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The digital transformation of the healthcare industry: exploring the rise of emerging platform ecosystems and their influence on the role of patients

Author

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  • Sebastian Hermes

    (Technical University of Munich)

  • Tobias Riasanow

    (Technical University of Munich)

  • Eric K. Clemons

    (University of Pennsylvania)

  • Markus Böhm

    (Technical University of Munich)

  • Helmut Krcmar

    (Technical University of Munich)

Abstract

While traditional organizations create value within the boundaries of their firm or supply chain, digital platforms leverage and orchestrate a platform-mediated ecosystem to create and co-create value with a much wider array of partners and actors. Although the change to two-sided markets and their generalization to platform ecosystems have been adopted among various industries, both academic research and industry adoption have lagged behind in the healthcare industry. To the best of our knowledge current Information Systems research has not yet incorporated an interorganizational perspective of the digital transformation of healthcare. This neglects a wide range of emerging changes, including changing segmentation of industry market participants, changing patient segments, changing patient roles as decision makers, and their interaction in patient care. This study therefore investigates the digital transformation of the healthcare industry by analyzing 1830 healthcare organizations found on Crunchbase. We derived a generic value ecosystem of the digital healthcare industry and validated our findings with industry experts from the traditional and the start-up healthcare domains. The results indicate 8 new roles within healthcare, namely: information platforms, data collection technology, market intermediaries, services for remote and on-demand healthcare, augmented and virtual reality provider, blockchain-based PHR, cloud service provider, and intelligent data analysis for healthcare provider. Our results further illustrate how these roles transform value proposition, value capture, and value delivery in the healthcare industry. We discuss competition between new entrants and incumbents and elaborate how digital health innovations contribute to the changing role of patients.

