Cross-Border Health Care Services as Inward Internationalization
DOI:
https://doi.org/10.18568/internext.v16i3.649Palavras-chave:
Cross-Border Health Care, Inward Internationalization, Effectuation, International Experience, NetworkingResumo
Purpose: The research aimed at investigating the pre-conditions and the decision-making process by which physician-entrepreneurs adopt CBHCS as part of their business.
Method: The study uses the case method of investigation.
Main results: Results showed that, in the cases studied, international experience and international networking are relevant characteristics of the physician-entrepreneur, besides country reputation, cultural and language similarities, and physician reputation. In addition, the decision processes of the physician-entrepreneurs in these organizations are based on an effectual logic. The offer of cross-border health care services was a combination of given means and contingencies, which helped the entrepreneurs to discover, or to create, the opportunity, and then develop it.
Relevance/originality: The research combines the literatures on effectuation and inward internationalization to study the decision-making process of adopting CBHCS by medical clinics.
Theoretical contributions: The study contributes to the literature by identifying certain pre-conditions and providing an in-depth analysis of the use of effectual logic by physician-entrepreneurs in their decision-making process of adopting CBHCS.
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Referências
Aharoni, Y. (2011). Fifty years of case research in international business: the power of outliers and black swans. In: Piekkari, R. & Welch, C. (Eds.) Rethinking the case study in international business and management research. (pp. 41-54). Northhampton, MA: Edward Elgar.
Andersson, S. (2011). International entrepreneurship, born globals and the theory of effectuation. Journal of Small Business and Enterprise Development, 18(3), 627-643. https://doi.org/10.1108/14626001111155745
Arend, R. J., Sarooghi, H., & Burkemper, A. (2015). Effectuation as ineffectual? Applying the 3E Theory Assessment framework to a proposed new theory of entrepreneurship. Academy of Management Review, 40(4), 630-651. https://journals.aom.org/doi/abs/10.5465/amr.2014.0455
Bianchi, C. (2008). Inward internationalisation of consumer services: lessons from Australian educational firms. In Proceedings of the 37th EMAC Conference: Marketing landscapes - a pause for thought, Brighton.
Bianchi, C. (2010). Inward exporting of professional services: Lessons from an exploratory study of Australian educational firms. Services Marketing Quarterly, 31(2), 174-193. https://doi.org/10.1080/15332961003604352
Bianchi, C. (2011). Inward internationalization of consumer services: lessons from Australian firms. Journal of Services Marketing, 25(4), 282-293. https://doi.org/10.1108/08876041111143113
Bjorkman, I., & Kock, S. (1997). Inward international activities in service firms - illustrated by three cases from the tourism industry. International Journal of Service Industries Management, 8(5), 362-376. https://doi.org/10.1108/09564239710189808
Chetty, S., Ojala, A., & Leppäaho, T. (2015). Effectuation and foreign market entry of entrepreneurial firms. European Journal of Marketing, 49 (9/10), 1436-1459. https://doi.org/10.1108/EJM-11-2013-0630
Chandler, G.N., DeTienne, D.R., McKelvie, A., & Mumford, T.V. (2011). Causation and effectuation processes: a validation study. Journal of Business Venturing, 26(3), 375-390. https://doi.org/10.1016/j.jbusvent.2009.10.006
Child, J., & Rodrigues, S. (2005). The internationalization of Chinese firms: A case for theoretical extension? Management and Organization Review, 1(3), 381-410. https://doi.org/10.1111/j.1740-8784.2005.0020a.x
Ciszewska-Mlinaric, M., Obloj, K., & Wasowska, A. (2016). Effectuation and causation: two decision-making logics of INVs at the early stage of growth and internationalization. Journal of East European Management Studies, 21(3), 275-297.
Cortez, N. (2008). Patients without borders: the emerging global market for patients and the evolution of health care. Indiana Law Journal, 83(1), 3.
Coviello, N.E., & Martin, K. A.-M. (1999). Internationalization of service SMEs : an integrated perspective from the engineering consulting sector. Journal of International Marketing, 7(4), 42–66. https://doi.org/10.1177%2F1069031X9900700404
Dunning, J. H., & Kundu, S. K. (1995). The internationalization of the hotel industry: some new findings from a field study. Management International Review, 35(2), 1-15.
Etemad, H. (2018). Advances and challenges in the evolving field of international entrepreneurship: The case of migrant and diaspora entrepreneurs. Journal of International Entrepreneurship, 16, 109–118. https://doi.org/10.1007/s10843-018-0233-8
Galkina, T., & Chetty, S. (2015). Effectuation and networking of internationalizing SMEs. Management International Review, 55, 647-676. https://doi.org/10.1007/s11575-015-0251-x
Ghauri, P. (2004). Designing and conducting case studies in international business research. In: Marschan-Piekkari, R. & Welch, C. (Eds.). Handbook of qualitative research methods for international business (pp. 109-124). Cheltenham, UK: Edward Elgar.
