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Entering non-platformized sectors: The co-evolution of legitimacy debates and platform business models in digital health care

Essén, Anna ; Frishammar, Johan and Cenamor, Javier LU orcid (2023) In Technovation 121.
Abstract
Digital platforms have deeply transformed a wide variety of sectors. However, new platform business models often face critical legitimacy challenges. Consequently, new entrants must continuously design and redesign their business model components, particularly when entering non-platformized sectors that are highly regulated. We draw on a longitudinal case study of the emergence of digital healthcare platforms in Sweden between 2013 and 2020. The analysis unravels a dynamic process of redesigning platform business models and their constituent components in response to legitimacy debates, suggesting that permission to operate can be fragile and subject to continuous negotiation. Our findings contribute to current insights into platforms,... (More)
Digital platforms have deeply transformed a wide variety of sectors. However, new platform business models often face critical legitimacy challenges. Consequently, new entrants must continuously design and redesign their business model components, particularly when entering non-platformized sectors that are highly regulated. We draw on a longitudinal case study of the emergence of digital healthcare platforms in Sweden between 2013 and 2020. The analysis unravels a dynamic process of redesigning platform business models and their constituent components in response to legitimacy debates, suggesting that permission to operate can be fragile and subject to continuous negotiation. Our findings contribute to current insights into platforms, business models, and digital innovation in complex institutional contexts. Furthermore, our work carries implications for managers and policy makers in the digital health area. (Less)
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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Digital platform, Business model design, New entrants, Legitimacy. healthcare, Digital transformation, Mhealth, Digital innovation
in
Technovation
volume
121
publisher
Elsevier
external identifiers
  • scopus:85139017971
ISSN
0166-4972
DOI
10.1016/j.technovation.2022.102597
project
Adapting digital healthcare platforms to the needs of elderly patients
language
English
LU publication?
yes
id
95cdb671-44c6-4e13-ae72-025a034dc002
date added to LUP
2022-08-05 09:21:24
date last changed
2024-01-19 20:13:21
@article{95cdb671-44c6-4e13-ae72-025a034dc002,
  abstract     = {{Digital platforms have deeply transformed a wide variety of sectors. However, new platform business models often face critical legitimacy challenges. Consequently, new entrants must continuously design and redesign their business model components, particularly when entering non-platformized sectors that are highly regulated. We draw on a longitudinal case study of the emergence of digital healthcare platforms in Sweden between 2013 and 2020. The analysis unravels a dynamic process of redesigning platform business models and their constituent components in response to legitimacy debates, suggesting that permission to operate can be fragile and subject to continuous negotiation. Our findings contribute to current insights into platforms, business models, and digital innovation in complex institutional contexts. Furthermore, our work carries implications for managers and policy makers in the digital health area.}},
  author       = {{Essén, Anna and Frishammar, Johan and Cenamor, Javier}},
  issn         = {{0166-4972}},
  keywords     = {{Digital platform; Business model design; New entrants; Legitimacy. healthcare; Digital transformation; Mhealth; Digital innovation}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Technovation}},
  title        = {{Entering non-platformized sectors: The co-evolution of legitimacy debates and platform business models in digital health care}},
  url          = {{http://dx.doi.org/10.1016/j.technovation.2022.102597}},
  doi          = {{10.1016/j.technovation.2022.102597}},
  volume       = {{121}},
  year         = {{2023}},
}