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Hidefjäll, P., Laurell, H., Johansson, J. & Barlow, J. (2023). Institutional logics and the adoption and implementation of remote patient monitoring. Innovation: Management, Policy & Practice
Open this publication in new window or tab >>Institutional logics and the adoption and implementation of remote patient monitoring
2023 (English)In: Innovation: Management, Policy & Practice, ISSN 1447-9338, E-ISSN 2204-0226Article in journal (Refereed) Epub ahead of print
Abstract [en]

Remote patient monitoring (RPM) of chronic diseases represents a care modality with great potential to substantially improve outcomes and reduce hospital admission and costs to society. Empirical research has examined the processes of RPM adoption and implementation; however, implementation of RPM–a complex technological and health service innovation–remains challenging. Various analytical frameworks have tried to understand the conditions for successful adoption and implementation of RPM and other complex healthcare innovations. This conceptual study argues that incorporation of lessons from literature on institutional logics could enrich these frameworks. Healthcare is a domain influenced by multiple competing, collaborating or co-existing institutional logics such as professional, state, market, corporate and increasingly a community logic, expressed in patient-centred care principles. We outline the concept of patient-centred care as an emerging institutional logic and explore how to incorporate it into two widely used analytical frameworks, NASSS (‘non-adoption, abandonment, scale-up, spread, and sustainability’) and normalisation process theory (NPT). The main benefit of adding an institutional logics approach to the NPT framework is primarily to increase awareness of how institutional logics at meso-and macro-levels may affect the scope of implementation at a micro-level. In the case of the NASSS framework institutional logics provides a rationale for achieving cross-level alignment between domains. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Melbourne: Routledge, 2023
Keywords
Adoption, implementation, innovation, institutional logics, NASSS, normalisation process theory, patient-centred care, remote patient monitoring
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-50060 (URN)10.1080/14479338.2022.2162907 (DOI)000906686400001 ()2-s2.0-85145501124 (Scopus ID)
Available from: 2023-03-06 Created: 2023-03-06 Last updated: 2023-03-06Bibliographically approved
Andersson, S., Svensson, G., Otero-Neira, C., Laurell, H., Lindgren, J. & Karlsson, N. P. E. (2022). Sustainable development considerations in supply chains: Firms' relationships with stakeholders in their business sustainability practices—A triangular comparison. Business Strategy and the Environment, 32(4), 1885-1899
Open this publication in new window or tab >>Sustainable development considerations in supply chains: Firms' relationships with stakeholders in their business sustainability practices—A triangular comparison
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2022 (English)In: Business Strategy and the Environment, ISSN 0964-4733, E-ISSN 1099-0836, Vol. 32, no 4, p. 1885-1899Article in journal (Refereed) Published
Abstract [en]

This study aims to investigate focal firms' business sustainability relationships in connection with their stakeholders in supply chain networks. A questionnaire survey was sent to a sample consisting of large Swedish firms, with 107 usable questionnaires returned. The results reveal which stakeholders are of interest for firms in sustainability efforts. The results are compared with earlier findings from Norway and Spain in a triangular approach. The former is a similar country, while the latter is different to Sweden in several ways. In addition, the study uncovers which stakeholders in the supply chain network should be considered. The study also demonstrates how firms can implement business sustainability in their supply chain networks and shows the extent to which different stakeholders are considered in sustainability efforts. The study contributes to sustainability research and stakeholder theory in supply chain networks. Opposite to earlier findings, this study showed only minor influences from national culture and institutions on firms' sustainable business practices in supply chain networks. © 2022 The Authors. Business Strategy and The Environment published by ERP Environment and John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
Oxford: John Wiley & Sons, 2022
Keywords
business sustainability, networks, stakeholder engagement, supply chain, supply chain management, sustainable development, Sweden
National Category
Business Administration
Identifiers
urn:nbn:se:hh:diva-48033 (URN)10.1002/bse.3225 (DOI)000842184000001 ()2-s2.0-85135939274 (Scopus ID)
Available from: 2022-09-09 Created: 2022-09-09 Last updated: 2023-06-19Bibliographically approved
Andersson, S., Svensson, G., Molina-Castillo, F. J., Otero-Neira, C., Lindgren, J., Karlsson, N. P. .. & Laurell, H. (2022). Sustainable development—Direct and indirect effects between economic, social, and environmental dimensions in business practices. Corporate Social Responsibility and Environmental Management, 29(5), 1158-1172
Open this publication in new window or tab >>Sustainable development—Direct and indirect effects between economic, social, and environmental dimensions in business practices
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2022 (English)In: Corporate Social Responsibility and Environmental Management, ISSN 1535-3958, E-ISSN 1535-3966, Vol. 29, no 5, p. 1158-1172Article in journal (Refereed) Published
Abstract [en]

