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Digital health technologies and innovation patterns in diabetes ecosystems

Journal
DIGITAL HEALTH
ISSN
2055-2076
Type
journal article
Date Issued
2025-01
Author(s)
Odile-Florence Giger  
;
Estelle Pfitzer
;
Wasu Mekniran  
;
Hannes Gebhardt
;
Elgar Fleisch  
;
Mia Jovanova
;
Tobias Kowatsch  
DOI
10.1177/20552076241311740
Abstract
Background
The global rise in type-2 diabetes (T2D) has prompted the development of new digital technologies for diabetes management. However, despite the proliferation of digital health companies for T2D care, scaling their solutions remains a critical challenge. This study investigates the digital transformation of T2D ecosystems and seeks to identify key innovation patterns. We examine: (1) What are emerging organizations in digital diabetes ecosystems? (2) What are the value streams in digital T2D ecosystems? (3) Which innovation patterns are present in digital T2D ecosystems?

Methods
We conducted a literature review and market analysis to characterize organizations and value streams in T2D ecosystems, pre- and post-digital transformation. We used the e3-value methodology to visualize T2D ecosystems (RQ1 and RQ2) and conducted expert interviews to identify emerging innovation patterns in digital diabetes ecosystems (RQ3).

Results
Our analyses revealed the emergence of eight organization segments in digital diabetes ecosystems: real-world evidence analytics, healthcare management platforms, clinical decision support, diagnostic and monitoring, digital therapeutics, wellness, online community, and online pharmacy (RQ1). Visualizing the value streams among these organizations highlights the crucial importance of individual health data (RQ2). Furthermore, our analysis revealed four major innovation patterns within the digital diabetes ecosystem: open ecosystem strategies, outcome-based payment models, platformization, and user-centric software (RQ3).

Conclusions
Our findings illustrate the transition from traditional value chains in T2D care to platform-based and outcome-oriented models. These innovation patterns can inform strategic decisions for companies and healthcare providers, potentially helping anticipate new digital trends in diabetes care and across other chronic disease ecosystems.
HSG Classification
contribution to scientific community
Refereed
Yes
Publisher
SAGE Publications
Volume
11
URL
https://www.alexandria.unisg.ch/handle/20.500.14171/121937
Subject(s)

economics

Division(s)

ITEM - Institute of T...

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