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150th Estrad lecture. Moving entrepreneurship forward. Entrepreneurship in health care sectors. – Area of interest for Caroline Wigren- Kristoferson. A unique time in history . The Act on System of Choice in the Public Sector (2008:962) entered into force on 1 January 2009.

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150th estrad lecture
150th Estrad lecture

Movingentrepreneurship forward

entrepreneurship in health care sectors

Entrepreneurship in health care sectors

– Area of interest for

Caroline Wigren-Kristoferson

a unique time in history
A unique time in history
  • The Act on System of Choice in the Public Sector (2008:962) entered into force on 1 January 2009.
    • Open up for private actors to enter the market
    • County councils and municipalities
    • Users choose service providers within the system
  • A monopoly is broken up, which according to Schumpeter is defined as entrepreneurship.

A market with a lot of small firms on the market, and a very few very large firms - in between there is a void.

  • Have had the opportunity to follow a group of midwifes who have started private firms, delivering publicly financed health care.

Tend to identify with what they are

doing in everyday life.

What they do help them to create their identities.


A wish from policy makers that we would see a diversity of new actors on the market delivering publicly financed health care services.

  • Only the beginning… A lot will probably happen in the health and care sectors.
  • People leave public organizations to start a firm because they want to perform the service in a different way.

It seems to be a challenge for the entrepreneurs to perceive themselves as entrepreneurs. So the questions to discuss are:

    • What can I /we /policy makers do if we want to support entrepreneurship in the sector, if we aim at a sector that consists of a diversity of actors, not only large VC-owned actors?
    • How can I continue my journey and study identity construction among the entrepreneurs in the sector, what do you suggest?
entrepreneurial orientation too much of a good thing

Entrepreneurial Orientation: Too Much of a Good Thing

Vinit Parida

Assistant Professor

Center for Interorganizational Innovation Research (CiiR)

Entrepreneurship and Innovation

Luleå University of Technology

Source: Wales, J.W., Patel, C.P., Parida, V. & Kreiser, P.M. (forthcoming), Non-linear Effects of Entrepreneurial Orientation on Small Firm Performance: The Moderating Role of Resource Orchestration Capabilities, Strategic Entrepreneurship Journal.

entrepreneurial orientation eo
Entrepreneurial Orientation (EO)
  • “strategy-making practices, management philosophies, and firm level behaviors that are entrepreneurial in nature”
  • Key knowledge voids remain regarding this relationship in the context of small firms (i.e. less than 50 employees) due to mixed results
  • Examining the potential curvilinear nature of relationship between EO-performance
  • At low to moderate level of EO (Benefits out weights costs)
    • Discovery of new entry through proactive search process
    • Less resource intensive and manageable new entry opportunities
    • Less risky- incremental innovations
  • At high levels of EO (Costs out weights benefits)
    • Simultaneous experiments would stretch recourses base
    • Extensive ‘bold strokes’ or ‘courageous moves’ through radical innovations
    • Symbolic use of market intelligence for satisfying entrepreneurial agenda

Firm Growth

Entrepreneurial Orientation

Hypothesis1: The relationship between EO and firm performance is inverted U-shaped for small firms

moderating effects
Moderating Effects
  • ICT capability refers to the extent to which a firm is able to utilize ICT to improve its overall business processes (i.e. efficiency)
    • Streamline business processes and reduce cost of production
    • Reduce cost associated with product development (e.g. virtual prototyping)
    • Facilities internal external information exchange, leading to entrepreneurial alertness
  • Network capability refers to a firm’s ability to use of inter-organizational relationships to gain access to various resources held by other actors (i.e. effectiveness)
    • Connecting to new and diverse actors enable improved ability to develop innovations
    • Greater partner knowledge sharing reduces knowledge asymmetry
    • Reduce transaction costs through lowering likelihood of opportunistic behavior
    • Improved ability to take strategic decisions about new market enter

Hypotheses 2 & 3: ICT capability and Network capability positively moderates the curvilinear relationships between EO and small firm performance

theoretical contributions
Theoretical Contributions
  • EO-performance relationship dose not hold indefinitely for small firms
    • On average a low to moderate levels of EO produces the highest growth (e.g. low inflection points)
  • Based on resource orchestration theory, the optimal level of EO vary as a function of organizational capabilities (i.e. ICT and network capabilities)
    • Moderate level is not always optimal
  • Both capabilities play important role in maximizing the utility of EO in small firms
    • Pursuing higher levels of EO requires higher levels of ICT capability and network capability
managerial contributions
Managerial Contributions
  • When not possessing critical organizational capabilities, increased level of EO can be less beneficial or even harmful
  • Post-hoc analysis: Size of small firm plays strong influencing role on EO-performance relationship
  • Managers need to balance EO with ICT capability, network capability, and firm size to best enhance performance
entrepreneurial orientation is it too much of a good thing

Entrepreneurial Orientation: Is it Too Much of a Good Thing?

