| 1. |
- Baraldi, Enrico, Professor, 1970-, et al.
(author)
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Applying the resource interaction approach to policy analysis - Insights from the antibiotic resistance challenge
- 2022
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In: Industrial Marketing Management. - : Elsevier. - 0019-8501 .- 1873-2062. ; 106, s. 376-391
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Journal article (peer-reviewed)abstract
- This paper explores how the Resource Interaction Approach (RIA), namely the 4Rs model and the three settings of developing-producing-using, can be applied to complex policy analyses. We use the global sustainability challenge of antibiotic resistance as an example to define an agenda about how these analytical tools can frame and analyze such problems systematically. We find that these tools offer benefits to policymakers, including flexibility in framing problems, by selecting the focal resources and values to be prioritized, and the ability to visualize the direct and indirect interdependencies that enable or hinder value creation. Moreover, the RIA can point at the resource interfaces that need to change through specific policy interventions, as well as the potential network-level barriers to such changes. We also find that the RIA needs to be complemented by network-level analyses of deal structures and monetary flows in order to better capture the legal and financial dimensions of policy problems and solutions.
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| 2. |
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| 3. |
- Baraldi, Enrico, Professor, 1970-, et al.
(author)
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Policy options for Nordic collaboration to improve access to antibiotics
- 2024
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Reports (other academic/artistic)abstract
- Access to antibiotics in the Nordic countries can be jeopardized not only by general factors such as low margins, uncertain volumes, overdependence and fragile supply chains, which can result in missing registration, deregistration and shortages, but also by the small size and fragmented nature of the Nordic markets. Nordic collaboration on specific policies and joint action to address such issues could improve access to antibiotics. Starting from a total of 30 policy options discussed in the literature, this report first selects 10 policies and then identifies 8 prioritized policy options which are presented in a roadmap comprising five waves. The first wave includes improved shortage information and supply chain transparency, a detailed map of production capacity dedicated to the Nordic countries, and common packages and electronic leaflets. The second wave consists of mutual recognition of approvals of old antibiotics and good purchasing practices. The third wave includes new reimbursement models such as revenue guarantees, international stockpiling, and pooled procurement. The fourth wave promotes a production capacity expansion near the Nordic countries,and the fifth wave inside the Nordic countries. Before implementing specific policies, the Nordic countries need to agree on which specific antibiotic products are to be targeted by each policy, which would ideally result in commonly agreed priority lists of clinically relevant products with high supply risk.
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| 4. |
- Brantnell, Anders, 1983-, et al.
(author)
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Implementation of medical technology in management and engineering studies : A systematic literature review and future research agenda
- 2024
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In: Technology in society. - : Elsevier. - 0160-791X .- 1879-3274. ; 77
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Research review (peer-reviewed)abstract
- Medical technology is an important part of healthcare and society, and new solutions are needed to meet the demands of aging population and prevalence of chronic diseases. During the last decade considerable technical progression has taken place but implementation of these new solutions is still cumbersome. This study reviews the current state of research within management and engineering studies concerning implementation of medical technology and identifies avenues for further research. A systematic search with keywords such as implementation and medical technology identified 2809 hits of which only ten papers were about implementation of medical technology. This review provides four contributions to research and management: (1) the findings show that there is no field that can be called implementation of medical technology within management and engineering studies, (2) there is no specific journal that publishes research on the topic, (3) majority of the papers are opinion articles and qualitative case studies and (4) many reported barriers to implementation relate to technology. In order to address the complex task of implementing medical technology, management scholars to a larger extent need to acknowledge and study aspects that go beyond technology.
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| 5. |
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| 6. |
- Havenvid Ingemansson, Malena, et al.
(author)
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When construction projects are to satisfy health care needs - partnering as a way of connecting the two?
- 2019
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In: The 35th IMP Conference.
