Abstract
We discuss the application of a business model-based approach for designing health service innovations and related risk evaluation. As an example we describe a horizontal backwards integration of hospitals’ business models by designing an integrated preventive health service. The business model template consists of five partial models, the value proposition model, the market model, the resource model, cost model and revenue model which are discussed within the context of integrated care. By means of a decision tree analysis, we apply an economic pre-evaluation of potential net benefits of the preventive program compared to the status quo. As a hypothetical example we analyze a stroke prevention program that screens arrhythmia among risk patients and use input parameters based on public epidemiological data. To take risk evaluation into account a simulation is applied in order to demonstrate how entrepreneurial risk in terms of net benefit distributions can be assessed.
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References
Arbeitskreis Pharmakotherapie der Ärztekammer Krefeld. (2012). Leitfaden zur Anwendung der neuen Antikoagulantien zur Prophylaxe von Thrombosen und Schlaganfällen und Therapie bei thromboembolischen Erkrankungen. Accessed April 30, 2016, from https://www.aekno.de/downloads/aekno/leitfaden_neue_Antikoagulantien2012-12.pdf
Baden-Fuller, C., & Morgan, M. S. (2010). Business models as models. Long Range Planning, 43(2), 156–171.
Bagust, A., Hopkinson, P. K., Maslove, L., & Currie, C. J. (2002). The projected health care burden of Type 2 diabetes in the UK from 2000 to 2060. Diabetic Medicine, 19(Suppl 4), 1–5.
Barnett, K., Mercer, S. W., Norbury, M., Watt, G., Wyke, S., & Guthrie, B. (2012). Epidemiology of multimorbidity and implications for health care, research, and medical education: A cross-sectional study. The Lancet, 380(9836), 37–43.
Chesbrough, H. (2012). Open innovation. Where we’ve been and where we’re going. Research–Technology Management, July–August(Special Issue), 20–27.
Christensen, C. M., Grossman, J. H., & Hwang, J. (2009). The innovator’s prescription. A disruptive solution for health care. New York: McGraw-Hill.
Cohen, J. T., Neumann, P. J., & Weinstein, M. C. (2008). Does preventive care save money? Health economics and the presidential candidates. New England Journal of Medicine, 358(7), 661–663.
Dekker, G., & Sibai, B. (2001). Primary, secondary, and tertiary prevention of pre-eclampsia. The Lancet, 357(9251), 209–215.
Detsky, A. S., Gauthier, S. R., & Fuchs, V. R. (2012). Specialization in medicine: How much is appropriate? JAMA, 307(5), 463–464.
Dietrich, M., Molter, N., & Znotka, M. (2014). Sustainable business models in healthcare systems. In J. Zentes & C. Scholz (Eds.), Beyond sustainability (pp. 245–262). Baden-Baden: Nomos.
Drucker, P. (1954). The practice of management. New York: Harper and Row.
Glanz, K., Rimer, B. K., & Viswanath, K. (2008). Health behavior and health education. Theory, research and practice (4th ed.). San Francisco: Jossey-Bass.
Gröne, O., & Garcia-Barbero, M. (2001). Integrated care. International Journal of Integrated Care, 1(2), 1–16.
Haddix, A. C., Teutsch, S. M., & Corso, P. S. (2003). Prevention effectiveness: A guide to decision analysis and economic evaluation. Oxford: Oxford University Press.
Harrigan, K. R. (1986). Matching vertical integration strategies to competitive conditions. Strategic Management Journal, 7(6), 535–555.
Hertz, D. B., & Thomas, H. (1983). Risk analysis and its applications (pp. 11–15). Chichester: Wiley.
Hildebrandt, H., Hermann, C., Knittel, R., Richter-Reichhelm, M., Siegel, A., & Witzenrath, W. (2010). Gesundes Kinzigtal integrated care: Improving population health by a shared health gain approach and a shared savings contract. International Journal of Integrated Care, 10(2), 1–14.
Hwang, J., & Christensen, C. M. (2008). Disruptive innovation in health care delivery: A framework for business-model innovation. Health Affairs, 27(5), 1329–1335.
Jekel, J. F., Katz, D. L., Elmore, J. G., & Wild, D. (1996). Epidemiology, biostatistics and preventive medicine. New York: Saunders.
Kasl, S. V., & Cobb, S. (1966). Health behavior, illness behavior and sick role behavior: I. Health and illness behavior. Archives of Environmental Health: An International Journal, 12(2), 246–266.
Kip, M., & Pfarr, L. (2015). Epidemiologie. In M. Kip, T. Schönfelder, & H. H. Bleß (Eds.), Weißbuch Schlaganfallprävention bei Vorhofflimmern (pp. 13–25). Stuttgart: Georg Thieme Verlag.
Kodner, D. L., & Spreeuwenberg, C. (2002). Integrated care: Meaning, logic, applications, and implications–a discussion paper. International Journal of Integrated Care, 2(4).
Kolominsky-Rabas, P. L., Heuschmann, P. U., Marschall, D., Emmert, M., Baltzer, N., Neundörfer, B., et al. (2006). Lifetime cost of ischemic stroke in Germany: Results and national projections from a population-based stroke registry the Erlangen stroke project. Stroke, 37(5), 1179–1183.
Magretta, J. (2002). Why business models matter. Harvard Business Review, 80(5), 86–92.
Mendis, S., Puska, P., & Norrving, B. (2011). Global atlas on cardiovascular disease prevention and control. Geneva: World Health Organization.
Morris, M., Schindehutte, M., & Allen, J. (2005). The entrepreneur’s business model: Toward a unified perspective. Journal of Business Research, 58(6), 726–735.
Osterwalder, A. (2004). The business model ontology: A proposition in a design science approach. Dissertation 173, University of Lausanne, Lausanne.
Prochaska, J. O. (2008). Multiple health behavior research represents the future of preventive medicine. Preventive Medicine, 46(3), 281–285.
Saltelli, A., Chan, K., & Scott, E. M. (2000). Sensitivity analysis (Vol. 1). New York: Wiley.
Schwappach, D. L., Boluarte, T. A., & Suhrcke, M. (2007). The economics of primary prevention of cardiovascular disease–a systematic review of economic evaluations. Cost Effectiveness and Resource Allocation, 5(1), 1.
Shafer, S. M., Smith, H. J., & Linder, J. C. (2005). The power of business models. Business Horizons, 48(3), 199–207.
Tuomilehto, J., Lindström, J., Eriksson, J. G., Valle, T. T., Hämäläinen, H., Ilanne-Parikka, P., et al. (2001). Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. New England Journal of Medicine, 344(18), 1343–1350.
Teece, D. J. (2010). Business models, business strategy and innovation. Long Range Planning, 43(2), 172–194.
Wagner, E. H., Austin, B. T., Davis, C., Hindmarsh, M., Schaefer, J., & Bonomi, A. (2001). Improving chronic illness care: Translating evidence into action. Health Affairs, 20(6), 64–78.
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Dietrich, M., Hilfinger, F. (2017). Business Model Design and Entrepreneurial Risk Evaluation for Health Service Innovations. In: Pfannstiel, M., Rasche, C. (eds) Service Business Model Innovation in Healthcare and Hospital Management. Springer, Cham. https://doi.org/10.1007/978-3-319-46412-1_10
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DOI: https://doi.org/10.1007/978-3-319-46412-1_10
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