Business Model Innovation for Inclusive Health Care Delivery at the Bottom of the Pyramid
研究了六家医疗机构案例，提出商业模式创新策略（如共创患者需求、社区参与、交叉补贴等）和四维框架（价值发现、价值创造、价值获取），帮助金字塔底层人群获得可负担的医疗服务，对关注健康公平和减贫的学者有参考价值。
This article investigates business models innovation for delivering health care at the base of the pyramid (BoP). The examination of six health care organizational cases suggests that co-creation of patient needs, community engagement, continuous involvement of customers, innovative medical technology, focus on human resources for health, strategic partnerships, economies of scale, and cross-subsidization are business model innovation strategies that enable inclusive health care delivery. Based on these findings, we propose a four-dimensional framework. A process of value discovery, leading BoP patients and communities to recognize a health need and seek for an acceptable treatment, precedes the identification of a successful value proposition. Value creation and value appropriation then follow to warrant patient affordability and organizational sustainability. A “business model mechanism” for BoP health care hence emerges, where interdependencies among these dimensions are highlighted. This article sheds new light on how market-based approaches can improve equitable health care access and hence contribute to poverty alleviation.