Practising innovation in the healthcare ecosystem: the agency of third-party actors

Abstract

Purpose Over recent years, few industries have seen such dramatic changes as the healthcare industry. The potential connectivity of digital technologies is completely transforming the healthcare ecosystem. This has resulted in companies increasingly investing in digital transformations to exploit data across channels, operations and patient outreach, by building on a practice approach and actor-network theory and being informed by service-dominant logic, this study aims to contribute by advancing the agential role of third-party actors to prompt innovation and shape service ecosystems. Design/methodology/approach This research is grounded in an epistemological contextualism. To gain situated knowledge and address the role of context in knowledge, understanding and meaning the authors adopted a qualitative methodology to study actors in their different contexts. The empirical research was based on case theory. The authors also took guidance from practice scholars about how to investigate actors’ practices. The unit of analysis moves from dyadic relationships to focus on practices across different networks of actors. Findings This study expands on the conceptualization of triad as proposed by Siltaloppi and Vargo (2017) by moving from the form of triadic relationships – brokerage, mediation and coalition – to the agency of e-health third-parties; and their practices to innovate in the healthcare ecosystem. This study focuses on the actors and the performativity of actions and grounding the conceptual view on an empirical base. Practical implications Third-party actors bring about innovative ways of doing business in the healthcare ecosystem. Their actions challenge the status quo and run counter to long-time practices. Third-parties support the complex set of interconnections between different healthcare actors for the provision of new service co-creation opportunities. Considering how these e-health third-parties performs has implications for health managers, patients and other actors. Originality/value This study focuses on the actors and the performativity of actions and grounding the conceptual view on an empirical base. The agency of third-party actors is their ability to act among others and to connect multiple social and material structures to boost innovation. They prompt innovation and shape service ecosystems by brokering, mediating and coalescing among a great variety of resources, practices and institutions.