@article{article7a8d6727, title = {State of the art and future directions of healthcare 4.0: a systematic literature review}, author = {Santos, Carlos Henrique dos and Romano, André Luiz and Azzolini Júnior, Walther and Cesar, Francisco Ignácio Giocondo and Ferraço, Fabio and Rozo-Rojas, Ivanhoe}, year = {2025}, doi = {10.1109/ACCESS.2025.3575054}, journal = {IEEE Access} }