IDEAS home Printed from https://ideas.repec.org/a/eee/tefoso/v207y2024ics0040162524004049.html
   My bibliography  Save this article

How do we pivot? Facilitators, inhibitors, and strategies of tech healthcare startups before, during, and after a crisis

Author

Listed:
  • Dhir, Amandeep
  • N., Meenakshi
  • Nawaz, Rabiya
  • Kaur, Puneet

Abstract

Prior literature on tech healthcare startups has focused on specific aspects that facilitate or inhibit their business, but it has not provided a comprehensive understanding of their journey across various time frames, particularly those encompassing a crisis period. This qualitative study identifies the facilitators and inhibitors tech healthcare startups encountered before, during, and after the COVID-19 pandemic crisis and the strategies used by these businesses to survive and even scale up their operations during each period. Open-ended essays were employed to gather responses from 48 participants who worked in health tech startups during all three-time frames. The acquired data was analyzed using the Gioia method. The pivoting theory of startups was applied to understand how tech healthcare startups transitioned during these periods while emphasizing different capabilities and resources in their organization during each phase. Three aggregate codes were obtained—pre-crisis, during-crisis, and after-crisis—each of which included facilitators, inhibitors, and strategies. This study contributes to prior literature on tech healthcare startups by providing a comprehensive and integrated picture of the pivots they made as they moved from one period to another, each involving a distinct and emerging set of challenges and conditions.