This study investigates the direct and indirect effects between economic, social and environmental dimensions of triple bottom line (TBL), based on a questionnaire survey and cross-industrial sample in Sweden. The analyses apply partial least squares structural equation models. The study tests the direct and indirect effects between economic, social, and environmental dimensions of TBL and offers additional validity and reliability to establish the measurement and structural properties between the dimensions of TBL. The study extends earlier findings by explicitly discussing how the three TBL goals relate to each other and shows how the dynamic capability view can be a fruitful lens to investigate business sustainability. Some differences in sustainability business practices caused by differences in national cultures are identified. Sustainability reporting in a strong uncertainty avoidance (UA) country happens in accordance with regulations and laws. Conversely, for weak UA cultures, reporting and compliance with regulations are ways to build trust with stakeholders. That is, reporting is more transparent and widespread in weak UA countries. The study also provides a foundation to guide companies' actions of business sustainability. The model shows companies how to establish the order of actions undertaken across economic, social, and environmental dimensions. In addition, it clarifies that the economic dimension exerts an effect on the social and environmental dimensions. The model also grasps long-term economic performance by including competitiveness and brand value, while earlier research mainly has focused on more short-term measurements as return on assets. © 2022 The Authors. Corporate Social Responsibility and Environmental Management published by ERP Environment and John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
Oxford: John Wiley & Sons, 2022
Keywords
business sustainability, economic, social and environmental sustainability, sustainable development, Sweden, triple bottom line
National Category
Business Administration
Identifiers
urn:nbn:se:hh:diva-46489 (URN)10.1002/csr.2261 (DOI)000765146600001 ()2-s2.0-85125651894 (Scopus ID)
Available from: 2022-03-18 Created: 2022-03-18 Last updated: 2022-10-24Bibliographically approved
Pejner, N. M., Ourique de Morais, W., Lundström, J., Laurell, H. & Skärsäter, I. (2019). A Smart Home System for Information Sharing, Health Assessments, and Medication Self-Management for Older People: Protocol for a Mixed-Methods Study. JMIR Research Protocols, 8(4), Article ID e12447.
Open this publication in new window or tab >>A Smart Home System for Information Sharing, Health Assessments, and Medication Self-Management for Older People: Protocol for a Mixed-Methods Study
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2019 (English)In: JMIR Research Protocols, E-ISSN 1929-0748, Vol. 8, no 4, article id e12447Article in journal (Refereed) Published
Abstract [en]

Background: Older adults often want to stay in a familiar place, such as their home, as they get older. This so-called aging in place, which may involve support from relatives or care professionals, can promote older people’s independence and well-being. The combination of aging and disease, however, can lead to complex medication regimes, and difficulties for care providers in correctly assessing the older person's health. In addition, the organization of the health care is fragmented, which makes it difficult for health professionals to encourage older people to participate in their care. It is also a challenge to perform adequate health assessment and appropriate communication between health care professionals.

Objective: The purpose of this paper is to describe the design for an integrated home-based system that can acquire and compile health-related evidence for guidance and information sharing among care providers and care receivers in order to support and promote medication self-management among older people.

Methods: The authors used a participatory design (PD) approach for this mixed-method project, which was divided into four phases: Phase I, Conceptualization, consisted of the conceptualization of a system to support medication self- management, objective health assessments, and communication between health care professionals. Phase II, Development of a System, consisted of building and bringing together the conceptualized systems from phase I. Phases III (pilot study) and IV (a full-scale study) are described briefly.

Results: Our participants in phase I were people who were involved in some way in the care of older adults, and included older adults themselves, relatives of older adults, care professionals, and industrial partners. With input from phase I participants, we identified two relevant concepts for promoting medication self-management, both of which related to systems that participants believed could provide guidance for the older adults themselves, relatives of older adults, and care professionals. The system will also encourage information sharing between care providers and care receivers. The first is the concept of the Intelligent Friendly Home (IAFH), defined as an integrated residential system that evolves to sense, reason and act in response to individual needs, preferences and behaviors as these change over time. The second concept is the MedOP system, a system that would be supported by the IAFH, and which consists of three related components: one that assess health behaviors, another that communicates health data, and a third that promotes medication self-management.

