A Model of Export Marketing Performance for SMEs: The Role of Fourth-Generation Technology in the Medical Equipment Industry

Document Type : Research Paper

Authors

1 MSc student, Department of Management, Faculty of Economic and Administrative Sciences, University of Qom, Qom, Iran.

2 Prof., Department of Management, Faculty of Economic and Administrative Sciences, University of Qom, Qom, Iran.

3 Assiatant Prof., Department of Management, Faculty of Economic and Administrative Sciences, University of Qom, Qom, Iran.

10.22059/imj.2026.407295.1008274

Abstract

 
Objective: This study aims to develop a comprehensive model to identify the key Industry 4.0–driven drivers influencing export marketing performance in Iranian medical equipment small and medium-sized enterprises (SMEs).
Methodology: This research is quantitative and application-oriented, employing a two-phase methodological approach. First, 30 potential drivers were identified through a systematic literature review and expert consultations with ten specialists in export marketing and Industry 4.0 technologies. These drivers were screened using the Fuzzy Delphi method, yielding 11 drivers with defuzzified values above the 0.7 threshold. In the second phase, a cross-impact analysis was conducted using the MicMac software to examine the structural relationships, influences, and dependencies among the selected drivers.
Results: The results indicate that four drivers—AI-based export data analytics, ML-based optimization of export marketing decisions, AI-enabled customer behavior analysis, and IoT-enabled export quality and standards control—are the most influential determinants of export marketing performance. AI-based analytics and ML-driven decision optimization are bidirectional and risk-prone, forming the strategic nucleus of the system. AI-enabled customer behavior analysis and IoT-based quality control are key influential variables, underscoring the importance of market intelligence, quality assurance, and traceability.
Conclusion: The study demonstrates that the synergistic adoption of Industry 4.0 technologies can address structural weaknesses in export marketing, including limited market intelligence, weak forecasting, and low supply chain transparency. The proposed model offers a practical framework for policymakers and firms to prioritize digital investments and achieve sustainable export growth in emerging markets.

