IDEAS home Printed from https://ideas.repec.org/a/eee/tefoso/v151y2020ics0040162519311023.html
   My bibliography  Save this article

Precision Medicine: Implications for value chains and business models in life sciences

Author

Listed:
  • Denicolai, Stefano
  • Previtali, Pietro

Abstract

Precision Medicine (PM) is expected to be one of the biggest revolutions of the upcoming years and not only in the healthcare industry. PM aims to prevent and treat disease on the basis of a person's unique genetic makeup, lifestyle habits, and environment. While the topic has attracted huge attention from scholars in the biomedical field of research, in contrast, literature in the field of business studies is almost absent. This in itself is surprising: this revolution implies a profound impact on the business models of companies and institutions as it pushes a new paradigm of sustainable development for healthcare and welfare systems at the global level. However, little is known about whether, to what extent, and in what direction these dynamics are impacting on the way organisations and value chains are managed, from research to care delivery. Our study addresses this gap: we discuss both theoretical arguments and empirical evidence from a multiple case study survey. Findings show that PM is a multi-faceted phenomenon grounded on novel forms of innovation eco-systems and bundled-based models. We reveal a dramatic shift in the value chain, which is moving upstream from recovery and surgery to prevention and monitoring.

Suggested Citation

  • Denicolai, Stefano & Previtali, Pietro, 2020. "Precision Medicine: Implications for value chains and business models in life sciences," Technological Forecasting and Social Change, Elsevier, vol. 151(C).
  • Handle: RePEc:eee:tefoso:v:151:y:2020:i:c:s0040162519311023
    DOI: 10.1016/j.techfore.2019.119767
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0040162519311023
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.techfore.2019.119767?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Domingo Ribeiro-Soriano & Miguel-Ángel Galindo-Martín, 2012. "Government policies to support entrepreneurship," Entrepreneurship & Regional Development, Taylor & Francis Journals, vol. 24(9-10), pages 861-864, December.
    2. María-Teresa Méndez-Picazo & Miguel-Ángel Galindo-Martín & Domingo Ribeiro-Soriano, 2012. "Governance, entrepreneurship and economic growth," Entrepreneurship & Regional Development, Taylor & Francis Journals, vol. 24(9-10), pages 865-877, December.
    3. Jerker Moodysson & Elena Zukauskaite, 2014. "Institutional Conditions and Innovation Systems: On the Impact of Regional Policy on Firms in Different Sectors," Regional Studies, Taylor & Francis Journals, vol. 48(1), pages 127-138, January.
    4. Lee, DonHee, 2018. "Strategies for technology-driven service encounters for patient experience satisfaction in hospitals," Technological Forecasting and Social Change, Elsevier, vol. 137(C), pages 118-127.
    5. Petrakaki, Dimitra & Hilberg, Eva & Waring, Justin, 2018. "Between empowerment and self-discipline: Governing patients' conduct through technological self-care," Social Science & Medicine, Elsevier, vol. 213(C), pages 146-153.
    6. Shaw, Duncan R. & Allen, Tim, 2018. "Studying innovation ecosystems using ecology theory," Technological Forecasting and Social Change, Elsevier, vol. 136(C), pages 88-102.
    7. Philip Cooke, 2005. "Rational drug design, the knowledge value chain and bioscience megacentres," Cambridge Journal of Economics, Cambridge Political Economy Society, vol. 29(3), pages 325-341, May.
    8. Andrew M. Jones & James Lomas & Nigel Rice, 2015. "Healthcare Cost Regressions: Going Beyond the Mean to Estimate the Full Distribution," Health Economics, John Wiley & Sons, Ltd., vol. 24(9), pages 1192-1212, September.
    9. Philip Anderson, 1999. "Perspective: Complexity Theory and Organization Science," Organization Science, INFORMS, vol. 10(3), pages 216-232, June.
