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Sustainable Rural Healthcare Entrepreneurship: A Case Study of Serbia

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  • Ivan Paunović

    (CENTIM—Centre for Entrepreneurship, Innovation and SMEs, Bonn-Rhine-Sieg University of Applied Sciences (Campus Rheinbach), 53359 Rheinbach, Germany
    Faculty of Health and Business Studies, Campus Valjevo, Singidunum University, 14000 Valjevo, Serbia)

  • Sotiris Apostolopoulos

    (Department of Economics and Business, Neapolis University Pafos, Pafos 8042, Cyprus)

  • Ivana Božić Miljković

    (Faculty of Management, Campus Niš, Metropolitan University, 11000 Belgrade, Serbia)

  • Miloš Stojanović

    (Faculty of Management, Campus Niš, Metropolitan University, 11000 Belgrade, Serbia)

Abstract

This article deals with the under-researched phenomenon of rural health entrepreneurship and its major characteristics. The purpose of this study is to explicate the process of providing health services in rural areas of a developing country and their relation to SDGs. The paper is based on six semi-structured interviews conducted with Serbian health entrepreneurs in rural areas (two private practices, two policlinics, and two dental practices), a review of laws and strategies relevant to the field, and three sessions of discussions with eight experts (four authors and four additional experts). The research methodology follows an empirical, mixed-method case study research procedure. The results are presented in relation to the aspects of frugality, family orientation, and sustainability-oriented innovation. The timeline of the six case studies demonstrates the increasing importance of health entrepreneurs in rural areas due to the aging population and, therefore, increased needs for quality healthcare in these areas. The financing instruments have also become more formal and substantial in recent years, enabling the growth of healthcare businesses in rural areas. However, a major obstacle to further sustainable development remains the non-refundability of services before the state-owned, obligatory health fund, creating major social inequalities, especially in rural areas.

Suggested Citation

  • Ivan Paunović & Sotiris Apostolopoulos & Ivana Božić Miljković & Miloš Stojanović, 2024. "Sustainable Rural Healthcare Entrepreneurship: A Case Study of Serbia," Sustainability, MDPI, vol. 16(3), pages 1-27, January.
    • Handle: RePEc:gam:jsusta:v:16:y:2024:i:3:p:1143-:d:1329067
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    References listed on IDEAS

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    1. Aldrich, Howard E. & Cliff, Jennifer E., 2003. "The pervasive effects of family on entrepreneurship: toward a family embeddedness perspective," Journal of Business Venturing, Elsevier, vol. 18(5), pages 573-596, September.
    2. Thomas Åstebro & Serguey Braguinsky & Pontus Braunerhjelm & Anders Broström, 2019. "Academic Entrepreneurship: The Bayh-Dole Act versus the Professor’s Privilege," ILR Review, Cornell University, ILR School, vol. 72(5), pages 1094-1122, October.
    3. Farmer, Jane & Kilpatrick, Sue, 2009. "Are rural health professionals also social entrepreneurs?," Social Science & Medicine, Elsevier, vol. 69(11), pages 1651-1658, December.
    4. Davide Hahn & Tommaso Minola & Giulio Bosio & Lucio Cassia, 2020. "The impact of entrepreneurship education on university students’ entrepreneurial skills: a family embeddedness perspective," Small Business Economics, Springer, vol. 55(1), pages 257-282, June.
    5. Farmer, Jane & Lauder, William & Richards, Helen & Sharkey, Siobhan, 2003. "Dr. John has gone: assessing health professionals' contribution to remote rural community sustainability in the UK," Social Science & Medicine, Elsevier, vol. 57(4), pages 673-686, August.
    6. Stefan Schaltegger & Marcus Wagner, 2011. "Sustainable entrepreneurship and sustainability innovation: categories and interactions," Business Strategy and the Environment, Wiley Blackwell, vol. 20(4), pages 222-237, May.
    7. Nikolaos Apostolopoulos & Panagiotis Liargovas & Pantelis Sklias & Ilias Makris & Sotiris Apostolopoulos, 2022. "Private healthcare entrepreneurship in a free-access public health system: what was the impact of COVID-19 public policies in Greece?," Journal of Entrepreneurship and Public Policy, Emerald Group Publishing Limited, vol. 11(1), pages 23-39, February.
    8. Lorraine Uhlaner & Franz Kellermanns & Kimberly Eddleston & Frank Hoy, 2012. "The entrepreneuring family: a new paradigm for family business research," Small Business Economics, Springer, vol. 38(1), pages 1-11, January.
    9. Lorraine Uhlaner & Franz Kellermanns & Kimberly Eddleston & Frank Hoy, 2012. "Erratum to: The entrepreneuring family: a new paradigm for family business research," Small Business Economics, Springer, vol. 38(1), pages 13-13, January.
    10. Parmelee, Donna E., 1985. "Whither the state in Yugoslav health care?," Social Science & Medicine, Elsevier, vol. 21(7), pages 719-728, January.
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