IDEAS home Printed from https://ideas.repec.org/p/bzn/wpaper/bemps31.html
   My bibliography  Save this paper

Business Models and Institutional Complexity: Understanding Value Creation in Healthcare Sector Public-Private Partnerships

Author

Listed:
  • Elisa Villani

    (Free University of Bolzano‐Bozen, Faculty of Economics and Management)

  • Luciano Greco

    (University of Padova)

  • Nelson Phillips

    (Imperial College Business School)

Abstract

Public-Private Partnerships (PPPs), as novel hybrid organizations, combine different institutional logics to generate innovative solutions to complex problems. Their growth and survival depends largely on the creation of value for stakeholders and society. Using data from a comparative case study of two PPPs in the healthcare sector, we focus on the fact that the business model design is a means through which the successful or unsuccessful management of institutional complexity can occur inside hybrid organizations, with a subsequent generation or destruction of value. We are able to link the literature on institutional complexity and hybrid organizations with the one on business models, by looking at the organizational mechanisms and processes that are implemented in the definition of partnership governance, content and structure. We provide a process model of the way the business model design can help to bridge different logics and finally create value for stakeholders.

Suggested Citation

  • Elisa Villani & Luciano Greco & Nelson Phillips, 2015. "Business Models and Institutional Complexity: Understanding Value Creation in Healthcare Sector Public-Private Partnerships," BEMPS - Bozen Economics & Management Paper Series BEMPS31, Faculty of Economics and Management at the Free University of Bozen.
  • Handle: RePEc:bzn:wpaper:bemps31
    as

