IDEAS home Printed from https://ideas.repec.org/a/spr/intemj/v15y2019i1d10.1007_s11365-018-0546-z.html
   My bibliography  Save this article

Management priorities of digital health service start-ups in California

Author

Listed:
  • Matti Muhos

    (University of Oulu)

  • Martti Saarela

    (University of Oulu)

  • Delbert Foit

    (University of California)

  • Lada Rasochova

    (University of California)

Abstract

Digitalisation has revolutionised health service delivery, which has provided global business opportunities for start-ups that specialise in digital innovations. Such start-ups challenge the traditional healthcare service industry by introducing radical and sustainable innovations in the agile product development cycle and the creative acquisition of resources within their networks. Starting up is the most critical period in establishing a new digital health service company. However, little is known about the critical early growth processes of newly established digital healthcare service businesses. The aim of this study is to clarify the experience-based priorities of managers of digital health service businesses in California during the critical start-up stage. Based on this multiple case study, the qualitative and contextual characteristics of growth in California-based digital health service start-ups were clarified, and a framework of management priorities was formed. Network management is a high priority in digital service start-ups that are focused on bringing radical innovations to the complex and hard-to-access market where fundraising is an integral part of success.

Suggested Citation

  • 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.
    • Handle: RePEc:spr:intemj:v:15:y:2019:i:1:d:10.1007_s11365-018-0546-z
    DOI: 10.1007/s11365-018-0546-z
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s11365-018-0546-z
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s11365-018-0546-z?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. Joel A. C. Baum & Tony Calabrese & Brian S. Silverman, 2000. "Don't go it alone: alliance network composition and startups' performance in Canadian biotechnology," Strategic Management Journal, Wiley Blackwell, vol. 21(3), pages 267-294, March.
    2. O. Witmeur & A. Fayolle, 2009. "Developping and Testing a Typology of Growth Strategies of Entrepreneurial IT Services Firms," Post-Print halshs-00553564, HAL.
    3. Nanda, Ramana & Rhodes-Kropf, Matthew, 2013. "Investment cycles and startup innovation," Journal of Financial Economics, Elsevier, vol. 110(2), pages 403-418.
    4. Matti Muhos & Anna-Mari Simunaniemi & Martti Saarela & Delbert Foit Jr. & Lada Rasochova, 2017. "Early stages of service business - review and synthesis," International Journal of Management and Enterprise Development, Inderscience Enterprises Ltd, vol. 16(3), pages 151-173.
    5. Matti Muhos & Pekka Kess & Kongkiti Phusavat & Sitthinath Sanpanich, 2010. "Business growth models: review of past 60 years," International Journal of Management and Enterprise Development, Inderscience Enterprises Ltd, vol. 8(3), pages 296-315.
    6. Alexander McKelvie & Johan Wiklund, 2010. "Advancing Firm Growth Research: A Focus on Growth Mode Instead of Growth Rate," Entrepreneurship Theory and Practice, , vol. 34(2), pages 261-288, March.
