期刊
ORGANIZATION & ENVIRONMENT
卷 29, 期 4, 页码 486-507出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1086026616647174
关键词
health care; business model innovation; base of the pyramid (BoP); emerging economies
资金
- Research and Publication unit at Indian Institute of Management, Ahmedabad
This article investigates business models innovation for delivering health care at the base of the pyramid (BoP). The examination of six health care organizational cases suggests that co-creation of patient needs, community engagement, continuous involvement of customers, innovative medical technology, focus on human resources for health, strategic partnerships, economies of scale, and cross-subsidization are business model innovation strategies that enable inclusive health care delivery. Based on these findings, we propose a four-dimensional framework. A process of value discovery, leading BoP patients and communities to recognize a health need and seek for an acceptable treatment, precedes the identification of a successful value proposition. Value creation and value appropriation then follow to warrant patient affordability and organizational sustainability. A business model mechanism for BoP health care hence emerges, where interdependencies among these dimensions are highlighted. This article sheds new light on how market-based approaches can improve equitable health care access and hence contribute to poverty alleviation.
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