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Conference paper (peer-reviewed)abstract
- In the construction industry the intention with partnering is that it should facilitate closer interaction between the client and the project organisation and particularly assist the contractor-client communication. In the Scandinavian countries, a number of high-technology hospitals are currently being planned for and being built through partnering agreements with intentions of providing modern health care supported by advanced medical technology. Health care represents a complex structure of actors, resources and activities that are to be coordinated toward the purpose of providing relevant and consistent care services to individuals over time. The remaining project organisation embodies construction-related organisations that represent a temporarily organised constellation of actors, resources and activities in the design, production and delivery of the building. Thus, as construction “meets” health care in a construction project, there are very different requirements that are to be fulfilled; that of gaining benefits from temporarily organising around a construction project and that of having a facility that supports complex care processes over time. The differences in requirements in turn rests on the different logics of on the one hand temporary and on the other hand permanent organisations of a different set of activities, resources and actors. Through the industrial network approach (INA) we outline the interactions taking place between key actors in a large health care construction project practicing partnering in Sweden, and investigate how partnering affects the communication of these different logics in play. How is the interaction coloured by these different requirements and logics during the different project phases, and what is the role of partnering in creating a favourable setting for useful interaction?
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| 7. |
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| 8. |
- Havenvid, Malena Ingemansson, et al.
(author)
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A Resource Perspective on the Long-term Effects of project Partnering
- 2020
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In: Association of Researchers in Construction Management, ARCOM 2020 - Proceedings of the 36th Annual Conference.
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Conference paper (peer-reviewed)abstract
- Project partnering has become an all the more established form for client-contractor collaboration. Although a well-reported phenomenon in the construction management literature, most studies focus on partnering practices in single projects and the immediate effects for the directly involved actors. Few investigations have studied the long-term effects of partnering, including both directly involved project actors and indirectly affected actors in relation to the constructed assets. If partnering is meant to enhance the quality of constructed assets, it should also improve their ability to support user activities. With the purpose of exploring the long-term effects of partnering in relation to interrelated projects and the various users of the constructed assets, the following research question is posed: what are the direct and indirect effects of project partnering on a long-term basis? To scrutinize this, a longitudinal case study covers a series of projects involving the same key actors and the subsequent operations of one of the constructed assets-a first of its kind proton radiation clinic in the Nordic countries. By mapping the involved actors’ resources across the projects and within a larger health care system, various effects are traced. A key conclusion is that the actors directly involved in partnering have the opportunity to reap several benefits from joint resource development within and across projects, while the actors using the constructed asset struggle in relating the developed resources within the projects to resources of the wider permanent context of the building in use.
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| 9. |
- Havenvid, Malena Ingemansson, et al.
(author)
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Kunskapsintegration i sjukhusprojekt : Lärdomar från fyra samverkansprojekt och färdplan framåt
- 2022
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Reports (pop. science, debate, etc.)abstract
