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What helps age-tech startups scale-up? Some insights

Author

Listed:
  • Imon Chakraborty

    (Indian Institute of Technology Madras)

  • P. Vigneswara Ilavarasan

    (Indian Institute of Technology Delhi)

  • Sisira Edirippulige

    (The University of Queensland)

Abstract

The mortality rate of health-tech startups is high despite their potential to fill the accessibility and affordability gaps in healthcare service delivery. Extant research on what helps health-tech startups to grow, especially age-tech startups, is inadequate. It discusses various aspects of scale-up, but an understanding of what precedes the same remains scant. The paper attempts to fill this gap using a scoping review of the literature followed by case studies. Four databases, Scopus, Web of Science, PubMed, and Institute of Electrical and Electronics Engineers Xplore (IEEE Xplore), were screened for the period January 2017 and May 2024. The findings were validated in the light of case studies where critical incident technique was used to analyze the data. The study identifies seven antecedents for the age-tech startups’ scale-up: customer-oriented approach, workforce productiveness, value effectiveness, innovativeness, strategic partnerships, funding strategy, and regulatory compliance. It offers a theoretical understanding of the factors that drive the scale-up of age-tech startups and proposes a framework for further theoretical development and empirical validation. The findings will assist various stakeholders in enabling the success and sustainability of health-tech ventures. The paper also presents practical implications and directions for future research.

