Ecosystem approach on medical game development: the relevant actors, value propositions and innovation barriers

This paper explores the medical game ecosystem and reveals the reciprocal value propositions of the relevant actors of medical game ecosystems, as well as barriers that may be complicating or hindering realization of the value propositions. The case comprises an emerging medical game ecosystem in Finland in the traumatic brain injury (TBI) rehabilitation context. This study presents 12 actor groups, their value propositions, and the barriers between the actors. This paper gives a comprehensive view of the actual medical game ecosystem that is needed to utilize the full potential of gamification and serious games in the health care sector.

[1]  Hannah Snyder,et al.  Cocreative customer practices: Effects of health care customer value cocreation practices on well-being , 2017 .

[2]  David Coyle,et al.  Design and evaluation guidelines for mental health technologies , 2010, Interact. Comput..

[3]  Stephen L. Vargo,et al.  The Complexity of Context: A Service Ecosystems Approach for International Marketing , 2013 .

[4]  Anu Helkkula,et al.  Characterising the concept of service experience , 2011 .

[5]  Heikki Karjaluoto,et al.  Value co-creation in health care: insights into the transformation from value creation to value co-creation through digitization , 2016, MindTrek.

[6]  A. Gawer,et al.  Industry Platforms and Ecosystem Innovation , 2013 .

[7]  Mike Wright,et al.  Creating value in ecosystems: Crossing the chasm between knowledge and business ecosystems , 2014 .

[8]  Samantha A Adams,et al.  Use of "serious health games" in health care: a review. , 2010, Studies in health technology and informatics.

[9]  R. Engels,et al.  The benefits of playing video games. , 2014, The American psychologist.

[10]  Andrei Rikkiev,et al.  Multiple facets of innovation and business ecosystem research : the foci, methods and future agenda , 2016 .

[11]  Antonia Madrid‐Guijarro,et al.  Barriers to Innovation among Spanish Manufacturing SMEs , 2009 .

[12]  Ron Adner,et al.  Value Creation in Innovation Ecosystems: How the Structure of Technological Interdependence Affects Firm Performance in New Technology Generations , 2009 .

[13]  Hannes Kaufmann,et al.  Playmancer: Games for Health with Accessibility in Mind , 2009 .

[14]  Sreeram Ramakrishnan,et al.  An Ecosystem Approach for Healthcare Services Cloud , 2009, 2009 IEEE International Conference on e-Business Engineering.

[15]  Peng Huang,et al.  Co-Creation of Value in a Platform Ecosystem: The Case of Enterprise Software , 2011, MIS Q..

[16]  R. Lusch,et al.  Evolving to a new service-dominant logic for health care , 2016 .

[17]  Jochen Markard,et al.  Innovation processes in large technical systems: Market liberalization as a driver for radical change? , 2006 .

[18]  Stephen L. Vargo,et al.  Service-dominant logic: continuing the evolution , 2008 .

[19]  J. Bessant,et al.  Finding, Forming, and Performing: Creating Networks for Discontinuous Innovation , 2007 .

[20]  C. Cassell,et al.  Essential guide to qualitative methods in organizational research , 2004 .

[21]  Vassilis Agouridas,et al.  Value creation and capture mechanisms in innovation ecosystems: a comparative case study , 2013, Int. J. Technol. Manag..

[22]  J. Cafazzo,et al.  Design of an mHealth App for the Self-management of Adolescent Type 1 Diabetes: A Pilot Study , 2012, Journal of medical Internet research.

[23]  S. LaVela,et al.  Defining Patient Experience , 2014 .

[24]  Vittorio Chiesa,et al.  Commercializing Technological Innovation: Learning from Failures in High-Tech Markets* , 2011 .

[25]  Luca Carrubbo,et al.  Advances in Service Research for the Understanding and the Management of Service in Healthcare Networks , 2013 .

[26]  Anu Helkkula,et al.  Service experience co-creation: conceptualization, implications, and future research directions , 2015 .

[27]  R. Herzlinger,et al.  Why innovation in health care is so hard. , 2006, Harvard business review.

[28]  Michel L. Ehrenhard,et al.  Market adoption barriers of multi-stakeholder technology: Smart homes for the aging population , 2014 .

[29]  D Wolfle,et al.  Barriers to Innovation. , 1965, Science.

[30]  J. McGonigal.  Reality Is Broken: Why Games Make Us Better and How They Can Change the World , 2011 .

[31]  Stephen L. Vargo,et al.  The context of experience , 2015 .

[32]  D. Lieberman,et al.  Management of chronic pediatric diseases with interactive health games: theory and research findings. , 2001, The Journal of ambulatory care management.

[33]  Stephen L. Vargo,et al.  Innovation through institutionalization: A service ecosystems perspective , 2015 .

[34]  H. Hansen,et al.  New Medicine for the U.S. Health Care System: Training Physicians for Structural Interventions. , 2017, Academic medicine : journal of the Association of American Medical Colleges.

[35]  Stephen L. Vargo,et al.  It's all B2B…and beyond: Toward a systems perspective of the market , 2011 .

[36]  Werner Hölzl,et al.  Innovation Barriers across Firms and Countries , 2012 .

[37]  Janet R. Mccoll-Kennedy,et al.  Co-creation practices: Their role in shaping a health care ecosystem , 2016 .

[38]  Stephen L. Vargo,et al.  Institutions and axioms: an extension and update of service-dominant logic , 2016 .

[39]  Stan Maklan,et al.  Customer Experience : Are we Measuring the Right Things ? 1 Customer Experience : Are We Measuring the Right Things ? , 2012 .

[40]  Birgitta Sandberg,et al.  What makes it so difficult? A systematic review on barriers to radical innovation , 2014 .