- För ett decennium sedan inleddes det som ofta kallas ”den andra sjukhusvågen” med syftet att modernisera Sveriges befintliga sjukhusbestånd, uppfört under framför allt 70-och 80-talen. Dessa moderniserade sjukhus inrymmer ny medicinsk teknik och ska kunna möta både nutida och framtida utmaningar såsom en åldrande befolkning, multisjuka patienter, antibiotikaresistens och smittspridning. En central fråga inom alla byggprojekt, men inte minst i sjukhusprojekt, är hur den kunskap som krävs från ett flertal olika aktörer såsom byggherre, byggentreprenörer, vårdverksamhet, och olika tekniska discipliner ska integreras för byggprocessens, slutproduktens och skattebetalarnas bästa. Den kunskapsintegration som krävs innefattar både kunskapsutbyte mellan aktörer och en gemensam kunskapsutveckling i skapandet av nya hållbara lösningar. Erfarenhetsåterföring mellan projekt och enskilda organisationer är också av stor betydelse för att åstadkomma en systemisk kunskapsuppbyggnad över tid. De större sjukhusprojekt som har genomförts har ofta upphandlats som samverkansprojekt och därför omfattar studien även hur samverkan som arbetsform påverkar kunskapsintegration i sjukhusprojekt.För att förstå dagens decentraliserade struktur av hälso- och sjukvårdsystemet samt hur det påverkar moderniseringen av det befintliga sjukhusbeståndet, tar studien ett historiskt avstamp i den centraliserade kunskapshantering som rådde under ”den första sjukhusvågen” genom Sjukvårdens och socialvårdens planerings- och rationaliseringsinstitut (SPRI). Genom en fallstudie av fyra sjukhusprojekt baserad på intervjuer och platsbesök samt flera workshops med erfarna branschrepresentanter har studiens mål varit att påvisa den effektivisering av byggprocessen som är möjlig för byggherrar och entreprenörer i sjukhusprojekt genom effektivare kunskapsintegration och erfarenhetsåterföring. I detta ingår hur samverkan mellan byggherre och entreprenör samt andra nyckelaktörer bidrar till dessa förutsättningar. Studien fokuserar på genomförandeskedet, men beaktar hur förutsättningar som skapats i tidiga skeden påverkar genomförandet. Studien fokuserar specifikt på att identifiera och analysera:1) vilken typ av kunskap som används och integreras av olika projektaktörer 2) hur samverkan i projekt påverkar kunskapsintegration 3) hur erfarenhetsåterföring till organisationerna genomförs inom och mellan projekt 4) möjligheter för kunskapsuppbyggnad kring vårdbyggandet över tidStudiens resultat omfattar tio huvudsakliga slutsatser som har konsekvenser för effektiv kunskapsintegration och erfarenhetsåterföring på projekt-, organisations- och systemnivå, där systemnivån motsvarar de olika aktörer som i ett ömsesidigt beroende är relaterade till vårdbyggandet i Sverige. Slutsatserna visar att: 1) sjukhusprojekt bygger på en integration av en mängd olika slags kunskapsbärare 2) erfarenhet och medvetenhet hos byggherre och huvudentreprenör har stor betydelse för byggprocessen, samverkansprocessen och slutprodukten 3) specialistkunskaper hos arkitekter, tekniska konsulter och installatörer är centrala och hur och när dessa integreras i processen har stor betydelse 4) det krävs aktiv styrning av hur, när och vilka verksamhetsrepresentanter som involveras och i vilken grad 5) återkommande relationer är viktiga kunskapsbärare 6) standarder och föreskrifter för vårdbyggnader är en viktig utgångspunkt men användandet av dessa kräver erfarenhet för att kunna anpassas till det specifika projektet 7) samverka är en kunskap och kompetens i sig, dvs. förmågan att kunna praktisera samverkan 8) gemensamt framtagna och projektspecifika organiserings- och styrningsprinciper har en positiv påverkan på hur samverkan upplevs och därmed den fortsatta viljan att samverka 9) olika affärsmodeller påverkar incitamentsstrukturen, vilket i sin tur påverkar genomförandet och utfallet av samverkan 10) ett silobaserat förhållningssätt hos de enskilda aktörerna begränsar möjligheterna till erfarenhetsåterföring och kunskapsutveckling över tid kring vårdbyggandet på projekt-, organisations-, och systemnivå. Det finns därmed ett stort behov av att i större utsträckning dela erfarenheter mellan byggprocessens olika aktörer och mellan regionerna. Behovet av kunskapsdelande arenor på systemnivå, oberoende av specifika projekt, är skriande stort och nödvändigt för att tillvarata sjukhusfastigheters systemiska karaktär som sammankopplade noder i ett större vårdsystem av olika vårdgivare. Det är just i beaktande av planering av sjukhusfastigheter utifrån ett sådant systemiskt perspektiv som det finns ett behov av vidare forskning, dvs. vidare studier av regionernas planeringsprocesser, behovet av större interregional koordinering samt hur detta påverkar fastighetsförvaltarnas byggherreroll i olika sjukhusprojekt. Rapportens resultat konkretiseras i den färdplan som tagits fram för att effektivisera kunskapsintegration i sjukhusprojekt och som riktar sig till olika aktörer, yrkesroller och befattningar relaterade till vårdbyggandet antingen genom medverkan i projekt, en funktion på central organisationsnivå och/eller genom involvering på systemnivå. Med utgångspunkt i ett antal utmaningar identifierar färdplanen fyra nyckelområden: Behov av kunskap i upphandling, Organisering och styrning i byggprocessen, Samverkan på riktigt, och Kunskapsuppbyggnad. En effektivisering av kunskapsintegration möjliggörs om: kunskap och kompetens kring vårdbyggnation tas tillvara i upphandlingsförfarandet, byggprocessens organisering och styrning reglerar när och hur relevant kunskap används, samverkan praktiseras på riktigt utifrån att parterna kan och vill lösa uppgiften tillsammans, nyvunnen kunskap tillvaratas och erfarenheter återförs som en del i kunskapsuppbyggnad över tid. Varje nyckelområde innehåller ett antal centrala hållpunkter och ett samspel mellan dessa genererar en spiraleffekt där kunskapen som omsätts på projekt-, organisations- och systemnivå skapar en kollektiv kunskapsuppbyggnad över tid.