Conclusions: The participants in this project were older adults, relatives of older adults, care professionals, and our industrial partners. With input from the participants, we identified two main concepts that could comprise a system for health assessment, communication and medication self-management: the Intelligent Friendly Home (IAFH), and the MedOP system. These concepts will be tested in this study to determine whether they can facilitate and promote medication self-management in older people. © The authors. All rights reserved. 

Place, publisher, year, edition, pages
Toronto: J M I R Publications, Inc., 2019
Keywords
assessments, medication, mixed methods, older people, self-management, smart homes
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-39753 (URN)10.2196/12447 (DOI)000466496800024 ()31038459 (PubMedID)2-s2.0-85067859310 (Scopus ID)
Available from: 2019-06-13 Created: 2019-06-13 Last updated: 2024-01-17Bibliographically approved
Laurell, H., Karlsson, N., Lindgren, J., Andersson, S. & Svensson, G. (2019). Re-testing and validating a triple bottom line dominant logic for business sustainability. Management of environmental quality, 30(3), 518-537
Open this publication in new window or tab >>Re-testing and validating a triple bottom line dominant logic for business sustainability
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2019 (English)In: Management of environmental quality, ISSN 1477-7835, E-ISSN 1758-6119, Vol. 30, no 3, p. 518-537Article in journal (Refereed) Published
Abstract [en]

The triple bottom line (TBL) is still commonly explored in research without joint consideration of economic, social and environmental elements of business sustainability (BS). The purpose of this paper is to re-test and validate a BS framework based on the TBL approach.This study is based on a questionnaire survey consisting of the largestfirms in corporate Sweden. A total of 107 usable questionnaires were ultimately received, for a response rate of 36.5 percent. The findings validate and extend a framework of a TBL-dominant logic for BS. A total of 19 dimensions indicating satisfactory validity and reliability of the BS framework were identified. The BS framework offers relevant insights to monitor and assess a TBL-dominant logic for BS. It also provides opportunities for further research. Managers can use the BS framework as a tool to map firm priorities in connection with BS. Each dimension of the BS framework offers insights into how to monitor and assess firms’ efforts in the TBL.This study contributes to validate and extend the TBL-dominant logic for BS. The BS framework also offers a timely and relevant contribution to both scholars and practitioners engaging in business sustainability. © 2018, Emerald Publishing Limited.

Place, publisher, year, edition, pages
Bingley: Emerald Group Publishing Limited, 2019
Keywords
Sweden, Validation, Business sustainability, Triple bottom line
National Category
Business Administration
Identifiers
urn:nbn:se:hh:diva-38171 (URN)10.1108/MEQ-02-2018-0024 (DOI)000461046500002 ()2-s2.0-85053262807 (Scopus ID)
Available from: 2018-10-17 Created: 2018-10-17 Last updated: 2021-05-11Bibliographically approved
Karlsson, N. P. .., Laurell, H., Lindgren, J., Pehrsson, T., Andersson, S. & Svensson, G. (2018). A cross-country comparison and validation of firms’ stakeholder considerations in sustainable business practices. Corporate Governance : The International Journal of Effective Board Performance, 18(3), 408-424
Open this publication in new window or tab >>A cross-country comparison and validation of firms’ stakeholder considerations in sustainable business practices
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2018 (English)In: Corporate Governance : The International Journal of Effective Board Performance, ISSN 1472-0701, E-ISSN 1758-6054, Vol. 18, no 3, p. 408-424Article in journal (Refereed) Published
Abstract [en]

Purpose: The purpose of this study is to compare and validate firms’ internal and external stakeholder considerations in sustainable business practices across business settings. It aims to assess the validity and reliability of a stakeholder framework appearing in previous studies.

Design/methodology/approach: The study uses a questionnaire survey and a cross-industry sample consisting of the largest firms in corporate Sweden. Multivariate analysis tests the stakeholder framework. Each of the 294 key informants was initially identified and contacted by telephone, generating a response rate of 36.5 per cent.

Findings: The tested stakeholder framework appears valid and reliable across countries to assess the internal stakeholders of focal firms, as well as their up- and downstream, market and societal stakeholders. This study provides additional empirical support to categorize firms’ stakeholder considerations in sustainable business practices.

Research limitations/implications: This study validates previous findings in terms of Swedish firms’ considerations of internal and external stakeholders in sustainable business practices in relation to one similar country (Norway) and one different country (Spain). The study also shows how the three countries perceive the focal company and societal stakeholders differently. Practical implications: The tested framework sheds light on focal firms’ stakeholder considerations in sustainable business practices and elucidates the extent to which firms’ account for their internal and external stakeholders in sustainable business practices.