Gu, Q., & Lu, J.W. (2011). Effects of inward investment on outward investment: the venture capital industry worldwide 1985-2007. Journal of International Business Studies, 42, 263-284. https://doi.org/10.1057/jibs.2010.51
Haiyang, L., Xiwei, Y., & Geng, C. (2017). Emerging market firms' internationalization: how do firms' inward activities affect their outward activities? Strategic Management Journal, 38(13), 2704-2725. https://doi.org/10.1002/smj.2679
Han, J-S., Lee, T.J., & Ryu, K. (2018). The promotion of health tourism products for domestic tourists. International Journal of Tourism Research, 20(2), 137-146. https://doi.org/10.1002/jtr.2161
Hanefeld, J., Smith, R., Horsfall, D., & Lunt, N. (2014). What do we know about medical tourism? A review of the literature with discussion of its implications for the UK National Health Service as an example of a public health care system. Journal of Travel Medicine, 21(6), 410-417. https://doi.org/10.1111/jtm.12147
Harms, R., & Schiele, H. (2012). Antecedents and consequences of effectuation and causation in the international new venture creation process. Journal of International Entrepreneurship, 10, 95-116.
Hassett, M.E., & Paavilainen-Mäntymäki, E. (2013). Longitudinal research in organizations: an introduction. In: Hassett, M.E., & Paavilainen-Mäntymäki, E. Handbook of longitudinal research methods in organisation and business studies (pp.1-22). Cheltenham, UK: Edward Elgar.
Hauser, A., Eggers, F., & Güldenberg, S. (2020). Strategic decision-making in SMEs: effectuation, causation, and the absence of strategy. Small Business Economics, 54, 775-790. https://doi.org/10.1007/s11187-019-00152-x
Hernández, V., & Nieto, M.J. (2016). Inward-outward connections and their impact on firm growth. International Business Review, 25(1), 296-306. https://doi.org/10.1016/j.ibusrev.2015.05.009
Heung, V.C.S., Kucukusta, D., & Song, H. (2010). A conceptual model of medical tourism: implications for future research. Journal of Travel & Tourism Marketing, 27(3), 236-251. https://doi.org/10.1080/10548401003744677
Javalgi, R. (Raj) G., Griffith, D.A., & White, D.S. (2003). An empirical examination of factors influencing the internationalization of service firms. Journal of Services Marketing, 17(2), 185–201. https://doi.org/10.1108/08876040310467934
Javalgi, R. (Raj) G., & Grossman, D. A. (2014). Firm resources and host-country factors impacting internationalization of knowledge-intensive service firms. Thunderbird International Business Review, 56(3), 285–300. https://doi.org/10.1002/tie.21622
Karlsen, T, Silseth, P.R., Benito, G.R.G., & Welch, L. S. (2003). Knowledge, internationalization of the firm, and inward–outward connections. Industrial Marketing Management, 32(5), 385-396. https://doi.org/10.1016/S0019-8501(03)00012-9
Kerr, K., & Coviello, N. (2020). Weaving network theory into effectuation: a multi-level conceptualization of effectual dynamics. Journal of Business Venturing, 39(2), 105937. https://doi.org/10.1016/j.jbusvent.2019.05.001
Kim, H.J., Lee, T.J., & Ko, T.G. (2016). Satisfaction and subjective well-being of health tourists: the case of Japanese and Korean tourists. Journal of Travel & Tourism Marketing, 33(5), 742-757. https://doi.org/10.1080/10548408.2016.1167392
Knight, G.(1999). International services marketing: review of research, 1980-1998. Journal of Services Marketing, 13(4/5), 347-358. https://doi.org/10.1108/08876049910282619
Korhonen, H., Luostarinen, R.K., & Welch, L. Internationalization of SMEs: inward-outward patterns and government policy. Management International Review, 36(4), 315-329.
Lee, J.L. (2016). Ambiguity aversion: theoretical advances and practical implications. Journal of Marketing Thought, 3(3),11-17.
Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., & Mannlon, R. (2012). Medical tourism: treatments, markets and health system implications: A scoping review. OECD. Available at: https://www.oecd.org/els/health-systems/48723982.pdf
McKelvie, A., Chandler, G.N., DeTienne, D.R. et al. (2020). The measurement of effectuation: highlighting research tensions and opportunities for the future. Small Business Economics. 54, 689-720. https://doi.org/10.1007/s11187-019-00149-6
Moreira, A.C., Ferreira, L.M.D.F., & Da Silva, P.M.F. Inward internationalization: important challenges among SMEs. In R. Perez-Uribe, C. Salcedo-Perez, & D. Ocampo-Guzman (Eds.) Handbook of research on intrapreneurship and organizational sustainability in SMEs (pp. 250-275). Hershey, PA: IGI Global.