    7. Mikael Samuelsson & Per Davidsson, 2009. "Does venture opportunity variation matter? Investigating systematic process differences between innovative and imitative new ventures," Small Business Economics, Springer, vol. 33(2), pages 229-255, August.
    8. Kazanjian, Robert K. & Drazin, Robert, 1990. "A stage-contingent model of design and growth for technology based new ventures," Journal of Business Venturing, Elsevier, vol. 5(3), pages 137-150, May.
    9. Michael Luger & Jun Koo, 2005. "Defining and Tracking Business Start-Ups," Small Business Economics, Springer, vol. 24(1), pages 17-28, January.
    10. Jonathan Levie & Benyamin B. Lichtenstein, 2010. "A Terminal Assessment of Stages Theory: Introducing a Dynamic States Approach to Entrepreneurship," Entrepreneurship Theory and Practice, , vol. 34(2), pages 317-350, March.
    11. Dean Shepherd & Johan Wiklund, 2009. "Are we Comparing Apples with Apples or Apples with Oranges? Appropriateness of Knowledge Accumulation across Growth Studies," Entrepreneurship Theory and Practice, , vol. 33(1), pages 105-123, January.
    12. Choonwoo Lee & Kyungmook Lee & Johannes M. Pennings, 2001. "Internal capabilities, external networks, and performance: a study on technology‐based ventures," Strategic Management Journal, Wiley Blackwell, vol. 22(6‐7), pages 615-640, June.
    13. Danny Miller & Peter H. Friesen, 1984. "A Longitudinal Study of the Corporate Life Cycle," Management Science, INFORMS, vol. 30(10), pages 1161-1183, October.
    14. 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.
    15. Davidsson, Per & Honig, Benson, 2003. "The role of social and human capital among nascent entrepreneurs," Journal of Business Venturing, Elsevier, vol. 18(3), pages 301-331, May.
    16. Mário Raposo & David Smallbone & Károly Balaton & Lilla Hortoványi (ed.), 2011. "Entrepreneurship, Growth and Economic Development," Books, Edward Elgar Publishing, number 14481.
    17. Julie M. Hite & William S. Hesterly, 2001. "The evolution of firm networks: from emergence to early growth of the firm," Strategic Management Journal, Wiley Blackwell, vol. 22(3), pages 275-286, March.
    18. Elfring, Tom & Hulsink, Willem, 2003. "Networks in Entrepreneurship: The Case of High-Technology Firms," Small Business Economics, Springer, vol. 21(4), pages 409-422, December.
    19. Martti Saarela & Anna-Mari Simunaniemi & Matti Muhos & Pekka Leviäkangas, 2018. "Growth management of eHealth service start-ups," Journal of Advances in Management Research, Emerald Group Publishing Limited, vol. 15(1), pages 17-36, February.
    20. Rosenbusch, Nina & Brinckmann, Jan & Bausch, Andreas, 2011. "Is innovation always beneficial? A meta-analysis of the relationship between innovation and performance in SMEs," Journal of Business Venturing, Elsevier, vol. 26(4), pages 441-457, July.
    21. Jukka Majava & Tuomo Kinnunen & Pekka Kess & Pekka Leviäkangas, 2014. "Spatial Health and Life Sciences Business Ecosystems: Research Frame," Management, University of Primorska, Faculty of Management Koper, vol. 9(4), pages 307-322.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Pinho, Celso R.A. & Pinho, Maria Luiza C.A. & Deligonul, Seyda Z. & Tamer Cavusgil, S., 2022. "The agility construct in the literature: Conceptualization and bibliometric assessment," Journal of Business Research, Elsevier, vol. 153(C), pages 517-532.
    2. 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).
    3. 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).

