Healthcare ecosystem development: exploring SME participation and innovative engagement in digital platform-based ecosystems.

Simple item page
dc.contributor.advisorGrobbelaar, SSen_ZA
dc.contributor.advisorBotha, Alfred en_ZA
dc.contributor.authorMbanefo, CCen_ZA
dc.contributor.otherStellenbosch University. Faculty of Engineering. Institute of Biomedical Engineering.en_ZA
dc.date.accessioned2023-11-22T15:04:12Zen_ZA
dc.date.accessioned2024-01-08T21:16:42Zen_ZA
dc.date.available2023-11-22T15:04:12Zen_ZA
dc.date.available2024-01-08T21:16:42Zen_ZA
dc.date.issued2023-11en_ZA
dc.descriptionThesis (PhD)--Stellenbosch University, 2023.en_ZA
dc.description.abstractENGLISH ABSTRACT: The concept of the ecosystem has gained significant traction within the business realm, primarily as a metaphorical structure. It describes an economic community that thrives on interdependent relationships among various organisations, businesses, firms and individuals. These entities interact and integrate their resources to co-create value. In light of this, digital platform ecosystems have found widespread application across diverse sectors, including marketplaces, automobiles, information and communication technology, education, and housing. This, in turn, has facilitated increased involvement of Small and medium-sized enterprises (SMEs) and consumers in the sharing economy. However, existing research has primarily focused on the role of platform orchestrators and the dynamics between firms and customers, mainly neglecting the comprehensive examination of engagement practices among diverse actors driving the ecosystem. Consequently, gaining a holistic understanding of the interplay between subsystems and engagement practices of ecosystem actors becomes challenging. This knowledge gap impedes platform ecosystems' development, support, and sustainability in healthcare delivery. The study adopted Design Science Research as an essential approach for addressing human problems and contributing new knowledge. Within this structure, the Design Science Research Methodology (DSRM) was utilised to facilitate the development of a management tool and guide the overall research process. The DSRM encompasses six distinct activities, each serving a specific purpose in achieving the study’s objectives: problem identification and motivation, definition of solution objectives, design and development, demonstration, evaluation, and communication. From a theoretical standpoint, this study sought to conceptualise a framework that supports the participation and innovation of SMEs within digital platform-based ecosystems. This research enriches the existing literature on healthcare ecosystems by identifying the foundational elements that platform orchestrators and SMEs consider. It sheds light on the intricacies of value co-creation within multisided platforms. The study conducted a comprehensive review of relevant literature to identify and categorise the core elements for platform development and SME participation, encompassing conceptual, systematised, and scoping reviews. Accordingly, the study delved into eight aspects of platform ecosystem development, including dynamic capabilities, enterprise architecture, digital transformation, resource integration, value co-creation, social innovation, community management, and standards, elucidating their contextual applications. The study's response to the research question materialised in a framework and management tool tailored for SMEs engaged in platform ecosystems, known as the SME Participation and Innovation in Platform Ecosystems (SPIPE) framework. The SPIPE framework and management tool were designed to enable platform orchestrators and SMEs to participate and engage in platforms through innovative means actively. Through subject-matter expert reviews, ranking exercises, and a case study of a South African healthcare platform ecosystem, the framework was contextualised within internal and external environmental opportunities, ensuring the adaptability and efficacy of the SPIPE tool in diverse settings, ultimately enabling the attainment of desired outcomes. The study demonstrates that the utilisation of the SPIPE framework offers a systematic and structured approach for effectively integrating multiple actors in developing, implementing, and managing platform ecosystems. By employing the framework and management tool, healthcare delivery and service providers can navigate the intricacies of these ecosystems more efficiently, thereby optimising their operations and enhancing overall healthcare service quality.en_ZA
