Send to

Choose Destination
Health Serv Manage Res. 2017 Nov;30(4):219-226. doi: 10.1177/0951484817726918. Epub 2017 Sep 4.

Business model framework applications in health care: A systematic review.

Author information

Medical Management Centre, Dept of Learning, Informatics, Management and Ethics, 27106 Karolinska Institutet , Stockholm, Sweden.


It has proven to be a challenge for health care organizations to achieve the Triple Aim. In the business literature, business model frameworks have been used to understand how organizations are aligned to achieve their goals. We conducted a systematic literature review with an explanatory synthesis approach to understand how business model frameworks have been applied in health care. We found a large increase in applications of business model frameworks during the last decade. E-health was the most common context of application. We identified six applications of business model frameworks: business model description, financial assessment, classification based on pre-defined typologies, business model analysis, development, and evaluation. Our synthesis suggests that the choice of business model framework and constituent elements should be informed by the intent and context of application. We see a need for harmonization in the choice of elements in order to increase generalizability, simplify application, and help organizations realize the Triple Aim.


health service organization; strategy; systematic reviews

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center