    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. Malyy, Maksim & Tekic, Zeljko & Podladchikova, Tatiana, 2021. "The value of big data for analyzing growth dynamics of technology-based new ventures," Technological Forecasting and Social Change, Elsevier, vol. 169(C).
    2. Diane M. Sullivan & Cameron M. Ford, 2014. "How Entrepreneurs use Networks to Address Changing Resource Requirements during Early Venture Development," Entrepreneurship Theory and Practice, , vol. 38(3), pages 551-574, May.
    3. Thorsten Semrau & Arndt Werner, 2014. "How Exactly Do Network Relationships Pay Off? The Effects of Network Size and Relationship Quality on Access to Start–Up Resources," Entrepreneurship Theory and Practice, , vol. 38(3), pages 501-525, May.
    4. Lavlu Mozumdar & Geoffrey Hagelaar & Valentina C. Materia & S. W. F. Omta & Mohammad Amirul Islam & Gerben Velde, 2019. "Embeddedness or Over-Embeddedness? Women Entrepreneurs’ Networks and Their Influence on Business Performance," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 31(5), pages 1449-1469, December.
    5. Uwe Cantner & Michael Stützer, 2010. "The Use and Effect of Social Capital in New Venture Creation - Solo Entrepreneurs vs. New Venture Teams," Jena Economics Research Papers 2010-012, Friedrich-Schiller-University Jena.
    6. Nuscheler, Daniela & Engelen, Andreas & Zahra, Shaker A., 2019. "The role of top management teams in transforming technology-based new ventures' product introductions into growth," Journal of Business Venturing, Elsevier, vol. 34(1), pages 122-140.
    7. Vershinina, Natalia & Rodgers, Peter & Tarba, Shlomo & Khan, Zaheer & Stokes, Peter, 2020. "Gaining legitimacy through proactive stakeholder management: The experiences of high-tech women entrepreneurs in Russia," Journal of Business Research, Elsevier, vol. 119(C), pages 111-121.
    8. Stam, Wouter & Arzlanian, Souren & Elfring, Tom, 2014. "Social capital of entrepreneurs and small firm performance: A meta-analysis of contextual and methodological moderators," Journal of Business Venturing, Elsevier, vol. 29(1), pages 152-173.
    9. M. Kamil Kozan & Levent Akdeniz, 2014. "Role of Strong versus Weak Networks in Small Business Growth in an Emerging Economy," Administrative Sciences, MDPI, vol. 4(1), pages 1-16, February.
    10. Erik Lundmark & Anna Krzeminska & Dean A. Shepherd, 2019. "Images of Entrepreneurship: Exploring Root Metaphors and Expanding Upon Them," Entrepreneurship Theory and Practice, , vol. 43(1), pages 138-170, January.
    11. Thommie Burström & Jussi Harri & Timothy. L. Wilson, 2018. "Nascent Entrepreneurs Managing in Networks: Equivocality, Multiplexity and Tie Formation," Journal of Enterprising Culture (JEC), World Scientific Publishing Co. Pte. Ltd., vol. 26(01), pages 51-83, March.
    12. Alexander McKelvie & Anna Brattström & Karl Wennberg, 2017. "How young firms achieve growth: reconciling the roles of growth motivation and innovative activities," Small Business Economics, Springer, vol. 49(2), pages 273-293, August.
    13. Susanna Slotte–Kock & Nicole Coviello, 2010. "Entrepreneurship Research on Network Processes: A Review and Ways Forward," Entrepreneurship Theory and Practice, , vol. 34(1), pages 31-57, January.
    14. Jack, Sarah L., 2010. "Approaches to studying networks: Implications and outcomes," Journal of Business Venturing, Elsevier, vol. 25(1), pages 120-137, January.
    15. Per Davidsson & Jan Henrik Gruenhagen, 2021. "Fulfilling the Process Promise: A Review and Agenda for New Venture Creation Process Research," Entrepreneurship Theory and Practice, , vol. 45(5), pages 1083-1118, September.
    16. Milanov, Hana & Fernhaber, Stephanie A., 2009. "The impact of early imprinting on the evolution of new venture networks," Journal of Business Venturing, Elsevier, vol. 24(1), pages 46-61, January.
    17. Zhang, Yanlong, 2015. "The contingent value of social resources: Entrepreneurs' use of debt-financing sources in Western China," Journal of Business Venturing, Elsevier, vol. 30(3), pages 390-406.
    18. Nicole Coviello & Martin Cox, 2006. "The resource dynamics of international new venture networks," Journal of International Entrepreneurship, Springer, vol. 4(2), pages 113-132, September.
    19. A. Rebecca Reuber & Eileen Fischer, 2005. "The Company You Keep: How Young Firms in Different Competitive Contexts Signal Reputation through Their Customers," Entrepreneurship Theory and Practice, , vol. 29(1), pages 57-78, January.
    20. Kim Klyver & Benson Honig & Paul Steffens, 2018. "Social support timing and persistence in nascent entrepreneurship: exploring when instrumental and emotional support is most effective," Small Business Economics, Springer, vol. 51(3), pages 709-734, October.

    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:spr:intemj:v:15:y:2019:i:1:d:10.1007_s11365-018-0546-z. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    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.