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dc.contributor.authorAngeli F.
dc.contributor.authorIshwardat S.T.
dc.contributor.authorJaiswal A.K.
dc.contributor.authorCapaldo A.
dc.date.accessioned2022-02-11T10:13:56Z
dc.date.available2022-02-11T10:13:56Z
dc.date.issued2018
dc.identifier.citationAngeli, F., Ishwardat, S. T., Jaiswal, A. K., & Capaldo, A. (2018). Socio-cultural sustainability of private healthcare providers in an indian slum setting: A bottom-ofthe- pyramid perspective. Sustainability (Switzerland), 10(12). https://doi.org/10.3390/su10124702
dc.identifier.issn20711050
dc.identifier.urihttps://www.doi.org/10.3390/su10124702
dc.identifier.urihttp://hdl.handle.net/11718/25211
dc.description.abstractDelivery of affordable healthcare services to communities is a necessary precondition to poverty alleviation. Co-creation approaches to the development of business models in the healthcare industry proved particularly suitable for improving the health-seeking behavior of BOP patients. However, scant research was conducted to understand BOP consumers' decision-making process leading to specific healthcare choices in slum settings, and the relative balance of sociocultural and socio-economic factors underpinning patients' preferences. This article adopts a mixedmethod approach to investigate the determinants of BOP patients' choice between private and public hospitals. Quantitative analysis of a database, composed of 436 patients from five hospitals in Ahmedabad, India, indicates that BOP patients visit a public hospital significantly more than topof- the-pyramid (TOP) patients. However, no significant difference emerges between BOP and TOP patients for inpatient or outpatient treatments. Qualitative findings based on 21 interviews with BOP consumers from selected slum areas led to the development of a grounded theory model, which highlights the role of aspirational demand of BOP patients toward private healthcare providers. Overall, healthcare provider choice emerges as the outcome of a collective socio-cultural decision-making process, which often assigns preference for private healthcare services because of the higher perceived quality of private providers, while downplaying affordability concerns. Implications for healthcare providers, social entrepreneurs, and policy-makers are discussed. � 2018 by the authors.
dc.description.sponsorshipAssociation for Progressive Communications,燗PC
dc.language.isoen_US
dc.publisherMDPI AG
dc.relation.ispartofSustainability (Switzerland)
dc.subjectAspirational demand
dc.subjectBottom of the pyramid (BOP)
dc.subjectChoice of healthcare providers
dc.subjectEmerging markets
dc.subjectGrounded theory research
dc.subjectHealthcare business models
dc.titleSocio-cultural sustainability of private healthcare providers in an indian slum setting: A bottom-ofthe- pyramid perspective
dc.typeArticle
dc.rights.licenseCC BY
dc.contributor.affiliationDepartment of Organization Studies, School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, Tilburg, 5000 LE, Netherlands
dc.contributor.affiliationDepartment of Health Services Research, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, Netherlands
dc.contributor.affiliationIndian Institute of Management Ahmedabad, Vastrapur, Ahmedabad, 380015, India
dc.contributor.affiliationS.E.GEST.A. Department of Management, Catholic University of the Sacred Heart, Rome, 00168, Italy
dc.contributor.institutionauthorAngeli, F., Department of Organization Studies, School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, Tilburg, 5000 LE, Netherlands
dc.contributor.institutionauthorIshwardat, S.T., Department of Health Services Research, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, Netherlands
dc.contributor.institutionauthorJaiswal, A.K., Indian Institute of Management Ahmedabad, Vastrapur, Ahmedabad, 380015, India
dc.contributor.institutionauthorCapaldo, A., S.E.GEST.A. Department of Management, Catholic University of the Sacred Heart, Rome, 00168, Italy
dc.description.scopusid36439152700
dc.description.scopusid57204970657
dc.description.scopusid24485500500
dc.description.scopusid16303222900
dc.identifier.doi10.3390/su10124702
dc.identifier.issue12
dc.identifier.volume10


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