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Becoming Part of the System: Navigating the network landscape of the public healthcare sector as a small innovative healthtech firm

Nilsson, Frida LU and Åkerström, Maja LU (2026) MIOM05 20261
Department of Industrial and Mechanical Sciences
Production Management
Abstract
This study explores how small innovative healthtech firms become embedded
within the Swedish public healthcare system. While healthcare systems
increasingly seek digital innovations to address rising demands and resource
constraints, a gap remains in Sweden between digital innovation capabilities
and their implementation in healthcare.

The study adopts an exploratory, abductive research approach guided by
Business Network Theory and Institutional Theory, and uses a qualitative
multi-method design. The research combines semi-structured interviews
with documentary analysis to investigate how healthtech firms navigate
interactions with public healthcare actors, institutional structures, and
competing logics. The empirical context... (More)
This study explores how small innovative healthtech firms become embedded
within the Swedish public healthcare system. While healthcare systems
increasingly seek digital innovations to address rising demands and resource
constraints, a gap remains in Sweden between digital innovation capabilities
and their implementation in healthcare.

The study adopts an exploratory, abductive research approach guided by
Business Network Theory and Institutional Theory, and uses a qualitative
multi-method design. The research combines semi-structured interviews
with documentary analysis to investigate how healthtech firms navigate
interactions with public healthcare actors, institutional structures, and
competing logics. The empirical context combines perspectives from both
the public and private sectors to provide a comprehensive understanding of
the Swedish public healthcare system as a market environment.

The findings show that embedding is not a linear market-entry process
but a dynamic, relational process shaped by dependencies among actors,
resources, and activities. Moreover, competing institutional logics relating
to state, market, innovation and professionalism influence opportunities and
constraints throughout the embedding process. The study identifies different
pathways through which firms establish legitimacy and access, including
collaboration with public healthcare providers, partnerships with established
suppliers, and engagement with other market actors.

The thesis contributes to research on healthtech innovation by providing
a processual understanding of how start-ups navigate complex healthcare
networks and institutional environments. It also extends business network
and institutional perspectives by illustrating how innovative firms actively
adapt to and shape the structures surrounding them. (Less)
Popular Abstract
Sweden is full of healthtech innovation, but new digital healthcare solutions do not always become part of everyday care. This thesis explores why promising companies often struggle to enter the Swedish public healthcare system, and what it actually takes to become part of it.
Please use this url to cite or link to this publication:
author
Nilsson, Frida LU and Åkerström, Maja LU
supervisor
organization
course
MIOM05 20261
year
type
H2 - Master's Degree (Two Years)
subject
keywords
Healthtech, Public Healthcare, Business Networks, Institutional Logics, Innovation, Embedding Process, Swedish Healthcare System
other publication id
26/5358
language
English
id
9242316
date added to LUP
2026-06-23 16:05:11
date last changed
2026-06-23 16:05:11
@misc{9242316,
  abstract     = {{This study explores how small innovative healthtech firms become embedded
within the Swedish public healthcare system. While healthcare systems
increasingly seek digital innovations to address rising demands and resource
constraints, a gap remains in Sweden between digital innovation capabilities
and their implementation in healthcare.

The study adopts an exploratory, abductive research approach guided by
Business Network Theory and Institutional Theory, and uses a qualitative
multi-method design. The research combines semi-structured interviews
with documentary analysis to investigate how healthtech firms navigate
interactions with public healthcare actors, institutional structures, and
competing logics. The empirical context combines perspectives from both
the public and private sectors to provide a comprehensive understanding of
the Swedish public healthcare system as a market environment.

The findings show that embedding is not a linear market-entry process
but a dynamic, relational process shaped by dependencies among actors,
resources, and activities. Moreover, competing institutional logics relating
to state, market, innovation and professionalism influence opportunities and
constraints throughout the embedding process. The study identifies different
pathways through which firms establish legitimacy and access, including
collaboration with public healthcare providers, partnerships with established
suppliers, and engagement with other market actors.

The thesis contributes to research on healthtech innovation by providing
a processual understanding of how start-ups navigate complex healthcare
networks and institutional environments. It also extends business network
and institutional perspectives by illustrating how innovative firms actively
adapt to and shape the structures surrounding them.}},
  author       = {{Nilsson, Frida and Åkerström, Maja}},
  language     = {{eng}},
  note         = {{Student Paper}},
  title        = {{Becoming Part of the System: Navigating the network landscape of the public healthcare sector as a small innovative healthtech firm}},
  year         = {{2026}},
}