Suggested Citation

  • Dhir, Amandeep & N., Meenakshi & Nawaz, Rabiya & Kaur, Puneet, 2024. "How do we pivot? Facilitators, inhibitors, and strategies of tech healthcare startups before, during, and after a crisis," Technological Forecasting and Social Change, Elsevier, vol. 207(C).
  • Handle: RePEc:eee:tefoso:v:207:y:2024:i:c:s0040162524004049
    DOI: 10.1016/j.techfore.2024.123606
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0040162524004049
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.techfore.2024.123606?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Hoang, Huy Viet & Nguyen, Cuong & Nguyen, Duc Khuong, 2022. "Corporate immunity, national culture and stock returns: Startups amid the COVID-19 pandemic," International Review of Financial Analysis, Elsevier, vol. 79(C).
    2. Maas, Arne & Ester, Peter, 2016. "Silicon Valley, Planet Startup," University of Chicago Press Economics Books, University of Chicago Press, number 9789462982802.
    3. Nielsen, Bo Bernhard & Wechtler, Heidi & Zheng, Linglin (Gloria), 2023. "Disasters and international business: Insights and recommendations from a systematic review," Journal of World Business, Elsevier, vol. 58(4).
    4. Norbäck, Pehr-Johan & Persson, Lars & Tåg, Joacim, 2022. "Risky Business: Venture Capital, Pivoting and Scaling," Working Paper Series 1444, Research Institute of Industrial Economics, revised 15 Apr 2024.
    5. Rory McDonald & Cheng Gao, 2019. "Pivoting Isn’t Enough? Managing Strategic Reorientation in New Ventures," Organization Science, INFORMS, vol. 30(6), pages 1289-1318, November.
    6. Ritu Agarwal & Guodong (Gordon) Gao & Catherine DesRoches & Ashish K. Jha, 2010. "Research Commentary ---The Digital Transformation of Healthcare: Current Status and the Road Ahead," Information Systems Research, INFORMS, vol. 21(4), pages 796-809, December.
    7. Kuckertz, Andreas & Brändle, Leif & Gaudig, Anja & Hinderer, Sebastian & Morales Reyes, Carlos Arturo & Prochotta, Alicia & Steinbrink, Kathrin M. & Berger, Elisabeth S.C., 2020. "Startups in times of crisis – A rapid response to the COVID-19 pandemic," Journal of Business Venturing Insights, Elsevier, vol. 13(C).
    8. Matti Muhos & Martti Saarela & Delbert Foit & Lada Rasochova, 2019. "Management priorities of digital health service start-ups in California," International Entrepreneurship and Management Journal, Springer, vol. 15(1), pages 43-62, March.
    9. Michael Polder & George van Leeuwen & Pierre Mohnen & Wladimir Raymond, 2010. "Product, Process and Organizational Innovation: Drivers, Complementarity and Productivity Effects," DRUID Working Papers 10-24, DRUID, Copenhagen Business School, Department of Industrial Economics and Strategy/Aalborg University, Department of Business Studies.
    10. Dean A. Shepherd & Marc Gruber, 2021. "The Lean Startup Framework: Closing the Academic–Practitioner Divide," Entrepreneurship Theory and Practice, , vol. 45(5), pages 967-998, September.
    11. Jacqueline Kirtley & Siobhan O'Mahony, 2023. "What is a pivot? Explaining when and how entrepreneurial firms decide to make strategic change and pivot," Strategic Management Journal, Wiley Blackwell, vol. 44(1), pages 197-230, January.
    12. Almourad, Mohamed Basel & Alrobai, Amen & Skinner, Tiffany & Hussain, Mohammed & Ali, Raian, 2021. "Digital wellbeing tools through users lens," Technology in Society, Elsevier, vol. 67(C).
    13. Andrew Page & Jonny Holmström, 2023. "Enablers and inhibitors of digital startup evolution: a multi-case study of Swedish business incubators," Journal of Innovation and Entrepreneurship, Springer, vol. 12(1), pages 1-28, December.
    14. Burnell, Devin & Stevenson, Regan & Fisher, Greg, 2023. "Early-stage business model experimentation and pivoting," Journal of Business Venturing, Elsevier, vol. 38(4).
    15. Chakraborty, Imon & Ilavarasan, P. Vigneswara & Edirippulige, Sisira, 2021. "Health-tech startups in healthcare service delivery: A scoping review," Social Science & Medicine, Elsevier, vol. 278(C).
    16. Nidhi Singh & Safiya Mukhtar Alshibani & Pooja Misra & Rabiya Nawaz & Bhumika Gupta, 2023. "Unravelling barriers in high-tech technology start-ups: practical insights and solutions for healthcare enterprises," Post-Print hal-04278857, HAL.
    17. Manfred Lenzen & Mengyu Li & Arunima Malik & Francesco Pomponi & Ya-Yen Sun & Thomas Wiedmann & Futu Faturay & Jacob Fry & Blanca Gallego & Arne Geschke & Jorge Gómez-Paredes & Keiichiro Kanemoto & St, 2020. "Global socio-economic losses and environmental gains from the Coronavirus pandemic," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-13, July.
    18. Lee, Sang M. & Lee, DonHee, 2021. "Opportunities and challenges for contactless healthcare services in the post-COVID-19 Era," Technological Forecasting and Social Change, Elsevier, vol. 167(C).
