Design research on business models in home healthcare

In Home Healthcare, a huge number of telemonitoring pilots have been executed. Positive indications suggest reduction of health problems and support in helping patients to gain control. For healthcare providers, significantreductions in healthcare costs have been estimated. However,” despite this large amount of pilot studies and the positive indications of benefits, there is only minor use of these telemonitoring systems outside research projects”.Gruber ea.(2009) identified a major innovation barrier for the diffusion of telemonitoring solutions to health care providers: “Unclear business models and high costs of change for the health providers”. Traditional businessmodels of the healthcare providers seem not to fit with the telemonitoring solutions. We started a design research study to investigate the business model designs of home healthcare services. We used an inductive researchapproach by in-depth qualitative analysis grounded in telemonitoring pilot studies. We first build our research on the four box framework of business model designs (ea. Johnson ea. 2008, Amit & Zott, 2009). Then we exploredhome healthcare services in the Netherlands and China. In the Netherlands we collected data from different actor perspectives (#32). In Eastern China we collected data from end users (#8) and compared this to an end user groupsin the Netherlands. These findings results in an overview of insights for business models in home health care.