    10. Periyasami Anbarasan & Sushil, 2018. "Stakeholder Engagement in Sustainable Enterprise: Evolving a Conceptual Framework, and a Case Study of ITC," Business Strategy and the Environment, Wiley Blackwell, vol. 27(3), pages 282-299, March.
    11. Guillaume Lamé & Oualid Jouini & Julie Stal-Le Cardinal, 2020. "Combining Soft Systems Methodology, Ethnographic Observation and Discrete-Event Simulation: A Case Study in Cancer Care," Post-Print hal-02095031, HAL.
    12. Nakamura, Hiroko & Suzuki, Shinji & Sakata, Ichiro & Kajikawa, Yuya, 2015. "Knowledge combination modeling: The measurement of knowledge similarity between different technological domains," Technological Forecasting and Social Change, Elsevier, vol. 94(C), pages 187-201.
    13. Gregory S. Zaric, 2016. "Cost Implications of Value-Based Pricing for Companion Diagnostic Tests in Precision Medicine," PharmacoEconomics, Springer, vol. 34(7), pages 635-644, July.
    14. Ehrenhard, Michel & Kijl, Bjorn & Nieuwenhuis, Lambert, 2014. "Market adoption barriers of multi-stakeholder technology: Smart homes for the aging population," Technological Forecasting and Social Change, Elsevier, vol. 89(C), pages 306-315.
    15. Callegaro, Aline Marian & Caten, Carla Schwengber ten & Tanure, Raffaela Leane Zenni & Buss, Amanda Sória & Echeveste, Márcia Elisa Soares & Jung, Carlos Fernando, 2016. "Managing requirements for the development of a novel elbow rehabilitation device," Technological Forecasting and Social Change, Elsevier, vol. 113(PB), pages 404-411.
    16. Moors, Ellen H.M. & Kukk Fischer, Piret & Boon, Wouter P.C. & Schellen, Frank & Negro, Simona O., 2018. "Institutionalisation of markets: The case of personalised cancer medicine in the Netherlands," Technological Forecasting and Social Change, Elsevier, vol. 128(C), pages 133-143.
    17. Antonella Zucchella & Pietro Previtali, 2019. "Circular business models for sustainable development: A “waste is food” restorative ecosystem," Business Strategy and the Environment, Wiley Blackwell, vol. 28(2), pages 274-285, February.
    18. Ron Adner & Rahul Kapoor, 2010. "Value creation in innovation ecosystems: how the structure of technological interdependence affects firm performance in new technology generations," Strategic Management Journal, Wiley Blackwell, vol. 31(3), pages 306-333, March.
    19. Gerard Harty & James Jarrett & Mireia Jofre-Bonet, 2018. "Consequences of Biomarker Analysis on the Cost-Effectiveness of Cetuximab in Combination with FOLFIRI as a First-Line Treatment of Metastatic Colorectal Cancer: Personalised Medicine at Work," Applied Health Economics and Health Policy, Springer, vol. 16(4), pages 515-525, August.
    20. James Love-Koh & Alison Peel & Juan Carlos Rejon-Parrilla & Kate Ennis & Rosemary Lovett & Andrea Manca & Anastasia Chalkidou & Hannah Wood & Matthew Taylor, 2018. "The Future of Precision Medicine: Potential Impacts for Health Technology Assessment," PharmacoEconomics, Springer, vol. 36(12), pages 1439-1451, December.
    21. Gastaldi, Luca & Pietrosi, Astrid & Lessanibahri, Sina & Paparella, Marco & Scaccianoce, Antonio & Provenzale, Giuseppe & Corso, Mariano & Gridelli, Bruno, 2018. "Measuring the maturity of business intelligence in healthcare: Supporting the development of a roadmap toward precision medicine within ISMETT hospital," Technological Forecasting and Social Change, Elsevier, vol. 128(C), pages 84-103.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ancillai, Chiara & Sabatini, Andrea & Gatti, Marco & Perna, Andrea, 2023. "Digital technology and business model innovation: A systematic literature review and future research agenda," Technological Forecasting and Social Change, Elsevier, vol. 188(C).
    2. Dal Mas, Francesca & Massaro, Maurizio & Rippa, Pierluigi & Secundo, Giustina, 2023. "The challenges of digital transformation in healthcare: An interdisciplinary literature review, framework, and future research agenda," Technovation, Elsevier, vol. 123(C).
