Industry 4.0 in health care has evolved drastically over the past century. In fact, it is evolving every day, with new tools and strategies being developed by physicians and researchers alike. Health care and technology have been intertwined together with the advancement of cloud computing and big data. This study aims to analyze the impact of industry 4.0 in health care systems. To do so, a systematic literature review was carried out considering peer-reviewed articles extracted from the two popular databases: Scopus and Web of Science (WoS). PRISMA statement 2015 was used to include and exclude that data. At first, a bibliometric analysis was carried out using 346 articles considering the following factors: publication by year, journal, authors, countries, institutions, authors' keywords, and citations. Finally, qualitative analysis was carried out based on selected 32 articles considering the following factors: a conceptual framework, schedule problems, security, COVID-19, digital supply chain, and blockchain technology. Study finding suggests that during the onset of COVID-19, health care and industry 4.0 has been merged and evolved jointly, considering various crisis such as data security, resource allocation, and data transparency. Industry 4.0 enables many technologies such as the internet of things (IoT), blockchain, big data, cloud computing, machine learning, deep learning, information, and communication technologies (ICT) to track patients' records and helps reduce social transmission COVID-19 and so on. The study findings will give future researchers and practitioners some insights regarding the integration of health care and Industry 4.0.

翻译：事实上,保健领域4.0的行业在上个世纪中发生了巨大变化,它每天都在演变,医生和研究人员都在开发新的工具和战略; 保健和技术与云计算和大数据的进步相互交织在一起; 这项研究旨在分析保健系统4.0的行业影响; 为此,进行了系统的文献审查,审议了从两个广受欢迎的数据库(Scopus和WoS)中提取的经同行审查的文章; PRISMA 2015年声明用于纳入和排除这些数据; 最初,利用346篇文章进行了生物计量分析,其中考虑到下列因素:每年出版、期刊、作者、国家、机构、作者关键词和引用; 最后,根据选定的32篇文章进行了质量分析,其中考虑到以下因素:概念框架、时间表问题、安全、COVI-19、数字供应链和阻塞技术; 研究结果表明,在COVID-19开始阶段,保健和工业4.0的实践和产业4.0,考虑到各种危机,例如数据安全、资源分配、国家、机构、作者、作者和引用者; 数据系统化技术4.0,使许多技术成为了社会信通技术的学习工具。