UQ-IITD Academy of Research, Indian Institute of Technology Delhi, New Delhi, India.
Department of Management Studies, Indian Institute of Technology Delhi, New Delhi, India.
Soc Sci Med. 2021 Jun;278:113949. doi: 10.1016/j.socscimed.2021.113949. Epub 2021 Apr 19.
An efficient and affordable healthcare service delivery to everyone is a prerogative of the national governments. Such delivery is quite exacting, and gaps remain. In this regard, startups are trying to disrupt the market with innovative solutions and reach the underserved market. Though anecdotal evidence remains, a rigorous literature review is missing. This paper attempts to understand the status of health-tech startups in healthcare service delivery.
We scanned a total of 110 journals - Financial Times top 50, top ten information systems journals listed by the Australian Business Dean Council, and the top 50 Scopus indexed journals in health informatics and health information management. We followed a systematic process for this scoping review - reading of titles, abstracts, and then full papers for final analysis based on inclusion and exclusion criteria.
A total of 76 articles met the inclusion criteria. Only five studies portrayed the status of health-tech startups in healthcare service delivery. To capture the overall startup ecosystem, we continued with a scoping review of all the 76 articles.
The identified five themes are Technology adoption, Electronic health services, Business planning and framework, Psychographics, and Regulations. There is evidence of technology adoption in service delivery and its nature in the businesses undertaken by startups. Very few studies represented the patterns of the existing business model. The acceptance of the services is dependent on service effectiveness and affordability. The challenges are licensing, policies, data privacy and security, and inadequate technology access among healthcare seekers.
Albeit the feasibility potential, research concerning the impact of health tech startups in healthcare service delivery is emerging but incipient. The review indicates that research on startups is inadequate, especially related to entrepreneurship, business frameworks, and regulations. Future research should explore the same.
为每个人提供高效且负担得起的医疗保健服务是各国政府的特权。这种服务要求非常高，但仍存在差距。在这方面，初创企业正试图通过创新解决方案打破市场格局，服务未得到满足的市场。虽然轶事证据仍然存在，但缺乏严格的文献综述。本文试图了解医疗技术初创企业在医疗保健服务提供中的现状。
我们总共扫描了 110 种期刊 - 《金融时报》前 50 名、澳大利亚商业院长理事会列出的十大信息系统期刊，以及前 50 名在健康信息学和健康信息管理方面被 Scopus 索引的期刊。我们遵循系统的流程进行范围界定审查 - 阅读标题、摘要，然后根据纳入和排除标准阅读全文进行最终分析。
共有 76 篇文章符合纳入标准。只有五项研究描绘了医疗技术初创企业在医疗保健服务提供中的现状。为了捕捉整个创业生态系统，我们对所有 76 篇文章进行了范围界定综述。
确定的五个主题是技术采用、电子健康服务、商业规划和框架、心理特征和法规。在初创企业开展的业务中，有证据表明服务提供中的技术采用及其性质。很少有研究代表现有商业模式的模式。服务的接受程度取决于服务的有效性和可负担性。挑战包括许可、政策、数据隐私和安全以及医疗保健寻求者获取技术不足。
尽管具有可行性潜力，但关于医疗技术初创企业对医疗保健服务提供的影响的研究正在出现，但仍处于初期阶段。该评论表明，关于初创企业的研究不足，特别是与创业、商业框架和法规有关。未来的研究应该探索这一点。
