Organizational Change in Rehabilitation Settings: The Integration of Robotic Technologies

Abstract

The integration of robotic technologies into rehabilitation settings represents a transformative phase in healthcare delivery, especially within the context of Malaysia’s Fourth Industrial Revolution (4IR) and its national “Health White Paper.” This organizational change underscores a strategic shift from traditional rehabilitation methods to technology-enhanced practices aimed at improving patient outcomes, particularly in stroke recovery. Robotic rehabilitation devices, such as exoskeletons and robotic gloves, enable intensive, repetitive, and task-specific therapies that are essential for restoring upper and lower limb functions. Their role becomes even more critical in addressing therapist shortages and accommodating rising patient demands, a challenge further intensified by the COVID-19 pandemic which highlighted the need for remote rehabilitation solutions. Drawing on Weiner’s (2009) Theory of Organizational Readiness for Change, this study explores the dual dimensions of change commitment and change efficacy as essential components for successful implementation. It discusses the technological, human, and organizational factors influencing the adoption of robotic technologies, including leadership support, resource availability, staff training, and user acceptance. Key barriers include resistance due to fear of depersonalized care and concerns over usability, especially in resource-limited settings. This paper emphasizes the importance of a supportive organizational culture, effective communication strategies, and continued workforce development to ensure sustainable integration. Additionally, it highlights the potential of robotic technologies to revolutionize rehabilitation by offering personalized and data-driven care, particularly through home-based and telerehabilitation platforms. Ultimately, the integration of robotic technologies aligns with Malaysia’s strategic healthcare goals, offering a scalable solution to enhance rehabilitation services and expand access. Future research and policy efforts should focus on cost-effectiveness, accessibility, and building collaborative ecosystems between stakeholders to maximize the transformative potential of these technologies in advancing national and global rehabilitation standards.