    Download full text from publisher

    File URL: https://repec.unibz.it/bemps31.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Hoppe, Eva I. & Kusterer, David J. & Schmitz, Patrick W., 2013. "Public–private partnerships versus traditional procurement: An experimental investigation," Journal of Economic Behavior & Organization, Elsevier, vol. 89(C), pages 145-166.
    2. Macho-Stadler, Ines & Perez-Castrillo, J. David, 1993. "Moral hazard with several agents : The gains from cooperation," International Journal of Industrial Organization, Elsevier, vol. 11(1), pages 73-100, March.
    3. David Martimort & Flavio Menezes & Myrna Wooders & ELISABETTA IOSSA & DAVID MARTIMORT, 2015. "The Simple Microeconomics of Public-Private Partnerships," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 17(1), pages 4-48, February.
    4. David Martimort & Flavio Menezes & Myrna Wooders & LUCIANO GRECO, 2015. "Imperfect Bundling in Public–Private Partnerships," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 17(1), pages 136-146, February.
    5. Cravens, Karen & Piercy, Nigel & Cravens, David, 2000. "Assessing the performance of strategic alliances:: matching metrics to strategies," European Management Journal, Elsevier, vol. 18(5), pages 529-541, October.
    6. Bennett, John & Iossa, Elisabetta, 2006. "Building and managing facilities for public services," Journal of Public Economics, Elsevier, vol. 90(10-11), pages 2143-2160, November.
    7. Magali A. Delmas & Michael W. Toffel, 2008. "Organizational responses to environmental demands: opening the black box," Strategic Management Journal, Wiley Blackwell, vol. 29(10), pages 1027-1055, October.
    8. Morris, Michael & Schindehutte, Minet & Allen, Jeffrey, 2005. "The entrepreneur's business model: toward a unified perspective," Journal of Business Research, Elsevier, vol. 58(6), pages 726-735, June.
    9. Bertrand Moingeon & Muhammad Yunus & Laurence Lehmann-Ortega, 2010. "Building Social Business Models: Lessons from the Grameen Experience," Post-Print hal-00528385, HAL.
    10. Martimort, David & Pouyet, Jerome, 2008. "To build or not to build: Normative and positive theories of public-private partnerships," International Journal of Industrial Organization, Elsevier, vol. 26(2), pages 393-411, March.
    11. Eva I. Hoppe & Patrick W. Schmitz, 2013. "Public-private partnerships versus traditional procurement: Innovation incentives and information gathering," RAND Journal of Economics, RAND Corporation, vol. 44(1), pages 56-74, March.
    12. Roger L. M. Dunbar & William H. Starbuck, 2006. "Learning to Design Organizations and Learning from Designing Them," Organization Science, INFORMS, vol. 17(2), pages 171-178, April.
    13. Amit Nigam & William Ocasio, 2010. "Event Attention, Environmental Sensemaking, and Change in Institutional Logics: An Inductive Analysis of the Effects of Public Attention to Clinton's Health Care Reform Initiative," Organization Science, INFORMS, vol. 21(4), pages 823-841, August.
    14. Oliver Hart, 2003. "Incomplete Contracts and Public Ownership: Remarks, and an Application to Public-Private Partnerships," Economic Journal, Royal Economic Society, vol. 113(486), pages 69-76, March.
    15. Ilze Kivleniece & Bertrand Quélin, 2012. "Creating and Capturing Value in Public-Private Ties: A Private Actor's Perspective," Post-Print hal-00677772, HAL.
    16. Mary Ann Glynn, 2000. "When Cymbals Become Symbols: Conflict Over Organizational Identity Within a Symphony Orchestra," Organization Science, INFORMS, vol. 11(3), pages 285-298, June.
    17. Mahoney, Joseph & McGahan, Anita & Pitelis, Christos, 2009. "The Interdependence of Private and Public Interests," Papers DYNREG40, Economic and Social Research Institute (ESRI).
    18. Angel Saz-Carranza & Francisco Longo, 2012. "Managing Competing Institutional Logics in Public--Private Joint Ventures," Public Management Review, Taylor & Francis Journals, vol. 14(3), pages 331-357, March.
    19. Haim Mendelson, 2000. "Organizational Architecture and Success in the Information Technology Industry," Management Science, INFORMS, vol. 46(4), pages 513-529, April.
    20. W. Richard Scott, 2003. "Institutional carriers: reviewing modes of transporting ideas over time and space and considering their consequences," Industrial and Corporate Change, Oxford University Press and the Associazione ICC, vol. 12(4), pages 879-894, August.
    21. Joseph T. Mahoney & Anita M. McGahan & Christos N. Pitelis, 2009. "Perspective ---The Interdependence of Private and Public Interests," Organization Science, INFORMS, vol. 20(6), pages 1034-1052, December.
    22. Christoph Zott & Raphael Amit, 2007. "Business Model Design and the Performance of Entrepreneurial Firms," Organization Science, INFORMS, vol. 18(2), pages 181-199, April.
    23. Julie Battilana & Bernard Leca & Eva Boxenbaum, 2009. "How actors change institutions : Towards a theory of institutional entrepreneurship," Post-Print hal-00576509, HAL.
    24. Paul Tracey & Nelson Phillips & Owen Jarvis, 2011. "Bridging Institutional Entrepreneurship and the Creation of New Organizational Forms: A Multilevel Model," Organization Science, INFORMS, vol. 22(1), pages 60-80, February.
    25. Georg Schreyögg & Jörg Sydow, 2010. "CROSSROADS---Organizing for Fluidity? Dilemmas of New Organizational Forms," Organization Science, INFORMS, vol. 21(6), pages 1251-1262, December.
    Full references (including those not matched with items on IDEAS)