Suggested Citation

  • Imon Chakraborty & P. Vigneswara Ilavarasan & Sisira Edirippulige, 2025. "What helps age-tech startups scale-up? Some insights," International Entrepreneurship and Management Journal, Springer, vol. 21(1), pages 1-32, December.
  • Handle: RePEc:spr:intemj:v:21:y:2025:i:1:d:10.1007_s11365-025-01081-w
    DOI: 10.1007/s11365-025-01081-w
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    1. O'Connor, Genevieve E. & Myrden, Susan & Alkire (née Nasr), Linda & Lee, Kyungwon & Köcher, Sören & Kandampully, Jay & Williams, Jerome D., 2021. "Digital Health Experience: A Regulatory Focus Perspective," Journal of Interactive Marketing, Elsevier, vol. 56(C), pages 121-136.
    2. Scott N. Taylor & Andrew Corbett & Danna Greenberg & Wendy Murphy & Keith Rollag & Jeffrey Shay, 2025. "A conceptual model of entrepreneurial leadership: how entrepreneurial leaders enable entrepreneurial opportunity," International Entrepreneurship and Management Journal, Springer, vol. 21(1), pages 1-31, December.
    3. Elhem Ben Fatma & Léo-Paul Dana & Souhir Elleuch & Ezzeddine Ben Mohamed, 2024. "Does dispositional optimism affect entrepreneurial success? Evidence from Saudi Arabia," International Entrepreneurship and Management Journal, Springer, vol. 20(2), pages 1127-1152, June.
    4. Rossana Piccolo, 2024. "Digitisation, health literacy and health empowerment of older people," International Entrepreneurship and Management Journal, Springer, vol. 20(4), pages 3001-3034, December.
    5. Leonardo Mazzoni & Silvia Rita Sedita, 2025. "Unpacking the drivers of the socio-environmental sustainability of new ventures: insights from innovative digital start-ups in Italy," International Entrepreneurship and Management Journal, Springer, vol. 21(1), pages 1-35, December.
    6. Leone, Daniele & Schiavone, Francesco & Appio, Francesco Paolo & Chiao, Benjamin, 2021. "How does artificial intelligence enable and enhance value co-creation in industrial markets? An exploratory case study in the healthcare ecosystem," Journal of Business Research, Elsevier, vol. 129(C), pages 849-859.
    7. Maria Emilsson & Ulf Ernstson & Linn Gustavsson & Ann Svensson, 2020. "Sustainable Innovations in Small Enterprises for the Transformation of the Primary Healthcare Sector," Sustainability, MDPI, vol. 12(16), pages 1-19, August.
    8. Xiao Wen Wang & Muhammad Umar & Nada Khaddage-Soboh & Adnan Safi, 2024. "From innovation to impact: unraveling the complexities of entrepreneurship in the digital age," International Entrepreneurship and Management Journal, Springer, vol. 20(4), pages 3207-3221, December.
    9. Fabiola Gómez-Jorge & Sara Bermejo-Olivas & Eloísa Díaz-Garrido & Isabel Soriano-Pinar, 2025. "Success in entrepreneurship: the impact of self-esteem and entrepreneurial orientation," International Entrepreneurship and Management Journal, Springer, vol. 21(1), pages 1-43, December.
    10. Chakraborty, Imon & Ilavarasan, P. Vigneswara & Edirippulige, Sisira, 2021. "Health-tech startups in healthcare service delivery: A scoping review," Social Science & Medicine, Elsevier, vol. 278(C).
    11. Essen, Anna & Frishammar, Johan & Cenamor, Javier, 2023. "Entering non-platformized sectors: The Co-evolution of legitimacy debates and platform business models in digital health care," Technovation, Elsevier, vol. 121(C).
    12. Dushnitsky, Gary & Stroube, Bryan K., 2021. "Low-code entrepreneurship: Shopify and the alternative path to growth," Journal of Business Venturing Insights, Elsevier, vol. 16(C).
    13. Franz Simon & Rainer Harms & Holger Schiele, 2019. "Managing corporate-startup relationships: what matters for entrepreneurs?," International Journal of Entrepreneurial Venturing, Inderscience Enterprises Ltd, vol. 11(2), pages 164-186.
    14. Yan Zhou & Liguo Lou & Justin Z. Zhang & Jeffrey Gauthier & Brij B. Gupta, 2024. "Exploring reputation factors for startups’ survival in sharing economy," International Entrepreneurship and Management Journal, Springer, vol. 20(4), pages 2591-2609, December.
    15. Matti Muhos & Martti Saarela & Delbert Foit & Lada Rasochova, 2019. "Management priorities of digital health service start-ups in California," International Entrepreneurship and Management Journal, Springer, vol. 15(1), pages 43-62, March.
    16. Sebastian Hermes & Tobias Riasanow & Eric K. Clemons & Markus Böhm & Helmut Krcmar, 2020. "The digital transformation of the healthcare industry: exploring the rise of emerging platform ecosystems and their influence on the role of patients," Business Research, Springer;German Academic Association for Business Research, vol. 13(3), pages 1033-1069, November.
    17. Cozzolino, Alessio & Geiger, Susi, 2024. "Ecosystem disruption and regulatory positioning: Entry strategies of digital health startup orchestrators and complementors," Research Policy, Elsevier, vol. 53(2).
    18. Helen Haugh, 2007. "Community–Led Social Venture Creation," Entrepreneurship Theory and Practice, , vol. 31(2), pages 161-182, March.
    19. Cannone, Giusy & Ughetto, Elisa, 2014. "Born globals: A cross-country survey on high-tech start-ups," International Business Review, Elsevier, vol. 23(1), pages 272-283.
    20. Neil Lee, 2014. "What holds back high-growth firms? Evidence from UK SMEs," Small Business Economics, Springer, vol. 43(1), pages 183-195, June.
    21. Michiko Iizuka & Gerald Hane, 2021. "Towards attaining the SDGs: cases of disruptive and inclusive innovations," Innovation and Development, Taylor & Francis Journals, vol. 11(2-3), pages 343-364, September.
    22. Matthew R. Marvel, 2013. "Human Capital and Search–Based Discovery: A Study of High–Tech Entrepreneurship," Entrepreneurship Theory and Practice, , vol. 37(2), pages 403-419, March.
    23. Haessler, Philipp & Giones, Ferran & Brem, Alexander, 2023. "The who and how of commercializing emerging technologies: A technology-focused review," Technovation, Elsevier, vol. 121(C).
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