Suggested Citation

  • Sebastian Hermes & Tobias Riasanow & Eric K. Clemons & Markus Böhm & Helmut Krcmar, 2020. "The digital transformation of the healthcare industry: exploring the rise of emerging platform ecosystems and their influence on the role of patients," Business Research, Springer;German Academic Association for Business Research, vol. 13(3), pages 1033-1069, November.
    • Handle: RePEc:spr:busres:v:13:y:2020:i:3:d:10.1007_s40685-020-00125-x
    DOI: 10.1007/s40685-020-00125-x
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    1. Tobias Riasanow & Lea Jäntgen & Sebastian Hermes & Markus Böhm & Helmut Krcmar, 2021. "Core, intertwined, and ecosystem-specific clusters in platform ecosystems: analyzing similarities in the digital transformation of the automotive, blockchain, financial, insurance and IIoT industry," Electronic Markets, Springer;IIM University of St. Gallen, vol. 31(1), pages 89-104, March.
    2. Gawer, Annabelle, 2014. "Bridging differing perspectives on technological platforms: Toward an integrative framework," Research Policy, Elsevier, vol. 43(7), pages 1239-1249.
    3. Mark Armstrong, 2006. "Competition in two‐sided markets," RAND Journal of Economics, RAND Corporation, vol. 37(3), pages 668-691, September.
    4. 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.
    5. Amrit Tiwana & Benn Konsynski & Ashley A. Bush, 2010. "Research Commentary ---Platform Evolution: Coevolution of Platform Architecture, Governance, and Environmental Dynamics," Information Systems Research, INFORMS, vol. 21(4), pages 675-687, December.
    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. Catherine L. Anderson & Ritu Agarwal, 2011. "The Digitization of Healthcare: Boundary Risks, Emotion, and Consumer Willingness to Disclose Personal Health Information," Information Systems Research, INFORMS, vol. 22(3), pages 469-490, September.
    8. Wendy Hardyman & Kate L. Daunt & Martin Kitchener, 2015. "Value Co-Creation through Patient Engagement in Health Care: A micro-level approach and research agenda," Public Management Review, Taylor & Francis Journals, vol. 17(1), pages 90-107, January.
    9. Gerald C. Kane & Giuseppe (Joe) Labianca, 2011. "IS Avoidance in Health-Care Groups: A Multilevel Investigation," Information Systems Research, INFORMS, vol. 22(3), pages 504-522, September.
    10. Zafer Ozdemir & Jack Barron & Subhajyoti Bandyopadhyay, 2011. "An Analysis of the Adoption of Digital Health Records Under Switching Costs," Information Systems Research, INFORMS, vol. 22(3), pages 491-503, September.
    11. Michael L. Katz & Carl Shapiro, 1994. "Systems Competition and Network Effects," Journal of Economic Perspectives, American Economic Association, vol. 8(2), pages 93-115, Spring.
    12. repec:aph:ajpbhl:10.2105/ajph.2016.303512_4 is not listed on IDEAS
    13. Sean Hansen & A. James Baroody, 2020. "Electronic Health Records and the Logics of Care: Complementarity and Conflict in the U.S. Healthcare System," Information Systems Research, INFORMS, vol. 31(1), pages 57-75, March.
    14. Andreas Hein & Maximilian Schreieck & Tobias Riasanow & David Soto Setzke & Manuel Wiesche & Markus Böhm & Helmut Krcmar, 2020. "Digital platform ecosystems," Electronic Markets, Springer;IIM University of St. Gallen, vol. 30(1), pages 87-98, March.
    15. Robert G. Fichman & Rajiv Kohli & Ranjani Krishnan, 2011. "Editorial Overview ---The Role of Information Systems in Healthcare: Current Research and Future Trends," Information Systems Research, INFORMS, vol. 22(3), pages 419-428, September.
    16. Viswanath Venkatesh & Xiaojun Zhang & Tracy A. Sykes, 2011. "“Doctors Do Too Little Technology”: A Longitudinal Field Study of an Electronic Healthcare System Implementation," Information Systems Research, INFORMS, vol. 22(3), pages 523-546, September.
    17. Marra, Alessandro & Antonelli, Paola & Dell’Anna, Luca & Pozzi, Cesare, 2015. "A network analysis using metadata to investigate innovation in clean-tech – Implications for energy policy," Energy Policy, Elsevier, vol. 86(C), pages 17-26.
    18. Adam J. Fein, 1998. "Understanding evolutionary processes in non-manufacturing industries: Empirical insights from the shakeout in pharmaceutical wholesaling," Journal of Evolutionary Economics, Springer, vol. 8(3), pages 231-270.
    19. de Reuver, Mark & Sørensen, Carsten & Basole, Rahul C., 2018. "The digital platform: a research agenda," LSE Research Online Documents on Economics 80669, London School of Economics and Political Science, LSE Library.
    20. Naresh K. Malhotra & Sung S. Kim & James Agarwal, 2004. "Internet Users' Information Privacy Concerns (IUIPC): The Construct, the Scale, and a Causal Model," Information Systems Research, INFORMS, vol. 15(4), pages 336-355, December.
    21. Amrit Tiwana, 2015. "Evolutionary Competition in Platform Ecosystems," Information Systems Research, INFORMS, vol. 26(2), pages 266-281, June.
    22. Mark Armstrong Author-Email: mark.armstrong@ucl.ac.uk Author-Workplace-Name: University College of London, 2006. "Competition in Two-Sided Markets," RAND Journal of Economics, The RAND Corporation, vol. 37(3), pages 668-691, Autumn.
    23. Sinnenberg, L. & Buttenheim, A.M. & Padrez, K. & Mancheno, C. & Ungar, L. & Merchant, R.M., 2017. "Twitter as a tool for health research: A systematic review," American Journal of Public Health, American Public Health Association, vol. 107(1), pages 1-8.
    24. Lu Yan & Yong Tan, 2014. "Feeling Blue? Go Online: An Empirical Study of Social Support Among Patients," Information Systems Research, INFORMS, vol. 25(4), pages 690-709, December.
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    2. Denicolai, Stefano & Previtali, Pietro, 2023. "Innovation strategy and digital transformation execution in healthcare: The role of the general manager," Technovation, Elsevier, vol. 121(C).
