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This chapter provides a reflective synopsis of six cases focused on making healthcare sustainable. The nature and value of an ecosystem perspective is explored. The intent is to apply and generate organizational knowledge to understand and guide purposeful design and learning.

From five countries where healthcare is organized differently, these cases illuminate particular approaches to develop the capabilities for healthcare to deliver greater value to society. Each case is examined through the lens of an appropriate theoretical perspective. This chapter reports the themes that were common in the six case studies.

New approaches are changing the connections in the healthcare ecosystem, including the flows of: medical knowledge, clinical information, and resources. Common themes include: the importance of networks in the emerging healthcare ecosystem; the role of governance mechanisms and leadership to align the diverse ecosystem components; the engagement of dominant ecosystem actors; the need for adaptive change capabilities, and for multi-stakeholder research collaborations to generate actionable knowledge.

Taking an ecosystem perspective enables healthcare leaders to broaden their conceptualization of the changes that will be required to be sustainable in a changing society.

Almost every man, woman and child is affected by the healthcare system. Increasing the sustainability of healthcare is integral to increasing societal sustainability overall.

Viewing the ecosystem as the appropriate focus of purposeful change departs from a traditional approach that focuses on the effectiveness of each element.

This paper aims to investigate the eHealth ecosystem’s evolution during the coronavirus disease 2019 (COVID-19) pandemic and its effects on the progression of care for patients with chronic cardiovascular disease.

To attain the aim of the study, this study chose to adopt a qualitative method that matches the complexity of the issue. The study was conducted in a real context through 44 face-to-face semi-structured interviews of key informants at different levels of the Italian eHealth service ecosystem, via Microsoft Teams. The interviews were carried out from June 2020 to January 2021. In this research, we adopted an abductive approach that enabled a process where the theoretical framework and the data analysis evolved at the same time.

The study results were used to develop a conceptual framework that considers the key factors enabling and constraining the evolutionary process of the eHealth service ecosystem. In particular, the drivers that emerged from the study were actor role empowerment, actor–network engagement and resource reconfiguration while the inhibitors were inter- and intra-actor misalignment, resource myopia and the platformisation gap. The findings also revealed the pivotal role of the meso level in the development of the eHealth service ecosystem, boosted by the COVID-19 pandemic.

By adopting a service ecosystem perspective, this paper contributes, at both a theoretical and a managerial level, to a better understanding of the dynamics related to the diffusion of eHealth. The study identifies the main issues that researchers, managers and policymakers should address to support the evolution of the eHealth service ecosystem, with particular regard to chronic cardiovascular disease.

The chapter redefines the focus of the changes required to create sustainable healthcare away from fixing healthcare organizations and toward reconfiguring the constituent elements of the healthcare ecosystem and redefining how they interrelate to yield value more sustainably.

Based on a review of recent literature on healthcare reform, we argue that unlike other sectors, healthcare organizations cannot change themselves without changing their connections to the rest of the healthcare ecosystem, including other healthcare organizations, patients, governments, research institutions, vendors, and the citizenry at large. This is because these are not only stakeholders but also integral parts of healthcare processes.

Interventions intended to create more sustainable healthcare must bring together knowledge and perspectives from across the ecosystem, and must converge different sources of information and analysis to generate novel ways of connecting across the ecosystem. Change within a healthcare system cannot achieve the magnitude of transformation needed to become sustainable.

If the healthcare ecosystem evolves in the manner described in this chapter, the healthcare ecosystem will no longer center around particular institutions and doctors’ offices but rather be defined by flexible and variable interactions between co-acting elements of the ecosystem.

The chapter treats the context as the focus of change in order to change the healthcare system. It proposes three kinds of flows: knowledge, clinical, and resource that are already beginning to change and that will eventually result in fundamentally different approaches to healthcare.

This paper aims to present an interview with Professor Ron Adner, author of The Wide Lens.

The paper presents an interview with Professor Ron Adner, author of The Wide Lens to ask about his structured approach to uncovering the hidden sources of dependence in innovation ecosystems that undermine collaboration efforts. Adner describes how to use the tools he has developed to assess, map and analyse innovation ecosystems. Adner explains that when delivering value depends on the combined efforts of multiple innovation partners – both within and across firms – executing brilliantly does not prevent failure if the other partners stumble. Numerous case studies are reported and a new set of analysis tools is introduced.

Adner reveals that success in new product/service ecosystems requires innovation partners that are both able and willing to participate in a novel solution.

The paper notes that seeing innovation as ecosystem management produces many new insights about effective implementation.

The purpose of this paper is to understand the strategic management of a technology-enabled shift from a product-centric to a service-centric logic and to identify the sociotechnical dynamics underlying this transition. The study focuses on how manufacturers manage to create value in industrial markets through digital servitization.

An abductive research approach is used to investigate two manufacturing firms, and an interpretive framework is used as an analytical template. A cross-case analysis is conducted.

The case companies strategically managed sociotechnical processes of digitization to co-create value. Their service orientation delineates dissimilarity in terms of digital servitization. It reflects a viable ecosystem that moves toward datatization through adaptation in one case and a viable ecosystem that moves toward digitization through reconfiguration in the other case.

A theoretically grounded, empirically informed framework is proposed to detect transformational mechanisms to manage value co-creation in digitally servitized contexts, thus contributing to ecosystem viability.

