.2024.105911
Wen H, De Leon J. Research on the Digital Transformation of Financial Management in Small and Medium-sized Enterprises Under the Background of Big Data and Cloud Computing. Advances in Computer and Communication. 2024 Jan 17;5(6). http://dx.doi.org/10.26855/acc.2023.12.002
Lee PC, Ho CH, Wang JT, Ho CH. Digital Transformation of Big Data. InDigital Health Care in Taiwan: Innovations of National Health Insurance 2022 Aug 14 (pp. 219-228). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-031-05160-9
Mendonça FM, Dantas MA. Covid-19: Where is the digital transformation, big data, artificial intelligence and data analytics?. https://repositorio.enap.gov.br/handle/1/5561
Oh S, Joo HJ, Sohn JW, Park S, Jang JS, Seong J, Park KJ, Lee SH. Cloud-based digital healthcare development for precision medical hospital information system. Personalized Medicine. 2023 Sep 1;20(5):435-44. https://doi.org/10.2217/pme-2023-0074
Sepetis A, Pierrakos G, Schallmo D. Sustainable Finance and the Digital Transformation in the Healthcare system. InISPIM Conference Proceedings 2022 (pp. 1-21). The International Society for Professional Innovation Management (ISPIM). https://www.proquest.com/openview/88838af3359540db304b5a91a6c775c2/1?pq-origsite=gscholar&cbl=1796422
Karrouk Y, Debasa F, Sanchez LM. The Digital Transformation of Smart Hospitals: Challenges and Opportunities. Utilizing AI of Medical Things for Healthcare Security and Sustainability. 2025:1-54. https://www.igi-global.com/chapter/the-digital-transformation-of-smart-hospitals/375187
Sharma V, Jamwal A, Agrawal R, Pratap S. A review on digital transformation in healthcare waste management: Applications, research trends and implications. Waste Management & Research. 2025 Jun;43(6):828-49. https://doi.org/10.1177/0734242X241285420
Liang W, Mary BJ, Aidoo S, Hamzah F, Taofeek A, Mathew B, Blessing M. Cloud-Native Spatial Data Management in Healthcare and Finance: Scalable Governance Strategies for Real-Time Decision Support Systems.
Carmo Filho RD, Borges PP. Financial management, efficiency, and care quality: A systematic review in the context of Health 4.0. Health services management research. 2025 May;38(2):107-19. https://doi.org/10.1177/09514848241275783
Reis A, Fraga C, Gouveia AJ. Cloud Computing Adoption as IT Strategy in Organizations: a Short Systematic Review. Procedia Computer Science. 2025 Jan 1;256:122-9. https://doi.org/10.1016/j.procs.2025.02.104
Vedantham A. leveraging ai-enhanced master data management for real-time data government and strategies enterprise value. International Journal of Engineering Technology Research & Management (IJETRM). 2025;9(07):781-92. https://ijetrm.com/issues/files/Jul-2025-29-1753762995-JULY97.pdf
Li B. Using Data Mining Technology to Improve the Reliability of Accounting Information Cloud Data. Informatica. 2025 Jan 28;49(5). https://doi.org/10.31449/inf.v49i5.6590
Karunaratne N, Wijesinghe I. Exploring the Barriers to Adoption and Integration of Automation Technologies in Claims Management within the Healthcare Industry. Advances in Computational Systems, Algorithms, and Emerging Technologies. 2025 Apr 4;10(4):1-20. https://doi.org/10.31449/inf.v49i5.6590
Будько ob. information support for the management system of healthcare institutions in the context of sustainable development. Економічний вісник Дніпровського державного технічного університету. 2025 Jun 16(1 (10)):158-65. https://doi.org/10.31319/2709-2879.2025iss1(10).332742pp158-165
Wang Y, Liang B, Wang T, Liu Z. A big data stream-driven risk recognition approach for hospital accounting management systems. IEEE Access. 2023 Nov 16;11:130089-101. https://ieeexplore.ieee.org/abstract/document/10320321
Barbieri C, Neri L, Stuard S, Mari F, Martín-Guerrero JD. From electronic health records to clinical management systems: how the digital transformation can support healthcare services. Clinical Kidney Journal. 2023 Nov;16(11):1878-84. https://doi.org/10.1093/ckj/sfad168

This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Journal of Sustainable Competitive Intelligence