    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. Jarrod Ormiston & Richard Seymour, 2011. "Understanding Value Creation in Social Entrepreneurship: The Importance of Aligning Mission, Strategy and Impact Measurement," Journal of Social Entrepreneurship, Taylor & Francis Journals, vol. 2(2), pages 125-150, October.
    2. Elisa Villani & Luciano Greco & Nelson Phillips, 2017. "Understanding Value Creation in Public-Private Partnerships: A Comparative Case Study," Journal of Management Studies, Wiley Blackwell, vol. 54(6), pages 876-905, September.
    3. Schmitz, Patrick W., 2023. "The proper scope of government reconsidered: Asymmetric information and incentive contracts," European Economic Review, Elsevier, vol. 157(C).
    4. Buso, Marco & Marty, Frederic & Tran, Phuong Tra, 2017. "Public-private partnerships from budget constraints: Looking for debt hiding?," International Journal of Industrial Organization, Elsevier, vol. 51(C), pages 56-84.
    5. Elisabetta Iossa & Federico Biagi & Paola Valbonesi, 2018. "Pre-commercial procurement, procurement of innovative solutions and innovation partnerships in the EU: rationale and strategy," Economics of Innovation and New Technology, Taylor & Francis Journals, vol. 27(8), pages 730-749, November.
    6. Eva I. Hoppe & Patrick W. Schmitz, 2021. "How (Not) to Foster Innovations in Public Infrastructure Projects," Scandinavian Journal of Economics, Wiley Blackwell, vol. 123(1), pages 238-266, January.
    7. Ram Singh, 2018. "Public–private partnerships vs. traditional contracts for highways," Indian Economic Review, Springer, vol. 53(1), pages 29-63, December.
    8. Hoppe, Eva I. & Kusterer, David J. & Schmitz, Patrick W., 2013. "Public–private partnerships versus traditional procurement: An experimental investigation," Journal of Economic Behavior & Organization, Elsevier, vol. 89(C), pages 145-166.
    9. Schmitz, Patrick W., 2013. "Job design with conflicting tasks reconsidered," European Economic Review, Elsevier, vol. 57(C), pages 108-117.
    10. Buso, Marco & Moretto, Michele & Zormpas, Dimitrios, 2021. "Excess returns in Public-Private Partnerships: Do governments pay too much?," Economic Modelling, Elsevier, vol. 102(C).
    11. Arshad Ali Javed & Patrick T.I. Lam & Albert P.C. Chan, 2014. "Change negotiation in public-private partnership projects through output specifications: an experimental approach based on game theory," Construction Management and Economics, Taylor & Francis Journals, vol. 32(4), pages 323-348, April.
    12. Marco Buso & Luciano Greco, 2021. "The Optimality of Public-Private Partnerships under Financial and Fiscal Constraints," "Marco Fanno" Working Papers 0276, Dipartimento di Scienze Economiche "Marco Fanno".
    13. David Martimort & Stéphane Straub, 2016. "How To Design Infrastructure Contracts In A Warming World: A Critical Appraisal Of Public–Private Partnerships," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 57(1), pages 61-88, February.
    14. Giuseppe Attanasi & Kene Boun My & Marco Buso & Anne Stenger, 2020. "Private investment with social benefits under uncertainty: The dark side of public financing," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 22(3), pages 769-820, June.
    15. Kosuke Oshima, 2016. "Public-Private Partnerships, Dividing Operational Stage, and Optimal Governance Structures," Public Organization Review, Springer, vol. 16(4), pages 443-459, December.
    16. David Martimort & Flavio Menezes & Myrna Wooders & LUCIANO GRECO, 2015. "Imperfect Bundling in Public–Private Partnerships," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 17(1), pages 136-146, February.
    17. Marco Buso, 2019. "Bundling versus unbundling: asymmetric information on information externalities," Journal of Economics, Springer, vol. 128(1), pages 1-25, September.
    18. Elisabetta IOSSA & Stephane SAUSSIER, 2018. "Public Private Partnerships In Europe For Building And Managing Public Infrastructures: An Economic Perspective," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 89(1), pages 25-48, March.
    19. Deng, Zhongqi & Song, Shunfeng & Chen, Yongjun, 2016. "Private participation in infrastructure project and its impact on the project cost," China Economic Review, Elsevier, vol. 39(C), pages 63-76.
    20. repec:bla:annpce:v:89:y:2018:i:1:p:25-48 is not listed on IDEAS
    21. Mahavadi Dhanshyam & Samir K. Srivastava, 2021. "Governance structures for public infrastructure projects: Public–private management regimes, contractual forms and innovation," Construction Management and Economics, Taylor & Francis Journals, vol. 39(8), pages 652-668, August.

    More about this item

    Keywords

    business model design; healthcare; hybrid organizations; institutional logics; PPPs;
    All these keywords.

    JEL classification:

    • M10 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Business Administration - - - General
    • L32 - Industrial Organization - - Nonprofit Organizations and Public Enterprise - - - Public Enterprises; Public-Private Enterprises

    Statistics

    Access and download statistics

    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:bzn:wpaper:bemps31. 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: F. Marta L. Di Lascio or Alessandro Fedele (email available below). General contact details of provider: https://edirc.repec.org/data/feubzit.html .

    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.