dc.description.abstractAFRIIKAANSE OPSOMMING: Die konsep van die ekosisteem het beduidende aanvaarding in die sake-omgewing gekry, hoofsaaklik as 'n metaforiese struktuur. Dit beskryf 'n ekonomiese gemeenskap wat floreer op onderling afhanklike verhoudings tussen verskeie organisasies, besighede, ondernemings en individue. Hierdie entiteite interaksioneer en integreer hul hulpbronne om waarde saam te skep. In die lig hiervan het digitale platformekosisteme wye toepassing in verskeie sektore gevind, insluitend markplekke, motors, inligting- en kommunikasietegnologie, onderwys en behuising. Dit het op sy beurt die verhoogde betrokkenheid van Klein en Mediumgrootte-ondernemings (KMO's) en verbruikers in die deelekonomie gefasiliteer. Nietemin het bestaande navorsing hoofsaaklik gefokus op die rol van platformregisseurs en die dinamika tussen ondernemings en klante, grootliks die omvattende ondersoek van betrokkenheidspraktyke onder diverse akteurs wat die ekosisteem dryf, verwaarloos. Gevolglik word 'n holistiese begrip van die wisselwerking tussen subsisteme en betrokkenheidspraktyke van ekosisteemakteurs moeilik om te verkry. Hierdie kennisgaping hinder die ontwikkeling, ondersteuning en volhoubaarheid van platformekosisteme in gesondheidsorglewering. Die studie het Ontwerpswetenskaplike Navorsing as 'n navorsingsbenadering aangeneem, wat as noodsaaklik beskou word om menslike probleme aan te spreek en nuwe kennis by te dra. Binne hierdie raamwerk is die Ontwerpswetenskaplike Navorsingsmetodologie gebruik om die ontwikkeling van 'n bestuurstool te fasiliteer en die algehele navorsingsproses te lei. Die Ontwerpswetenskaplike Navorsingsmetodologie behels ses onderskeie aktiwiteite, elk met 'n spesifieke doel om die doelwitte van die studie te bereik: probleemidentifikasie en motivering, definisie van oplossingsdoelwitte, ontwerp en ontwikkeling, demonstrasie, evaluasie en kommunikasie. Vanuit 'n teoretiese oogpunt het hierdie studie gepoog om 'n raamwerk te konseptualiseer wat die deelname en innovasie van KMO's binne digitale platformgebaseerde ekosisteme ondersteun. Deur die fundamentele elemente wat deur platformregisseurs en KMO's oorweeg word te identifiseer, verryk hierdie navorsing die bestaande literatuur oor gesondheidsorgekosisteme en werp lig op die ingewikkeldhede van waarde-saamskepping binne veelvlakkige platforms. Om die kern elemente vir platformontwikkeling en KMO-deelname te identifiseer en te kategoriseer, het die studie 'n omvattende oorsig van relevante literatuur onderneem, wat konseptuele, gesistematiseerde en omskrywende oorsigte ingesluit het. Dienooreenkomstig het die studie in agt aspekte van platformekosisteemontwikkeling geduik, insluitend dinamiese vermoëns, ondernemingsargitektuur, digitale transformasie, hulpbron-integrasie, waarde-saamskepping, sosiale innovasie, gemeenskapsbestuur en standaarde, en het hul kontekstuele toepassings toegelig. Prakties gesproke, het die studie se antwoord op die navorsingsvraag in die vorm van 'n konseptuele raamwerk en bestuurstool vir KMO's wat betrokke is by platformekosisteme, genaamd die KMO-deelname en Innovasie in Platformekosisteme (KIP) raamwerk, gematerialiseer. Die KIP-raamwerk en bestuurstool is ontwerp om platformregisseurs en KMO's in staat te stel om aktief deel te neem en betrokke te raak by platforms deur middel van innoverende metodes. Deur onderwerp-kundige resensies, rangskikkings-oefeninge, en 'n gevallestudie van 'n Suid-Afrikaanse gesondheidsorgplatformekosisteem, is die raamwerk binne interne en eksterne omgewingsgeleenthede gekontekstualiseer, om die aanpasbaarheid en doeltreffendheid van die KIP-tool in diverse omgewings te verseker, en uiteindelik die bereiking van die gewenste uitkomste moontlik te maak.af_ZA
dc.description.versionDoctorateen_ZA
dc.format.extent326 pages : illustrationsen_ZA
dc.identifier.urihttps://scholar.sun.ac.za/handle/10019.1/129069en_ZA
dc.language.isoen_ZAen_ZA
dc.language.isoen_ZAen_ZA
dc.publisherStellenbosch : Stellenbosch Universityen_ZA
dc.rights.holderStellenbosch Universityen_ZA
dc.subject.lcshSoftware ecosystemsen_ZA
dc.subject.lcshCrowd employment (Gig economy)en_ZA
dc.subject.lcsh Digital ecosystemsen_ZA
dc.subject.lcshTechnological innovationsen_ZA
dc.subject.lcshSmall businessen_ZA
dc.subject.lcshBiotic communitiesen_ZA
dc.titleHealthcare ecosystem development: exploring SME participation and innovative engagement in digital platform-based ecosystems.en_ZA
dc.typeThesisen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
mbanefo_healthcare_2023.pdf
Size:
8.46 MB
Format:
Adobe Portable Document Format
Description:
Download
Collections
Doctoral Degrees (Institute For Biomedical Engineering (IBE))