Keywords


Abdurashitova, Z. (2022). Export Plan for a Medical Device to Brazil-Case Albio.‏
Alguacil M., Turco A. L., Martínez-Zarzoso I. (2022). Robot adoption and export performance: Firm-level evidence from Spain. Economic Modelling, 114, 105912. https://doi.org/10.1016/j.econmod.2022.105912.
Bai, C., Dallasega, P., Orzes, G., & Sarkis, J. (2020). Industry 4.0 technologies assessment: A sustainability perspective. International journal of production economics, 229, 107776. https://doi.org/10.1016/j.ijpe.2020.107776.
Benjumea-Arias, M., Castañeda, L., & Valencia-Arias, A. (2016). Structural analysis of strategic variables using MicMac: Case study. Mediterranean Journal of Social Sciences, 7(4), 11–19.‏ https://doi.org/10.5901/mjss.2016.v7n4p.
Berko Obeng Damoah, O. (2018). A critical incident analysis of the export behaviour of SMEs: evidence from an emerging market. Critical Perspectives on International Business, 14(2/3), 309–334.‏ https://doi.org/10.1108/cpoib-11-2016-0061.
Chen, L., & Liu, C. (2025). Risk management of import and export products based on big data analysis: Assessment model with indetermsoft set. Neutrosophic Sets and Systems, 82(1), 48.‏
Cugno, M., Castagnoli, R., Büchi, G., & Pini, M. (2025). Effects of Industry 4.0 on different export dimensions: empirical analysis on manufacturing SMEs. Journal of Manufacturing Technology Management, 36(9), 154–176. https://doi.org/10.1108/JMTM-09-2023-0395.
Derakhshandeh, M., Kamali, K., & Aligholi, M. (2023). Conceptual Framework of Export Marketing Capabilities Based on Competitive Advantage, https://civilica.com/doc/2091941.
 Du, X., & Huang, J. (2025). The influence of digital capabilities on the export performance of SMEs: evidence from China. Asia Pacific Business Review, 1–26.‏ https://doi.org/10.1080/13602381.2024.2448472.
Godet, M. (1999). De la anticipación a la acción: Manual de prospectiva and estrategia [From anticipation to action: Prospective and Strategy Manual], México: Alfaomega.
Habibi, A., Jahantigh, F. F., & Sarafrazi, A. (2015). Fuzzy Delphi technique for forecasting and screening items. Asian Journal of Research in Business Economics and Management, 5(2), 130–143.‏
Handoyo, R.D., Ibrahim, K.H., Rahmawati, Y., Faadhillah, F., Ogawa, K., Kusumawardani, D., et al. (2024). Determinants of exports performance: Evidence from Indonesian low, medium, and high ­technology manufacturing industries. PLoS ONE, 19(1), e0296431. https://doi.org/10.1371/journal.pone.0296431.
Hassen, N. T., Lena, M., Nemera, G. (2024). Financial and marketing approach to export performance: the mediation role of promotion and research and development. Cogent Business & Management, 11(1), 1–22. https://doi.org/10.1080/23311975.2024.2315658.
Isichei, E. E., Nnia, I., Emmanuel, A. K., Igwe, A., Ibe, C. B., & Peterside, G. I. D. (2023). Linking Competitive Intelligence, Learning Orientation, and Export Performance of SMEs. Sage Open, 13(2). https://doi.org/10.1177/21582440231184979.
Jiménez, M. (2009). Herramientas para el análisis prospectivo estratégico. Aplicaciones MICMAC [Tools for strategic prospective.analysis Applications MICMAC]. Estado de México: Hersa Ediciones.
Khalayleh, M., & Al-Hawary, S. (2022). The impact of digital content of marketing mix on marketing performance: An experimental study at five-star hotels in Jordan. International Journal of Data and Network Science, 6(4), 1023–1032. http://dx.doi.org/10.5267/j.ijdns.2022.8.008.
Khalid, S., & Bhatti, K. (2015). “Entrepreneurial competence in managing partnerships and partnershipknowledge exchange: Impact on performance differences in export expansion stages”. Journal of World Business, 10(2), 45–56.
Kolářová, V., & Kolářová, E. (2020). An analysis of the use of marketing 4.0 principles for managing customers relationships in microbreweries in the capital city of Prague. Potravinarstvo, Slovak Journal of Food Sciences.‏ https://www.potravinarstvo.com/journal1/index.php/potravinarstvo/article/view/1261/1348.
Kumar, S. (2024). Trends of Exports of High Technology Products from Global South. DCR, 51.‏
Liang, S., Tan, Q. (2024). Can the digital economy accelerate China's export technology upgrading? Based on the perspective of export technology complexity. Technological Forecasting and Social Change, 199. https://doi.org/10.1016/j.techfore.2023.123052.
Maina, D. M. (2021). Effects of Marketing Mix Strategies on Sales Performance Among Medical Devices Distributors in Kenya (Doctoral dissertation, University of Nairobi).‏
