Paper Title
Industry 4.0 Adoption, Control Mechanism and Sustainable Performance of Healthcare Supply Chains Under Disruptive Impact

Abstract
Although the boundaries of sustainable performance and growth in the field of service supply chains (SCs) have been broadened by scholars in recent years, research on the impact and promises of Industry 4.0 Destructive Technologies (IDTs) on sustainability performance under disruptive events is scarce. To identify areas for cost savings, organizations have resorted to investments in control mechanisms. However, little is known about the sustainability implications for IDT adoption and controls in service SCs, especially during disruptive events. Analyzing survey data of 223 public health managers across Ghana showed that both formal control have a positive and significant relationship with IDT adoption, environmental and economic sustainability but insignificant relationship with social sustainability. Furthermore, informal control positively impacts IDT adoption and economic performance but has an insignificant relationship with social and environmental sustainability. The installed control systems in PHIs are inadequate for promoting sustainable SC behaviors under destructive events in crisis situations. Keywords - Formal control, Informal control, Industry 4.0 Destructive Technologies.