Thank You!

For more information contact: Vinit Parida (vinpar@ltu.se)


Innovation beyond Product Development Maria Elmquist, EsbriEstrad, 12-12-12Associate Professor, PhD.Center for Business InnovationDiv. of Innovation Engineering and ManagementChalmers University of Technologymaria.elmquist@chalmers.se

Maria Elmquist - Estrad - 121212


Toyota Prius

Maria Elmquist - Estrad - 121212

Something new /knowledge/technology) that creates new value for customers or the producing firm when it reaches the market.

Large firm focus: efficiency (lean!)

Claim to work with innovation

Innovation =/= R&D

Innovation Capabilities

my research interest innovation capabilities ic
My research interest: Innovation Capabilities (IC)

Maria Elmquist - Estrad - 121212

  • The firm’s ability to deploy its available resources to generate and appropriate value in new ways
  • System view rather than process (resources, processes, mindset)
  • Strategic intent
  • External relations
  • Managerial capabilities
  • IC are “innovation muscles”
main research questions
Main research questions:

Maria Elmquist - Estrad - 121212

  • How can the development of innovation capabilities be organized?
  • How can the development of innovation capabilities be managed?
  • How can companies openup their innovation processes?
for the discussion
For the discussion

Maria Elmquist - Estrad - 121212

  • How can large firms learn from entrepreneurial processes(and vice versa)?
  • How can we study capabilities?
  • What role can/should researchers play?
gaseller vad vet vi och vad vet vi inte

Gaseller – vad vet vi och vad vet vi inte?

Karl Wennberg

Handelshögskolani Stockholm

Näringslivetsforskningsinstitut Ratio

varf r r gaseller viktiga
Varför är gaseller viktiga?
  • En litengruppsnabbväxandeföretagskaparnästanhelanettotillväxtenavjobb
        • (Henrekson & Johansson, 2010)
        • Anställeroftaindividerutan “exakträtt” kompetens men med “rättattityd”
        • (Coad, Daunfeldt, Johansson & Wennberg, 2012; Hamilton & Danell, 2012)
  • Gasellerfinnsiallabranscherochregioner, dock ojämntfördelade
  • (Delmar & Wennberg, 2010)
gaseller hur ser de ut

Ofta påbörjad (men inte alltid avslutad) högskoleutbildning

Ofta gedigen branscherfarenhet

(Andersson, Efendic, Wennberg, 2012)


Samtliga branscher: I Sverige allt vanligare med tjänsteföretag (t.ex. bemanningsföretag)

Ofta en professionell styrelse

Internt genererade vinstmedel

Ibland höga marginaler, men varierar stort (Markman & Gartner, 2002)

Gaseller…hur ser de ut?
kompetensutveckling oftast intern
Kompetensutveckling oftast intern

Gasellernautvecklarinternakompetenser, framföralltgenomrekrytering

“passa in” viktigast, formellutbildning / erfarenhetmindreviktigt

(Hamilton & Danell, 2012)

success factor marknadsfokus
Successfactor? Marknadsfokus


Flexibilitetatttamarknadsandelarochrekryteranyckelpersonaläven under lågkonjunktur



  • 4% av alla företag skapar 50% av alla nya jobb
  • Begränsad forskning om både interna och externa förutsättningar för gaselltillväxt
  • Human Resources, Strategy, Organization, Economics, Dynamic Systems, Networks, etc.
  • Inte alltid mer lönsamma, få uppvisar uthållig tillväxt

(Halvarsson & Daunfeldt, 2011; Markman & Gartner, 2002)




fr gor kommentarer
Frågor / kommentarer?


…Nils Karlson, Henrik Lindberg, Elina Fergin, Markus Danell & Sebastian Hamilton (Ratio)

…NedimEfendic (Handelshögskolan)

…Sven-Olov Daunfeldt & Dan Johansson (HUI)

…Andreas Nilses (DI)

…Erkko Autio (Imperial College)

…Johan Wiklund (Syracuse)

…Frederic Delmar (Lund)

…Alex Coad (University of Sussex)

…Anna Öhrwall Rönnbäck (Linköping University)

…Erik Stam (Utrecht University)

Och Tack…

Ragnar Söderbergs Stiftelse

Handelsbankens Forskningsstiftelser