The role of rural health entrepreneurship in community resilience: a model of multidimensional value creation
通过访谈四个欧洲国家的40位健康创业者，构建了农村医疗多维价值创造的过程理论，揭示了价值创造要素、效应和多元制度逻辑，对农村社区韧性和医疗企业可持续性有启示。
Abstract Healthcare providers have been encouraged to become entrepreneurs to fill a widening service gap in depleted rural areas. This paper explores how these entrepreneurs add value, finding a complex multidimensional process of value creation in rural healthcare. Taking a grounded approach, 40 health entrepreneurs were interviewed across the health settings of four European countries characterised by ‘mixed’ public–private healthcare. Through an institutional logic framing, the paper builds a novel process theory of value creation in a rural socio-spatial context. It identifies value creation elements, effects and diverging institutional logics characterised by polysemy and polyphony. Overlaid on the bio-physical layer, areas of healthcare value creation hybridity are identified, with implications for the resilience of rural communities and sustainability of rural healthcare enterprises. By presenting an agent-relative and pluralistic theory of rural healthcare entrepreneurship, the paper adds an understanding of multidimensional value creation and contributes to entrepreneurial context and everyday entrepreneurship debates.