    19. Santarsiero, Francesco & Schiuma, Giovanni & Carlucci, Daniela & Helander, Nina, 2023. "Digital transformation in healthcare organisations: The role of innovation labs," Technovation, Elsevier, vol. 122(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nguyen, Bach & Tran, Hai-Anh & Stephan, Ute & Van, Ha Nguyen & Anh, Pham Thi Hoang, 2024. "“I can't get it out of my mind” - Why, how, and when crisis rumination leads entrepreneurs to act and pivot during crises," Journal of Business Venturing, Elsevier, vol. 39(4).
    2. Issah, Wunnam & Calabrò, Andrea & Clauss, Thomas & Valentino, Alfredo & Diaz-Matajira, Luis, 2024. "Wait or pivot? Family and non-family firms’ strategic responses to COVID-19 and employment change," Journal of Business Research, Elsevier, vol. 184(C).
    3. Hunt, Richard A. & Townsend, David M. & Lerner, Daniel A. & Brownell, Katrina M., 2024. "Pivot, persist or perish? Knowledge problems and the extraordinarily tight boundary conditions of entrepreneurs as scientists," Journal of Business Venturing Insights, Elsevier, vol. 21(C).
    4. Maria Elisavet Balta & Thanos Papadopoulos & Konstantina Spanaki, 2024. "Business model pivoting and digital technologies in turbulent environments," Post-Print hal-04513406, HAL.
    5. Piotr Jurga & Efstratios Loizou & Stelios Rozakis, 2021. "Comparing Bioeconomy Potential at National vs. Regional Level Employing Input-Output Modeling," Energies, MDPI, vol. 14(6), pages 1-17, March.
    6. Marina Sheresheva & Marina Efremova & Lilia Valitova & Anna Polukhina & Georgy Laptev, 2021. "Russian Tourism Enterprises’ Marketing Innovations to Meet the COVID-19 Challenges," Sustainability, MDPI, vol. 13(7), pages 1-17, March.
    7. Tiberiu Foris & Alina Simona Tecău & Camelia-Cristina Dragomir & Diana Foris, 2022. "The Start-Up Manager in Times of Crisis: Challenges and Solutions for Increasing the Resilience of Companies and Sustainable Reconstruction," Sustainability, MDPI, vol. 14(15), pages 1-20, July.
    8. Wadim Strielkowski & Irina Firsova & Svetlana Azarova & Irina Shatskaya, 2022. "Novel Insights in the Leadership in Business and Economics: A Post-Coronavirus Update," Economies, MDPI, vol. 10(2), pages 1-20, February.
    9. Juan Jung & Gonzalo Gómez-Bengoechea, 2022. "A literature review on firm digitalization: drivers and impacts," Studies on the Spanish Economy eee2022-20, FEDEA.
    10. Lee, Hyeonsuh, 2023. "Unraveling the effect of pre-entry knowledge of founders on experimentation in nascent industries: A configurational approach," Journal of Business Research, Elsevier, vol. 167(C).
    11. Chakraborty, Imon & Nandhini, K. & Ilavarasan, P. Vigneswara & Edirippulige, Sisira, 2024. "Factors of front-end innovation in fem-tech startups: An empirical study," Technology in Society, Elsevier, vol. 76(C).
    12. Burnell, Devin & Stevenson, Regan & Fisher, Greg, 2023. "Early-stage business model experimentation and pivoting," Journal of Business Venturing, Elsevier, vol. 38(4).
    13. Ritu Agarwal & Michelle Dugas & Guodong (Gordon) Gao & P. K. Kannan, 2020. "Emerging technologies and analytics for a new era of value-centered marketing in healthcare," Journal of the Academy of Marketing Science, Springer, vol. 48(1), pages 9-23, January.
    14. Iva Gregurec & Martina Tomičić Furjan & Katarina Tomičić-Pupek, 2021. "The Impact of COVID-19 on Sustainable Business Models in SMEs," Sustainability, MDPI, vol. 13(3), pages 1-24, January.
    15. Ali Zackery & Joseph Amankwah-Amoah & Zahra Heidari Darani & Shiva Ghasemi, 2022. "COVID-19 Research in Business and Management: A Review and Future Research Agenda," Sustainability, MDPI, vol. 14(16), pages 1-32, August.
    16. repec:ipg:wpaper:2014-587 is not listed on IDEAS
    17. Bettina Peters & Rebecca Riley & Iulia Siedschlag & Priit Vahter & John McQuinn, 2014. "Innovation and Productivity in Services: Evidence from Germany, Ireland and the United Kingdom," JRC Working Papers on Corporate R&D and Innovation 2014-04, Joint Research Centre.
    18. Rõigas, Kärt, 2011. "Linkage between productivity and innovation in different service sectors," Discourses in Social Market Economy 2011-02, OrdnungsPolitisches Portal (OPO).
    19. Alf Hornborg, 2021. "Beyond the Image of COVID-19 as Nature’s Revenge: Understanding Globalized Capitalism through an Epidemiology of Money," Sustainability, MDPI, vol. 13(9), pages 1-11, April.
    20. Anthony Goerzen & Christian Geisler Asmussen & Bo Bernhard Nielsen, 2024. "Global cities, the liability of foreignness, and theory on place and space in international business," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 55(1), pages 10-27, February.
    21. Liuan Wang & Lu (Lucy) Yan & Tongxin Zhou & Xitong Guo & Gregory R. Heim, 2020. "Understanding Physicians’ Online-Offline Behavior Dynamics: An Empirical Study," Information Systems Research, INFORMS, vol. 31(2), pages 537-555, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:tefoso:v:207:y:2024:i:c:s0040162524004049. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.sciencedirect.com/science/journal/00401625 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.