0000000000416157

AUTHOR

Guillermo Navarro Sanfelix

Institutional Influences of Professional Associations and Franchise Organizations on Competitiveness of the Healthcare Clinics

This paper uses insights from the institutional theory to study the competitiveness of the healthcare clinics in Spain. The environment of the healthcare services is highly institutionalized: professional associations are state agents responsible for the extensive regulation. Recently emerged franchise chains become subject for imitation by creating institutionalized routines from within and increasing competitive pressures for other industry players. While the sector is dominated by the independent doctors, franchise organizations are becoming more popular and show steady growth rates. The franchise business model in healthcare is evolving: while the core activity—provision of a healthcare…

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Business models, small firms, and performance in knowledge-intensive based services. A study in the private health sector

During the last years, and due to social and economic changes, the demand for private health services (PHS) is growing. A more significant number of companies appeared under different business model formulas. Besides the traditionally independent professionals, other types of entrepreneurs appeared under associated business. As a result of these changes, there are differences in how these services are provided and their performance. OBJECTIVES: This work is proposed to study the business model effect on small private health service companies' activity and analyze institutions’ and intellectual capital's role in their performance. METHODOLOGY: A qualitative-quantitative mixed method was desi…

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