Lessons from Low-Cost Healthcare Innovations for the Base-of the Pyramid Markets: How Incumbents Can Systematically Create Disruptive Innovations

Ramdorai, Aditi; Herstatt, Cornelius

doi:10.1007/978-3-319-46392-6_6

Cited by 8 publications

(5 citation statements)

References 50 publications

(83 reference statements)

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“…In healthcare, research has emphasised the potential of ambidexterity to facilitate both the exploitation of existing knowledge and the exploration of new approaches to meet the increasing demand and more complex care needs emerging internationally (Burgess et al, 2015). This ambidexterity has even greater potential in developing countries such as India, where existing demand already heavily outweighs resource availability (Ramdorai and Herstatt, 2013). However, research in this area is still in its infancy.…”

Section: Hrm Practices and Ambidexteritymentioning

confidence: 99%

“…India ranks 171st globally in terms of public spending on healthcare, and its doctor to patient ratio is 1:1,674, as compared to the World Health Organisation's average of 1:1,000 (IBEF, 2016). India has just 0.7 beds per 1,000 people, and 66 per cent of hospital beds are in urban areas whereas 69 per cent of the population resides in semi-urban and rural areas; therefore, the challenges to deliver affordable and quality healthcare are immense (Ramdorai and Herstatt, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Contextual ambidexterity and innovation in healthcare in India: the role of HRM

Malik

Boyle

Mitchell

2017

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Purpose-The purpose of this paper is to examine innovation in the resource-constrained context of India's healthcare industry. It is argued that the process of innovation in addressing healthcare management challenges in such a context occurs through organisational ambidexterity and that human resource management (HRM) plays an important role. Design/methodology/approach-A qualitative research methodology is applied to explore the role of HR practices in facilitating contextual ambidexterity and subsequent innovations in healthcare in India. The unit of analysis is the "case" of healthcare providers in India and in-depth interview and documentary data in two case sites are analysed to reveal the role of HRM in facilitating contextual ambidexterity and innovation. Data analysis was undertaken first at a within-case and then at a cross-case analysis level using interpretive manual coding based on how the data explained the role of HRM in delivering innovative outcomes and supporting organisational ambidexterity. Findings-The authors found evidence of the use of sets of high-involvement HRM practices for exploration of new ideas and efficiency-driven HRM practices for creating contextual ambidexterity in the case organisations. Further, managerial/leadership style was found to play an important role in creating cultures of trust, openness, risk-taking and employee empowerment, supported by an appropriate mix of intrinsic and extrinsic rewards. Finally, training was also reported as being central to creating an ambidextrous context for delivering on various innovations in these healthcare providers. Originality/value-This study represents an exploration of innovation in the context of India's healthcare sector through intersecting literatures of ambidexterity, innovation and HRM practices. In light of the emerging economy research context, an important empirical contribution is palpable. Moreover, through a study design which included collecting data from multiple informants on the role of human resources in facilitating innovative outcomes, the authors reveal the role of HR-related initiatives, beyond formal HR practices in creating contextual ambidexterity. This study also reveals the degree to which contextual idiosyncrasies enhance our understanding of the role of HR in facilitating innovation in emerging economies.

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Section: Hrm Practices and Ambidexteritymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Contextual ambidexterity and innovation in healthcare in India: the role of HRM

Malik

Boyle

Mitchell

2017

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“…In the era of ever-increasing global and market pressures, effectively innovating with resources at hand has important implications for innovators, entrepreneurs, and organizations [1]. One stream of scholars suggests that resource scarcity negatively influences innovative outcomes, as innovation requires significant investments in raw materials, technology, and human resources [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…Resource constraints in environments determine the objective and focus of the innovator [1,8,31]. For example, as engineers operating in a high resource-constrained environment have limited resources, they have to emphasize on bootstrapping and improvising with the resource at hand to attain the best possible outcomes.…”

Section: Introductionmentioning

confidence: 99%

Role of Feedback on Innovative Outcomes: Moderating Role of Resource-Constrained Environments

Pati

Garud

2021

IEEE Trans. Eng. Manage.

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“…In the development of health technology for surveillance, ‘frugal innovation’ using social innovation design principles such as safety and efficacy; robustness; independence of electricity mains or replaceable batteries; operational capability without needing replacement consumables and simplicity of operation provides an opportunity for the design and deployment of healthcare systems that address access and quality concerns. 8 Here we describe the design, development and testing of a wearable sensor device for remote biomonitoring (RBM) of body temperatures in mothers and newborns in southern India.…”

Section: Introductionmentioning

confidence: 99%

Remote biomonitoring of temperatures in mothers and newborns: design, development and testing of a wearable sensor device in a tertiary-care hospital in southern India

et al. 2018

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ObjectiveNewer technologies such as wearables, sensors, mobile telephony and computing offer opportunities to monitor vital physiological parameters and tackle healthcare problems, thereby improving access and quality of care. We describe the design, development and testing of a wearable sensor device for remote biomonitoring of body temperatures in mothers and newborns in southern India.MethodsBased on client needs and technological requirements, a wearable sensor device was designed and developed using principles of ‘social innovation’ design. The device underwent multiple iterations in product design and engineering based on user feedback, and then following preclinical testing, a techno-feasibility study and clinical trial were undertaken in a tertiary-care teaching hospital in Bangalore, India. Clinical trial phases I and IIa for evaluation of safety and efficacy were undertaken in the following sequence: 7 healthy adult volunteers; 18 healthy mothers; 3 healthy babies; 10 stable babies in the neonatal care intensive unit and 1 baby with morbidities. Time-stamped skin temperature readings obtained at 5 min intervals over a 1-hour period from the device secured on upper arms of mothers and abdomen of neonates were compared against readings from thermometers used routinely in clinical practice.ResultsDevices were comfortably secured on to adults and neonates, and data were efficiently transmitted via the gateway device for secure storage and retrieval for analysis. The mean skin temperatures in mothers were lower than the axillary temperatures by 2°C; and in newborns, there was a precision of –0.5°C relative to axillary measurements. While occasional minimal adverse events were noted in healthy volunteers, no adverse events were noted in mothers or neonates.ConclusionsThis proof-of-concept study shows that this device is promising in terms of feasibility, safety and accuracy (with appropriate calibration) with potential for further refinements in device accuracy and pursuit of further phases of clinical research for improved maternal and neonatal health.

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Lessons from Low-Cost Healthcare Innovations for the Base-of the Pyramid Markets: How Incumbents Can Systematically Create Disruptive Innovations

Cited by 8 publications

References 50 publications

Contextual ambidexterity and innovation in healthcare in India: the role of HRM

Contextual ambidexterity and innovation in healthcare in India: the role of HRM

Role of Feedback on Innovative Outcomes: Moderating Role of Resource-Constrained Environments

Remote biomonitoring of temperatures in mothers and newborns: design, development and testing of a wearable sensor device in a tertiary-care hospital in southern India

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