Maleki, M. H., Nasrollahi, M., & Mohammadi, Z. (2025). Identifying and prioritizing drivers affecting the future of the healthcare supply chain with a focus on fourth-generation technologies. Journal of Foresight and Public Health. https://journalfph.com/index.php/jfph/article/view/21
Merín-Rodríguez, J., Alegre, J., & Dasí, A. (2025). International entrepreneurship in innovative SMEs: Examining the connection between CEOs’ dynamic managerial capabilities, business model innovation and export performance. International Business Review, 34(2), 102321.‏ https://doi.org/10.1016/j.ibusrev2024.102321..
Mojica, F. (2005). La construcción del futuro. Concepto y modelo de prospectiva estratégica, territorial y tecnológica [Future construction. Concept and model of strategic, territorial, and technology foresight. Santafé de Bogotá: Universidad Externado de Colombia.
Monteiro, A. P., Soares, A. M., Rua, O. L. (2019). Linking intangible resources and entrepreneurial orientation to export performance: The mediating effect of dynamic capabilities. Journal of Innovation & Knowledge, 4, 179–187. https://doi.org/10.1016/j.jik.2019.04.001.
Naglič, A., Tominc, P., & Logožar, K. (2020). The impact of Industry 4.0 on export market orientation, market diversification, and export performance. Organizacija, 53(3), 227-244.‏
https://doi.org/10.2478/orga-2020-0015.
Obadia, C., & Vida, I. (2024). Export marketing strategy and performance: A focus on SMEs promotion. International Business Review, 33(2). https://doi.org/10.1016/j.ibusrev.2023.102229.
Purwaningsih, E., Muslikh, S., Basrowi. (2024). Utilizing blockchain technology in enhancing supply chain efficiency and export performance, and its implications on the financial performance of SMEs. Uncertain Supply Chain Management, 12, 449–460. http://dx.doi.org/10.5267/j.uscm.2023.9.007.
Racela, O. C., & Thoumrungroje, A. (2020). Enhancing export performance through proactive export market development capabilities and ICT utilization. Journal of Global Marketing, 33(1), 46–63.‏ https://doi.org/10.1080/08911762.2018.1549302.
Rehman, S. U., Jabeen, F., Shahzad, K., Riaz, A., & Bhatti, A. (2025). Industry 4.0 technologies and international performance of SMEs: mediated-moderated perspectives. International Entrepreneurship and Management Journal, 21(1), 1–32. https://doi.org/10.1007/s11365-024-01048-3.
Rezai Dolatabadi, H., Ali Khasi, A. (2019). "Examining the effect of export marketing experience and capabilities on the export performance of small and medium-sized companies by mediating the effective implementation of export marketing strategies". Two Quarterly Journals of Business Strategies (Behavioural Sciences), 17(15). 115–136. (In Persian).
Said, M. M., & Soi, A. B. (2025). Expanding SME Product Export Market Through Digital Innovation in Indonesia. In Dynamic Strategies for Entrepreneurial Marketing (pp. 253–270). IGI Global Scientific Publishing. http://doi.org/10.4018/979-8-3693-3936-7.ch012.
Samadzadeh, S. (2024). Investigating the Impact of the Internet of Things on the Probability of Entry in Export Market. Building Smart and Sustainable Businesses with Transformative Technologies, 1–22.
Siddiqui, A. A., & Singh, P. (2020). Identifying export markets for Indian medical devices. International Journal of Pharmaceutical and Healthcare Marketing, 14(4), 587–605.‏ https://doi.org/10.1108/IJPHM-09-2019-0059.
Songur, A. (2023). Turkey's 100th Anniversary of Export Marketing: Strategies, Opportunities, Challenges and Future Directions100. Yılında Türkiye İhracat Pazarlaması: Stratejiler, Fırsatlar, Zorluklarve. http://dx.doi.org/10.21076/vizyoner.1333994.
Taghavi, S. M., Janpors, N., Raeisi Ziarani, M. (2023). Investigating the Effects of the Fourth-Generation Marketing Parameters on Customer Satisfaction and Export Performance: A Case Study of the Paints and Coatings Industries. 5th International Conference on Brand Marketing, Challenges and Opportunities. https://ssrn.com/abstract=4320401.
Tien, N. H., Anh, D. B. H., Ngoc, N. M., & Nhi, D. T. Y. (2019). Sustainable social entrepreneurship in Vietnam. International Journal of Entrepreneurship, 23(3), 1–12.‏
Zahoor, N. & Lew, Y.K. (2023). Enhancing international marketing capability and export performance of emerging market SMEs in crises: strategic flexibility and digital technologies, International Marketing Review, 40(5), 1158–1187. https://doi.org/10.1108/IMR-12-2021-0350.