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| 10. |
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| 11. |
- Prenkert, Frans, 1969-, et al.
(author)
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Resource interaction: Key concepts, relations and representations
- 2022
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In: Industrial Marketing Management. - : Elsevier BV. - 0019-8501 .- 1873-2062. ; 105, s. 48-59
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Journal article (peer-reviewed)abstract
- Value co-creation is a core focus area in both B2B marketing and strategy research, necessitating resource utilization within and across organizational boundaries. In the Industrial Marketing and Purchasing (IMP) group, scholars have focused on the interactions among resources as one important way to analyze central questions about resources in business relationships and networks. This has produced a breadth of investigations and concepts that are locally defined and utilized. This may hamper further theoretical development and inhibit analytical precision. The purpose of this paper is to develop a more general shared understanding of resource interaction by identifying and explicating the key concepts used, and to assess its status as an approach. The paper synthesizes 20 years of research to identify key concepts and the relationships across concepts. This provides both a platform for further conceptual and empirical research within IMP and potential for crossfertilization with parallel B2B areas.
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| 12. |
- Sofia, Wagrell, et al.
(author)
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VALUE CREATION OF A HOSPITAL IN USE
- 2020
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Conference paper (peer-reviewed)abstract
- This paper applies the Resource Interaction Approach, utilizing the 4Rs model and the three settings of developing-producing-using to address how to create value of hospitals in use. With starting point in a new cancer treatment facility this case study shows that in the developing and producing settings, little attention is given to the central resources that decides upon the value of the hospital facility when in use.
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| 13. |
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| 14. |
- Wagrell, Sofia, et al.
(author)
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Building sustainable hospitals : A resource interaction perspective
- 2022
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In: Industrial Marketing Management. - : Elsevier BV. - 0019-8501 .- 1873-2062. ; 106, s. 420-431
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Journal article (peer-reviewed)abstract
- In response to a growing influence of patients, higher specialisation, technological advancement and the need to provide care services more efficiently, the issue of sustainability in healthcare has gained prominence. The purpose of this paper is to investigate how the social and economic sustainability of healthcare are dependent on interconnecting resources across organisational borders and in different settings over time. Adopting a product development process perspective, the paper explores the gap between a planned healthcare facility and how it actually came to be used, through a longitudinal case study of the Skandion clinic, a small, highly specialised, hospital in Sweden. The findings suggests that integration of healthcare resources over time is central to achieve social and economic sustainability goals. The results hereby contend the prevailing view of hospitals as inde-pendent organisational units and highlights the need for more holistic analyses of sustainability in healthcare. Analyses which take into account the complex interdependencies stretching across networks of interconnected facilities and organisational units.