Originality/value: This study contributes to the development of valid and reliable stakeholder theory across contexts and through time. In particular, it contributes to the development of a valid and reliable framework to categorize firms’ stakeholder considerations in sustainable business practices. © 2018, Emerald Publishing Limited.

Place, publisher, year, edition, pages
Bingley: Emerald Group Publishing Limited, 2018
Keywords
Stakeholders, Corporate social responsibility, Supply chain management
National Category
Business Administration
Identifiers
urn:nbn:se:hh:diva-36493 (URN)10.1108/CG-07-2017-0131 (DOI)000433897200003 ()2-s2.0-85043459490 (Scopus ID)
Available from: 2018-03-22 Created: 2018-03-22 Last updated: 2021-05-11Bibliographically approved
Laurell, H. (2018). An international new venture’s commercialization of a medical technology innovation: The role of institutional healthcare settings. International Marketing Review, 35(1), 136-163
Open this publication in new window or tab >>An international new venture’s commercialization of a medical technology innovation: The role of institutional healthcare settings
2018 (English)In: International Marketing Review, ISSN 0265-1335, E-ISSN 1758-6763, Vol. 35, no 1, p. 136-163Article in journal (Refereed) Published
Abstract [en]

Purpose: The purpose of this paper is to explore how different country-specific institutional healthcare settings affect an international new venture’s (INV’s) selling strategies and internationalization process when commercializing a medical technology innovation.

Design/methodology/approach: The study is based on a longitudinal in-depth case study approach with a comparative healthcare analysis in Sweden, UK, Germany and the USA.

Findings: An institutional framework helps elucidate the regulative, normative and cultural-cognitive dimensions in different healthcare settings. National markets differ when operating in a healthcare setting and thus affect both sales patterns and the internationalization process. In this study, three different sales patterns emerged from the countries’ and even regions’ distinctive institutional differences. Although the actual internationalization process starts from the INV’s inception, the subsequent internationalization process was both slow and focused due to institutional diversity and complexity.

Practical implications: Every nation has its own unique healthcare structure, indicating the importance of choosing markets that facilitate a swift uptake of a specific medical technology innovation. Commercializing a medical technology innovation in different country-specific healthcare settings is a lengthy, complex and costly process, especially if new behaviors and routines need to be created.

Originality/value: The paper contributes to the international entrepreneurship-marketing interface by developing an analytical framework for understanding country differences in relation to regulative, normative and culture-cognitive dimensions and by advancing six propositions related to the role of institutional healthcare settings and their impact on INVs’ sales patterns and internationalization processes. © 2018, Emerald Publishing Limited.

Place, publisher, year, edition, pages
Bingley: Emerald Group Publishing Limited, 2018
Keywords
Innovation, Internationalization
National Category
Business Administration
Identifiers
urn:nbn:se:hh:diva-36492 (URN)10.1108/IMR-04-2015-0112 (DOI)000426881700007 ()2-s2.0-85043354532 (Scopus ID)
Funder
Swedish Research CouncilKnowledge Foundation
Available from: 2018-03-22 Created: 2018-03-22 Last updated: 2021-05-11Bibliographically approved
Laurell, H. & Gabrielsson, J. (2018). Internationalization speed and performance outcomes of international new ventures in the medical technology sector. In: : . Paper presented at The 22nd McGill International Entrepreneurship Conference, 22-24 September, 2018, Halmstad, Sweden.
Open this publication in new window or tab >>Internationalization speed and performance outcomes of international new ventures in the medical technology sector
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

The demand for medical technology innovations for improving and managing human health is global. Many players in markets for medical technology are new ventures operating in relatively small niches (Altenstetter, 2003) and struggling to build capabilities and develop internationalization strategies to scale up production and sales. However, the regulation and financing of the healthcare sector are to a large extent country specific. For example, the healthcare sector in the UK is financed through taxes, while US healthcare is primarily financed through insurance systems (Donaldson et al., 2004). Such differences affect the processes of valuing, buying and paying for medical technology innovations across the different healthcare systems and complicate procurement and reimbursement procedures for new ventures engaged in the commercialization of medical technology innovations. 

The development and commercialization of medical technology innovations are embedded in institutionally complex markets, in which layers of regulative, normative and cultural-cognitive elements (e.g. Scott, 2014) vary significantly across countries. Research that investigates the institutional environment is a promising direction to build theoretical explanations of the impact of heterogeneous markets on international entrepreneurial activities (Etemad, 2013; Jones et al., 2011a, 2011b). However, the international entrepreneurship literature has largely failed to address how institutional cross-country heterogeneity affects the sales and marketing strategies of new ventures (cf. Coeurderoy and Murray, 2008). In addition, only recently has the literature begun developing frameworks that shed better light on the impact of different customer and product types when penetrating new markets (Hennart, 2014; Onetti et al., 2012). 