    3. Denicolai, Stefano & Previtali, Pietro, 2023. "Innovation strategy and digital transformation execution in healthcare: The role of the general manager," Technovation, Elsevier, vol. 121(C).
    4. Zhen Liu & Yixin Liu & Mohamed Osmani, 2024. "Integration of Smart City Technology and Business Model Innovation," Sustainability, MDPI, vol. 16(12), pages 1-30, June.
    5. Jin Sung Rha & Hong-Hee Lee, 2022. "Research trends in digital transformation in the service sector: a review based on network text analysis," Service Business, Springer;Pan-Pacific Business Association, vol. 16(1), pages 77-98, March.
    6. Chih-Hao Yang & Yen-Yu Liu & Chia-Hsin Chiang & Ya-Wen Su, 2023. "National IoMT platform strategy portfolio decision model under the COVID-19 environment: based on the financial and non-financial value view," Annals of Operations Research, Springer, vol. 328(1), pages 1151-1179, September.
    7. Gideon Niel D. Tan, 2021. "A Business-Model Approach on Strategic Flexibility of Firms in a Shifting Value Chain: The Case of Coffee Processors in Amadeo and Silang, Cavite, Philippines," Global Journal of Flexible Systems Management, Springer;Global Institute of Flexible Systems Management, vol. 22(1), pages 17-28, March.
    8. Doyeon Lee & Keunhwan Kim, 2022. "Public R&D Projects-Based Investment and Collaboration Framework for an Overarching South Korean National Strategy of Personalized Medicine," IJERPH, MDPI, vol. 19(3), pages 1-25, January.
    9. Belousova, Olga A. & Groen, Aard J. & Ouendag, Aniek M., 2020. "Opportunities and barriers for innovation and entrepreneurship in orphan drug development," Technological Forecasting and Social Change, Elsevier, vol. 161(C).
    10. Ng, Wilson & Arndt, Félix & Huang, Tori Y., 2020. "Do-It-yourself laboratories as integration-based ecosystems✰," Technological Forecasting and Social Change, Elsevier, vol. 161(C).
    11. Chih-Hao Yang & Yen-Chi Chen & Wei Hsu & Yu-Hui Chen, 2023. "Evaluation of smart long-term care information strategy portfolio decision model: the national healthcare environment in Taiwan," Annals of Operations Research, Springer, vol. 326(1), pages 505-536, July.
    12. Bejjani, Melissa & Göcke, Lutz & Menter, Matthias, 2023. "Digital entrepreneurial ecosystems: A systematic literature review," Technological Forecasting and Social Change, Elsevier, vol. 189(C).
    13. Antonella Zucchella & Pietro Previtali & Roger Strange, 2022. "Proactive and reactive views in the transition towards circular business models. A grounded study in the plastic packaging industry," International Entrepreneurship and Management Journal, Springer, vol. 18(3), pages 1073-1102, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Moodysson , Jerker & Trippl, Michaela & Zukauskaite, Elena, 2015. "Policy Learning and Smart Specialization Balancing Policy Change and Policy Stability for New Regional Industrial Path Development," Papers in Innovation Studies 2015/39, Lund University, CIRCLE - Centre for Innovation Research.
    2. Brice Dattée & Oliver Alexy & Erkko Autio, 2018. "Maneuvering in Poor Visibility : How Firms Play the Ecosystem Game when Uncertainty is High," Post-Print hal-02276702, HAL.
    3. Gomes, Leonardo Augusto de Vasconcelos & Flechas, Ximena Alejandra & Facin, Ana Lucia Figueiredo & Borini, Felipe Mendes, 2021. "Ecosystem management: Past achievements and future promises," Technological Forecasting and Social Change, Elsevier, vol. 171(C).
    4. Mark A. Phillips & Jagjit Singh Srai, 2018. "Exploring Emerging Ecosystem Boundaries: Defining ‘The Game’," International Journal of Innovation Management (ijim), World Scientific Publishing Co. Pte. Ltd., vol. 22(08), pages 1-21, December.
    5. Xu, Guannan & Wu, Yuchen & Minshall, Tim & Zhou, Yuan, 2018. "Exploring innovation ecosystems across science, technology, and business: A case of 3D printing in China," Technological Forecasting and Social Change, Elsevier, vol. 136(C), pages 208-221.