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| 15. |
- Wagrell, Sofia
(author)
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Drivers and Hindrances to Med-Tech Innovation : A device's guide to the Swedish healthcare galaxy
- 2017
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Doctoral thesis (other academic/artistic)abstract
- Today, the expectations on new medical technology solutions are substantial. On the one hand, healthcare policy expects new technologies both to improve the quality of people’s life and to reduce the burgeoning healthcare costs. On the other hand, innovation policy expects new med-tech solutions to stimulate economic growth, with large emphasis on the production of new solutions. However, despite the growing importance of med-tech innovations it is cumbersome to embed these innovative promising products into use in the Swedish healthcare sector.This thesis investigates med-tech innovation by following a microwave-based device in the treatment of the common disease BPH, Benign Prostatic Enlargement. This is an empirically based longitudinal study where the microwave device is used as a probe to capture a med-tech innovation journey. We follow the device through the efforts of technological and scientific development, through complex industrial production structures and foremost inits struggles to achieve widespread use in Swedish public healthcare.This study identifies a number of hindrances and drivers and, importantly, how they are interconnected in the innovation process. By applying the different settings of development, production and use of this device, a central finding is that the very same mechanisms can have contradicting effects in the different settings. Moreover, what functions as a trigger to innovation during development, can become later a hindrance to use. The study also shows that, whereas drivers prevail over hindrances in the development and production of med-tech solutions, hindrances clearly prevail in their use, which involves the provision of healthcare services. Not only has the use setting a generally weak financial support, but its organisational structures and regulations do also have a negative impact on the spread of new solutions in healthcare.
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| 16. |
- Wagrell, Sofia, et al.
(author)
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The innovation process and its organisational setting - fit or misfit?
- 2009
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In: The IMP Journal. - Olso : The IMP Group. - 2059-1403 .- 0809-7259. ; 3:2, s. 57-85
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Journal article (peer-reviewed)abstract
- A new microwave based technology for enlarged prostate treatment has been developed that, in contrast to the established surgical method, does not require surgery, anaesthesia and subsequent hospitalisation. The development of this technology and a company supplying it was initiated and encouraged by a hospital belonging to a health care sector that deliberately promoted innovation efforts in order to increase cost-efficiency. Still, when the microwave based technology was ready for use, it was revealed that the health care sector that initiated the innovation journey was equipped with both professional and organisational structures that counteracted this process. It is this innovation process we will explore in this paper. The overall research question concerns the interaction between the innovation process and the organisational setting it emerges within: In what way does the organisational setting a) facilitate and b) hinder the embedding of the potential innovation.
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| 17. |
- Wagrell, Sofia, et al.
(author)
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The joys and sorrows of a start-up's interactions with the public sphere : a case from medical technology
- 2019
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In: Journal of business & industrial marketing. - 0885-8624 .- 2052-1189. ; 34:1, s. 267-283
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Journal article (peer-reviewed)abstract
- Purpose: This paper aims to address the crucial interactions that a start-up enacts with actors from the public sphere in a context of medical technologies. The public actor commonly plays multiple roles, ranging from co-developers and financiers to large-scale users, which are all pivotal to the development and survival of the new venture. The paper investigates the possible “dark sides” of a start-up’s marriage with a public partner, departing from three specific roles the public sphere can assume in relation to a start-up: as a development partner, as a financer and as a customer.Design/methodology/approach: The study builds on an in-depth empirical case study of a Swedish med-tech startup company.Findings: The authors find the financing role to be least problematic, whereas the customer role is the most problematic in that it provides numerous barriers to the possible development and growth of a start-up firm striving to get new customers in a public setting. Examples of the most prominent barriers found are regulations, complex decision-making processes and assessment elements of med-tech products that are outside the control of the startup firm, hence issues that cannot be handled within inter-organizational relationships.Originality/value: The study builds on 27 in-depth interviews, which were undertaken during 2005-2013, thus contributing detailed data about a start-up’s many and crucial interactions with different public actors. Departing from three different roles, a public partner can adopt in relation to a start-up, (development, co-financer and customer) provides results with managerial implications for start-up’s and policy implications for health-care policy.
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| 18. |
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| 19. |
- Waluszewski, Alexandra, et al.
(author)
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Public Policy as Innovation Killer
- 2013
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In: The IMP Journal. - Oslo, Norge : Norwegian School of Management BI. - 2059-1403 .- 0809-7259. ; 7:1, s. 1-11
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Journal article (peer-reviewed)
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