The global demand for medical technology innovationscalls for better understanding of how differences across national healthcare organizations influence the international performance of medical technology ventures.Against this, in this paper we aim to develop a theoretical framework that explains the relationship between internationalization speed and performance outcomes of international new ventures (INVs) when commercializing medical technology innovations across institutionally heterogeneous markets. Our theory and logic emphasizes factors such as industry conditions, foreign market knowledge and network intensity (Oviatt and McDougall, 2005).In this vein, we acknowledge that it is critical to understand how different actors in the healthcare value chain influence INVs’ choice of countries to enter and whether their existing knowledge bases and networks are aligned with industry- and/or country-specific requirements (e.g. regulations, health economics, clinical trials). However, we also complement and extend general models of international entrepreneurship by identifying institutional healthcare dimensions (i.e. regulative, normative and cultural-cognitive) as moderating forces that explain either the acceleration or deceleration of international sales of medical technology innovations, depending on each country’s institutional healthcare setting. Thus, we suggest that a country’s healthcare setting also affects the sales process of INVs and how quickly they can get medical technology innovations adopted in the healthcare system. Building on our theory and logic, we formulate propositions and illustrate relationships among different constructs. 

This paper contributes to theory and research on international entrepreneurship field. Its main contribution is to better understand the relationship between internationalization speed and performance outcomes for INVs when operating in institutionally heterogeneous healthcaremarkets. Informed by this reasoning, we therefore introduce a conceptual model that specifies different factors that influence internationalization speed and subsequent performance outcomes.

National Category
Business Administration
Identifiers
urn:nbn:se:hh:diva-38182 (URN)
Conference
The 22nd McGill International Entrepreneurship Conference, 22-24 September, 2018, Halmstad, Sweden
Available from: 2018-10-18 Created: 2018-10-18 Last updated: 2021-05-11Bibliographically approved
Laurell, H. & Gabrielsson, J. (2017). Adapting the theory of international new ventures to institutionally heterogeneous healthcare markets: Implications for international sales of medical technology innovations. In: Australian Centre for Entrepreneurship (ACE) Research Exchange Conference 2017: . Paper presented at Australian Centre for Entrepreneurship Exchange (ACERE) Conference 2017, Melbourne, Australia, February 7-10, 2017 (pp. 24-25).
Open this publication in new window or tab >>Adapting the theory of international new ventures to institutionally heterogeneous healthcare markets: Implications for international sales of medical technology innovations
2017 (English)In: Australian Centre for Entrepreneurship (ACE) Research Exchange Conference 2017, 2017, p. 24-25Conference paper, Oral presentation with published abstract (Refereed)
National Category
Business Administration
Identifiers
urn:nbn:se:hh:diva-33763 (URN)
Conference
Australian Centre for Entrepreneurship Exchange (ACERE) Conference 2017, Melbourne, Australia, February 7-10, 2017
Available from: 2017-04-26 Created: 2017-04-26 Last updated: 2021-05-11Bibliographically approved
Laurell, H. & Holmén, M. (2017). Internationalization through business model innovation in the medical technology sector. In: Lucia Piscitello & Stefano Elia (Ed.), Proceedings of the 43rd Annual Conference of the European International Business Academy: International Businessin the Information Age. Paper presented at 43rd Annual Conference of the European International Business Academy (EIBA2017), Milan, Italy, 14th - 16th December 2017 (pp. 59-59).
Open this publication in new window or tab >>Internationalization through business model innovation in the medical technology sector
2017 (English)In: Proceedings of the 43rd Annual Conference of the European International Business Academy: International Businessin the Information Age / [ed] Lucia Piscitello & Stefano Elia, 2017, p. 59-59Conference paper, Poster (with or without abstract) (Refereed)
National Category
Business Administration
Identifiers
urn:nbn:se:hh:diva-36497 (URN)978-88-6493-042-8 (ISBN)
Conference
43rd Annual Conference of the European International Business Academy (EIBA2017), Milan, Italy, 14th - 16th December 2017
Available from: 2018-03-22 Created: 2018-03-22 Last updated: 2021-05-11Bibliographically approved
Projects
MeTARoaD - Accelerating the roadmap for commercializing and adopting medical technology innovations – the role of different actors’ logics in a health innovation ecosystem; Halmstad University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-5468-5952

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