    6. Hongryol Cha & Masaaki Kotabe & Jie Wu, 2023. "Reshaping Internationalization Strategy and Control for Global E-Commerce and Digital Transactions: A Hayekian Perspective," Management International Review, Springer, vol. 63(1), pages 161-192, February.
    7. Xie, Xuemei & Liu, Xiaojie & Blanco, Cristina, 2023. "Evaluating and forecasting the niche fitness of regional innovation ecosystems: A comparative evaluation of different optimized grey models," Technological Forecasting and Social Change, Elsevier, vol. 191(C).
    8. Zhongji Yang & Liangqun Qi & Xin Li & Tianxi Wang, 2022. "How Does Successful Catch-Up Occur in Complex Products and Systems from the Innovation Ecosystem Perspective? A Case of China’s High-Speed Railway," Sustainability, MDPI, vol. 14(13), pages 1-22, June.
    9. Jing Huang & Hongqi Wang & Jianlong Wu & Zhongji Yang & Xiaobo Hu & Mengmeng Bao, 2020. "Exploring the Key Driving Forces of the Sustainable Intergenerational Evolution of the Industrial Alliance Innovation Ecosystem: Evidence from a Case Study of China’s TDIA," Sustainability, MDPI, vol. 12(4), pages 1-31, February.
    10. Gomes, Leonardo Augusto de Vasconcelos & Castillo-Ospina, Danika A. & Facin, Ana Lucia Figueiredo & Ferreira, Camila dos Santos & Ometto, Aldo Roberto, 2023. "Circular ecosystem innovation portfolio management," Technovation, Elsevier, vol. 124(C).
    11. Cobben, Dieudonnee & Ooms, Ward & Roijakkers, Nadine & Radziwon, Agnieszka, 2022. "Ecosystem types: A systematic review on boundaries and goals," Journal of Business Research, Elsevier, vol. 142(C), pages 138-164.
    12. Granstrand, Ove & Holgersson, Marcus, 2020. "Innovation ecosystems: A conceptual review and a new definition," Technovation, Elsevier, vol. 90.
    13. Gomes, Leonardo Augusto de Vasconcelos & Facin, Ana Lucia Figueiredo & Salerno, Mario Sergio & Ikenami, Rodrigo Kazuo, 2018. "Unpacking the innovation ecosystem construct: Evolution, gaps and trends," Technological Forecasting and Social Change, Elsevier, vol. 136(C), pages 30-48.
    14. von Delft, Stephan & Zhao, Yang, 2021. "Business models in process industries: Emerging trends and future research," Technovation, Elsevier, vol. 105(C).
    15. Xin Cao & Taohua Ouyang & Puzant Balozian & Sixuan Zhang, 2020. "The Role of Managerial Cognitive Capability in Developing a Sustainable Innovation Ecosystem: A Case Study of Xiaomi," Sustainability, MDPI, vol. 12(17), pages 1-27, September.
    16. Dedehayir, Ozgur & Mäkinen, Saku J. & Ortt, J. Roland, 2022. "Innovation ecosystems as structures: Actor roles, timing of their entrance, and interactions," Technological Forecasting and Social Change, Elsevier, vol. 183(C).
    17. Giedrius Jucevičius & Kristina Grumadaitė, 2024. "Managing Strategic Tensions in the Development of Organizational Ecosystems," Sustainability, MDPI, vol. 16(5), pages 1-18, February.
    18. Gomes, Leonardo Augusto de Vasconcelos & Faria, Aline Mariane de & Braz, Antonio Carlos & Mello, Adriana Marotti de & Borini, Felipe Mendes & Ometto, Aldo Roberto, 2023. "Circular ecosystem management: Orchestrating ecosystem value proposition and configuration," International Journal of Production Economics, Elsevier, vol. 256(C).
    19. Daniel Gallacher & Nigel Stallard & Peter Kimani & Elvan Gökalp & Juergen Branke, 2022. "Development of a model to demonstrate the impact of National Institute of Health and Care Excellence cost‐effectiveness assessment on health utility for targeted medicines," Health Economics, John Wiley & Sons, Ltd., vol. 31(2), pages 417-430, February.
    20. Phillips, Mark A. & Ritala, Paavo, 2019. "A complex adaptive systems agenda for ecosystem research methodology," Technological Forecasting and Social Change, Elsevier, vol. 148(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:tefoso:v:151:y:2020:i:c:s0040162519311023. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.sciencedirect.com/science/journal/00401625 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.