Munro, J.W. (2012) What is medical tourism? Medical travel quality alliance. Available at: http://www.globalspaandwellnesssummit.org/images/stories/pdf/mtqa_what_is_medical_tourism.pdf.
Musa, G., Doshi, D. R., & Wong, K. M. (2012). How satisfied are inbound medical tourists in Malaysia? A study on private hospitals in Kuala Lumpur. Journal of Travel and Tourism Marketing, 29(7), 629-646. https://doi.org/10.1080/10548408.2012.720150
Pananond, P. (2013). Where do we go from here?: Globalizing subsidiaries moving up the value chain. Journal of International Management, 19(3), 207-219. https://doi.org/10.1016/j.intman.2013.03.002.
Patients Beyond Borders (2021). Available at: https://www.patientsbeyondborders.com/media
Patients Beyond Borders (2018). Available at: https://patientsbeyondborders.com/procedure/cosmetic-and-reconstructive-surgery.
Perry, J. T., Chandler, G. N., & Markova, G. (2011). Entrepreneurial effectuation: A review and suggestions for future research. Entrepreneurship Theory & Practice, 36(4), 837-861. https://doi.org/10.1111%2Fj.1540-6520.2010.00435.x
Read, S., Song, M., & Smit, W. (2009). A meta-analytic review of effectuation and venture performance. Journal of Business Venturing, 24(6), 573-587. https://doi.org/10.1016/j.jbusvent.2008.02.005
Reuber, A.R., Fischer, E., & Coviello, N. (2017). Deepening the dialogue: New directions for the evolution of effectuation theory. Academy of Management Review, 41(3), 536-540.
Saravasthy, S.D. (2001). Causation and effectuation: towards a theoretical shift from economic inevitability to entrepreneurial contingency. Academy of Management Review, 26(2), 243–288.
Saravasthy, S., Kumar, K. York, J.G., Bhagavatula, S. (2014). An effectual approach to international entrepreneurship: overlaps, challenges, and provocative possibilities. Entrepreneurship Theory and Practice, 38(1),71-93. https://doi.org/10.1111%2Fetap.12088
Smith, P.C., & Forgione, D. (2007). Global outsourcing of healthcare: a medical tourism model. Journal of Information Technology Case and Application Research, 9(3), 19–30. https://doi.org/10.1080/15228053.2007.10856117
Smith, R., Martínez-Alvarez, M., & Chanda, R. (2011). Medical tourism: a review of the literature and analysis of a role for bi-lateral trade. Health Policy, 103(2/3), 276-282. https://doi.org/10.1016/j.healthpol.2011.06.009
Stucchi, T., Pedersen, T., & Kumar, V. (2015). The effect of institutional evolution on Indian firms’ internationalization: disentangling inward- and outward-oriented effects. Long Range Planning, 48(5), 346-359. https://doi.org/10.1016/j.lrp.2015.07.003
Turunen, H., & Nummela, N. (2017). Internationalisation at home: the internationalisation of location-bound SMEs. Journal of International Entrepreneurship, 15, 36-54. https://doi.org/10.1007/s10843-016-0167-y
Viladrich, A., & Baron-Faust, R. (2014). Medical tourism in tango paradise: the internet branding of cosmetic surgery in Argentina. Annals of Tourism Research, 45, 116-131. https://doi.org/10.1016/j.annals.2013.12.007
Welch, L. (2004). International entrepreneurship and internationalization: common threads. In: Dana, L.P. (ed.). Handbook of research on international entrepreneurship. (pp.137-149). Cheltenham, U.K., Edward Elgar.
Welch, L.S., & Luostarinen, R.K. (1993). Inward-outward connections in internationalization. Journal of International Marketing, 1(1), 44-56.
Yin, R. (1989). Case study research: Design and methods. Newbury Park, CA: Sage.
Zhao, H., & Ma, J. (2016). Founding environment, inward internationalization, and firm performance: Evidence from Chinese private enterprises. Journal of East-West Business, 22(4), 296-323. doi: 10.1080/10669868.2016.1215667
Zhou, L., Wu, W. & Luo, X. (2007). Internationalization and the performance of born-global SMEs: The mediating role of social networks. Journal of International Business Studies, 38(4), 673-690. https://doi.org/10.1057/palgrave.jibs.8400282
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