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      Care coordination in a business-to-business and a business-to-consumer model for telemonitoring patients with chronic diseases

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          Abstract

          Introduction

          For telemonitoring to support care coordination, a sound business model is conditional. The aim of this study is to explore the systemic and economic differences in care coordination via business-to-business and business-to-consumer models for telemonitoring patients with chronic diseases.

          Methods

          We performed a literature search in order to design the business-to-business and business-to-consumer telemonitoring models, and to assess the design elements and themes by applying the activity system theory, and describe the transaction costs in each model. The design elements are content, structure, and governance, while the design themes are novelty, lock-in, complementarities, and efficiency. In the transaction cost analysis, we looked into all the elements of a transaction in both models.

          Results

          Care coordination in the business-to-business model is designed to be organized between the places of activity, rather than the participants in the activity. The design of the business-to-business model creates a firm lock-in but for a limited time. In the business-to-consumer model, the interdependencies are to be found between the persons in the care process and not between the places of care. The differences between the models were found in both the design elements and the design themes.

          Discussion

          Care coordination in the business-to-business and business-to-consumer models for telemonitoring chronic diseases differs in principle in terms of design elements and design themes. Based on the theoretical models, the transaction costs could potentially be lower in the business-to-consumer model than in the business-to-business, which could be a promoting economic principle for the implementation of telemonitoring.

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          Most cited references22

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          STRATEGIC ALLIANCE STRUCTURING: A GAME THEORETIC AND TRANSACTION COST EXAMINATION OF INTERFIRM COOPERATION.

          A. Parkhe (1993)
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            Business Model Design: An Activity System Perspective

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              CHANGE IN THE PRESENCE OF FIT: THE RISE, THE FALL, AND THE RENAISSANCE OF LIZ CLAIBORNE.

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                Author and article information

                Journal
                Int J Care Coord
                Int J Care Coord
                ICP
                spicp
                International Journal of Care Coordination
                SAGE Publications (Sage UK: London, England )
                2053-4345
                2053-4353
                14 December 2017
                December 2017
                : 20
                : 4
                : 135-147
                Affiliations
                [1 ]Ringgold 113896, universityErasmus Universiteit Rotterdam; , Netherlands
                [2 ]Maastricht University Medical Center, the Netherlands Panaxea b.v., the Netherlands Vrije Universiteit Brussels, Belgium
                [3 ]Ringgold 4905, universityLondon School of Economics and Political Science; , UK
                [4 ]Ringgold 60994, universityPhilips Research; , Netherlands
                Author notes
                [*]Andrija S Grustam, Erasmus Universiteit Rotterdam, Erasmus School of Health Policy and Management, J-building, Burgemeester Oudlaan 50, Rotterdam 3062 PA, Netherlands. Email: grustam@ 123456eshpm.eur.nl
                Author information
                http://orcid.org/0000-0002-5777-3368
                http://orcid.org/0000-0002-5539-4671
                Article
                10.1177_2053434517747908
                10.1177/2053434517747908
                5734380
                29276610
                0bce8f3d-bc6f-4a1f-80e1-4714faad70e1
                © The Author(s) 2017

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Categories
                Research Papers

                case management,chronic disease,costs,telemedicine,commerce
                case management, chronic disease, costs, telemedicine, commerce

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