    3. Massaro, Maurizio, 2023. "Digital transformation in the healthcare sector through blockchain technology. Insights from academic research and business developments," Technovation, Elsevier, vol. 120(C).
    4. Alexander Gleiss & Marco Kohlhagen & Key Pousttchi, 2021. "An apple a day – how the platform economy impacts value creation in the healthcare market," Electronic Markets, Springer;IIM University of St. Gallen, vol. 31(4), pages 849-876, December.
    5. Bag, Surajit & Dhamija, Pavitra & Singh, Rajesh Kumar & Rahman, Muhammad Sabbir & Sreedharan, V. Raja, 2023. "Big data analytics and artificial intelligence technologies based collaborative platform empowering absorptive capacity in health care supply chain: An empirical study," Journal of Business Research, Elsevier, vol. 154(C).
    6. Frishammar, Johan & Essén, Anna & Bergström, Frida & Ekman, Tilda, 2023. "Digital health platforms for the elderly? Key adoption and usage barriers and ways to address them," Technological Forecasting and Social Change, Elsevier, vol. 189(C).
    7. Whan Shin & Byungchul Choi, 2022. "Digital Competency, Innovative Medical Research, and Institutional Environment: A Global Context," Sustainability, MDPI, vol. 14(24), pages 1-19, December.
    8. Asta Pundziene & Neringa Gerulaitiene & Sea Matilda Bez & Irène Georgescu & Christopher Mathieu & Jordi Carrabina-Bordoll & Josep Rialp-Criado & Hannu Nieminen & Alpo Varri & Susanne Boethius & Mark v, 2023. "Value capture and embeddedness in social-purpose-driven ecosystems," Post-Print hal-04147723, HAL.
    9. Abi Saad, Elie & Tremblay, Nathalie & Agogué, Marine, 2024. "A multi-level perspective on innovation intermediaries: The case of the diffusion of digital technologies in healthcare," Technovation, Elsevier, vol. 129(C).
    10. Pundziene, Asta & Gerulaitiene, Neringa & Bez, Sea Matilda & Georgescu, Irène & Mathieu, Christopher & Carrabina-Bordoll, Jordi & Rialp-Criado, Josep & Nieminen, Hannu & Varri, Alpo & Boethius, Susann, 2023. "Value capture and embeddedness in social-purpose-driven ecosystems. A multiple-case study of European digital healthcare platforms," Technovation, Elsevier, vol. 124(C).
    11. Santarsiero, Francesco & Schiuma, Giovanni & Carlucci, Daniela & Helander, Nina, 2023. "Digital transformation in healthcare organisations: The role of innovation labs," Technovation, Elsevier, vol. 122(C).
    12. Zhong Wang & Rui Xu, 2022. "Price Controls and Platform Ecosystem: A Comparative Analysis of Parking Applications between Beijing and London," Sustainability, MDPI, vol. 14(9), pages 1-17, May.
    13. Chang, Victor & Doan, Le Minh Thao & Ariel Xu, Qianwen & Hall, Karl & Anna Wang, Yuanyuan & Mustafa Kamal, Muhammad, 2023. "Digitalization in omnichannel healthcare supply chain businesses: The role of smart wearable devices," Journal of Business Research, Elsevier, vol. 156(C).
    14. Khalil, Fares Georges, 2024. "Socio-technical platforms for care transformation: An integrative synthesis and conceptualization," Technology in Society, Elsevier, vol. 77(C).
    15. Hang Truong & Craig Steven McLachlan, 2022. "Analysis of Start-Up Digital Mental Health Platforms for Enterprise: Opportunities for Enhancing Communication between Managers and Employees," Sustainability, MDPI, vol. 14(7), pages 1-12, March.
    16. Münch, Christopher & Marx, Emanuel, 2022. "Supply ecosystems and the concept of resilience: A literature review," Chapters from the Proceedings of the Hamburg International Conference of Logistics (HICL), in: Kersten, Wolfgang & Jahn, Carlos & Blecker, Thorsten & Ringle, Christian M. (ed.), Changing Tides: The New Role of Resilience and Sustainability in Logistics and Supply Chain Management – Innovative Approaches for the Shift to a New , volume 33, pages 39-66, Hamburg University of Technology (TUHH), Institute of Business Logistics and General Management.
    17. Huarng, Kun-Huang & Lee, Cheng-Fang & Yu, Tiffany Hui-Kuang, 2023. "Case study of a healthcare virtual community model," Technological Forecasting and Social Change, Elsevier, vol. 188(C).
    18. Bronwin Patrickson & Mike Musker & Dan Thorpe & Yasmin van Kasteren & Niranjan Bidargaddi & The Consumer and Carer Advisory Group (CCAG), 2023. "In-Depth Co-Design of Mental Health Monitoring Technologies by People with Lived Experience," Future Internet, MDPI, vol. 15(6), pages 1-17, May.
    19. Rainer Alt, 2021. "Electronic Markets on platform complexity," Electronic Markets, Springer;IIM University of St. Gallen, vol. 31(4), pages 737-742, December.
    20. Paiola, Marco & Khvatova, Tatiana & Schiavone, Francesco & Ferraris, Alberto, 2023. "How do omnichannel strategies contribute to value-based healthcare? An orchestra-based analysis," Journal of Business Research, Elsevier, vol. 167(C).
    21. Garcia-Perez, Alexeis & Cegarra-Navarro, Juan Gabriel & Sallos, Mark Paul & Martinez-Caro, Eva & Chinnaswamy, Anitha, 2023. "Resilience in healthcare systems: Cyber security and digital transformation," Technovation, Elsevier, vol. 121(C).
    22. Foglia, Emanuela & Garagiola, Elisabetta & Bellavia, Daniele & Rossetto, Federica & Baglio, Francesca, 2024. "Digital technology and COVID-19 pandemic: Feasibility and acceptance of an innovative telemedicine platform," Technovation, Elsevier, vol. 130(C).
    23. Ruokolainen, Jari & Nätti, Satu & Juutinen, Milla & Puustinen, Juha & Holm, Anu & Vehkaoja, Antti & Nieminen, Hannu, 2023. "Digital healthcare platform ecosystem design: A case study of an ecosystem for Parkinson's disease patients," Technovation, Elsevier, vol. 120(C).

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