This is the first study to adopt a system perspective such as the viable system approach combined with service-dominant logic to reconceptualize the overall sociotechnical processes and the underlying mechanisms leading to digitized value creation. In line with a systems view and a systematic process based on a transformative attitude toward digital servitization, the empirically informed framework identifies specific co-creation activities and recursive feedback loops.

Technology-enabled business-to-business (B2B) services contribute the largest share to GDP growth and are fundamental for an economy’s value creation. This article aims to identify key service- and digital technology-driven B2B innovation modes and proposes a research agenda for further exploration.

This conceptual paper adopts a techno-demarcation view on service innovation, encompassing three core dimensions: service offering (the service product, or the “what”), service process (the “how”) and service ecosystem (the “who/for whom”). It delineates the implications of three digital technologies – the internet-of-things (IoT), intelligent automation (IA) and digital platforms – for service innovation across these core dimensions in B2B markets.

Digital technology has immense potential ramifications for value creation by reshaping all three core dimensions of service innovation. Specifically, IoT can transform physical resources into reconfigurable service products, IA can augment and automate a rapidly expanding array of service processes, while digital platforms provide the technical and organizational infrastructure for the integration of resources and stakeholders within service ecosystems.

This study suggests an agenda with six themes for further research, each linked to one or more of the three service innovation dimensions. They are (1) new recurring revenue models, (2) service innovation in the metaverse, (3) scaling up service innovations, (4) ecosystem innovations, (5) power dependency and lock-in effects and (6) security and responsibility in digital domains.

This article aims to understand the dynamics between disruptive innovations and innovation ecosystems, using disruption business models as a catalyst.

This study presents an integrative literature review and a theoretical framework in order to integrate the theories of disruptions and ecosystems.

The dynamics of disruptive innovation, within an ecosystem, as an essential driver of creating new markets. The effect of creative destruction from a disruption influences business models in a coopetitive dynamic that drives the ecosystem as a whole.

Limited to theoretical research and suggested the application of the proposed model in an empirical study.

Understand the formation of new ecosystems based on the occurrence of a disruption as a way for organisations to prepare for the arrival of this new market.

The contribution of this study is based on joining the literature of disruptive innovation and innovation ecosystem, pointing to a theoretical framework and a flow of Evolution and Adaptation to the Disruptive Ecosystem that integrates this complex dynamic.

Implementing servitization requires collaborative efforts from multiple actors in the business network or ecosystem. A multi-actor perspective is considered valuable for understanding the process of servitization. This study aims to review the contemporary research on organizing servitization by multi-actor collaborations.

The approach of systematic literature review was used. In total, 90 English-language journal articles published from 2004 to 2021 were selected based on a series of rigorous steps. Furthermore, descriptive and thematic analyses were conducted to answer the predefined review questions.

The servitization research from the multi-actor collaboration perspective is an infant field yet growing increasingly. An integrative framework was proposed to reveal the extant related studies. In this framework, three typical servitization lenses emphasizing multi-actor collaborations were uncovered. Moreover, six categories of influence factors and possible positive and negative outcomes for this process were identified. Existing knowledge gaps and underlying research directions were also discussed to lay the foundations for future research.

This research has been limited by the usage of single database, rigorous selection criteria by the Academic Journal Guide (AJG 2018) list and exclusion of non-English papers.

To the best of the authors’ knowledge, this study is one of the earliest systematic literature reviews to explore the servitization issues by adopting a multi-actor perspective. The findings can consolidate the knowledge base of servitization and provide implications for the multiple fields of industrial marketing, operational management, information management and service marketing.

Service ecosystems are becoming an important domain of joint value creation and resource integration, and the literature in the field is burgeoning. The recent growth in the literature warrants consolidating the findings of the existing literature, summarizing the recent development and identifying avenues for more impactful future research on the topic. This study aims to map the service ecosystems research domain and synthesize insights by integrating qualitative content analysis with quantitative data analysis.

This paper uses algorithmic bibliometric review (quantitative) with VOSviewer and R-package and content analysis (qualitative) on 119 service ecosystems papers published between 2003 and 2020.

The bibliometric analysis uncovers the critical research domains, knowledge trajectories, influential authors and journals and author networks in the field. The content analysis identifies the four most important research themes (value creation, change triggers, strategic and entrepreneurial action and institutional embeddedness and agency) and provides an integrative view of the dynamics among these themes. The authors also find the need for more empirical and theory grounded research around these four themes. Furthermore, based on the review, the authors discuss the disciplinary identity of the service ecosystems field and suggest interesting future research opportunities, along with ideas for useful empirical approaches and theoretical extensions.

This study’s comprehensive analysis offers an overview of the evolution and identity of the service ecosystems research and identifies several promising opportunities for future research on service ecosystems.

The paper presents a systematic literature review on business model transformation (BMT). The aim of the study is to determine the main research streams in BMT literature, develop a conceptual model on BMT research, and identify potential directions for future research.

The authors use systematic literature review approach and provide a detailed protocol to meet reliability requirements. The study is based on the multilayer in-depth analysis of 92 articles published in leading international journal in general management, international business, strategy, innovation, and organization studies.

The paper identifies a crucial importance of further research on BMT with regards to the context specificity of a company's country of origin, transformation of value delivery and value capture blocks of BMs, entrepreneurial techniques of BMT management, and international aspects of BMT.

By a means of systematic literature review, the paper envisages the current state of knowledge about BMT, traces the development of BMT research, classifies it, and identifies potential directions for future inquiries.