Julkinen-yksityinen kumppanuuden vaikutus asiakasarvon muodostumiseen terveydenhuollon toimialalla

Terveydenhuollon toimiala on voimakkaiden muutospaineiden edessä. Huoltosuhteen heikkeneminen asettaa julkiselle terveydenhuollolle suuria haasteita. Uudenlaisten palveluratkaisujen ja teknologian avulla voidaan tuottavuutta sekä tehokkuutta nostaa. Työssä selvitetään julkinen - yksityinen kumppanuuden merkitystä asiakasarvon muodostumiseen terveydenhuollon toimialalla. Työssä on kahden case-esimerkin sekä kirjallisuuslähteiden avulla tutkittu asiakasarvon syntyyn vaikuttavia tekijöitä. Teoreettisina viitekehyksinä on käytetty resurssipohjaista näkemystä. Case-esimerkkeinä käytettiin MedOne Oy:n ja Lahden kaupungin välistä ulkoistussopimusta sekä Effica-potilastietojärjestelmän käyttöönottoa. Kummassakin tapauksessa voidaan katsoa asiakasarvoa syntyneen, muttei täysin ongelmitta.

Hemmet som ethos : en idéhistorisk studie av hur hemmet som ethos blev evident i hälsosysterns vårdande under 1900-talets första hälft

The home as ethos, an ethical dimension of human beings, is this study’s focus of interest. Can the home as ethos comprise motive and driving force for a human being? This dissertation has a mainly hermeneutic approach with a Caring Science interpretive horizon. Firstly, the purpose of this study is to develop the concept “home” through etymological and semantic analysis. The concept’s Caring Science content is also investigated. Secondly, the purpose of this study is to investigate, through the use of a history of ideas method, how the home as ethos is made visible and evident in public health nurses’ caring during the first half of the 20th century. Which motives compromise the driving force behind public health nurses’ caring? Which idea patterns are stressed? Material for the study’s concept determination consists of tymological dictionaries as well as Swedish language dictionaries published from 1850 – 2001. The results of the concept determination provide a preliminary idea-model, where dimensions such as ethos as a human being’s innermost room, human beings’ manner of being, and the metaphor “my home is my castle” are stressed. These results comprise the background of the history of ideas portion of the study. The study’s history of ideas investigation occurs through the evaluation and interpretation of historical sources focusing on the caring provided by public health nurses. Public health nurses comprise both the context and prevalent traditions during the time-period studied. The historical sources consist of three different types of sources, namely textbooks, archived material, and the professional nursing journals Epione and Sairaanhoitajatarlehti. The purpose is to rediscover fundamental idea-patterns through the thematic structuring of the patterns appearing in the historical sources. Three main idea-patterns and underlying themes are rediscovered: love- a fire which burns inside human beings; reverence for human beings and home; and the honor of responsibility. The emerging patterns are tightly interwoven and form a pattern. A new interpretation occurs, widening the study’s horizon and leading to the emergence of the theory-model’s contours. The study’s theory-model is formed from three different levels. Ethos as a human being’s innermost room- the spirit, encompasses a human being’s value base and the spirit that he/she is permeated with. Fundamental values are converted into an internal ethic, becoming visible in human beings’ manner of being- the manner of conduct. The metaphor “my home is my castle”- the tone, symbolizes the room where a human being’s abstract or concrete being lives. The spirit, the ethos, is expressed in a home’s culture and atmosphere, that is to say the tone of a home or how one lives in a room. Communion is a significant component in the creation of a culture and atmosphere. This study’s theory-model gives rise to a new perspective that can generate new patterns of action. The study’s theory-model results in a new historically-based view that create new patterns of action in care and Caring Science today.

Tuotekehitys pysyvän kilpailuedun lähteenä

Tuotekehityksen merkitys yrityksen menestymisen kannalta on pitkään ollut mielenkiinnon aihe ja on pohdittu onko tuotekehitys välttämätöntä, jotta yritys pysyy kilpailussa mukana. Tässä työssä käsitellään tuotekehitystä yritysten kilpailuedun lähteenä. Tuotekehityksen ja resurssiperusteisen näkemyksen perusideat ja niiden välinen yhteys on esitetty. Tietoa tähän työhön on haettu useiden eri lehtien artikkeleista sekä alan oppikirjoista. Pääasiallisina lähteinä on pyritty käyttämään niitä artikkeleita, jotka ovat vahvasti vaikuttaneet näiden kahden teorian ja niiden sisältämien käsitteiden muodostumiseen. Työn tavoitteena on selvittää onko tuotekehityksellä ja yrityksen menestyksellä selkeä yhteys ja kuinka keskeistä tuotekehitystoiminta on yrityksen kilpailuedun kannalta. Työssä määritellään kilpailuetu ja mitkä tekijät vaikuttavat sen saavuttamiseen. Kilpailuedun perusteoriana on esitetty resurssiperusteinen näkemys, jossa tärkeimpiä käsitteitä ovat resurssit, kompetenssit ja kyvykkyydet. Työssä perehdytään näihin käsitteisiin ja niiden yhteyteen ja niiden avulla määritetään yrityksen saavuttama kilpailuetu. Tuotekehityksestä otetaan esille useita näkökulmia, jotka kaikki osaltaan vaikuttavat yrityksen menestymiseen uuden tuotteen avulla. Tuotekehityksen yhteydessä on erityisesti perehdytty teknologian kehitykseen, ja sen vaikutusta yritysten sisäisiin muutoksiin. Tuotekehitys ja kilpailuetu on yhdistetty, ja eri teorioiden ja tutkimusten hyödyntämisen kautta on huomattavissa selkeä yhteys tuotekehityksen ja kilpailuedun saavuttamisen välillä.

Smart homes as service platforms. Research report of ÄLYKOP sub-project “Competitive advantage from customer value”

In this report, we summarize results of our part of the ÄLYKOP-project on customer value creation in the intersection of the health care, ICT, forest and energy industries. The research directs to describe how industry transformation and convergence create new possibilities, business opportunities and even new industries.The report consists of findings which are presented former in academic publications. The publication discusses on customer value, service provision and resource basis of the novel concepts through multiple theorethical frameworks. The report is divided into three maim sections which are theoretical background, discussion on health care industry and evaluations regarding novel smart home concepts. Transaction cost economics and Resource- Based view on the firm provides the theoretical basis to analyze the prescribed phenomena. The health care industry analysis describes the most important changes in the demand conditions of health care services, and explores the features that are likely to open new business opportunities for a solution provider. The third part of the report on the smart home business provides illustrations few potential concepts that can be considered to provide solutions to economical problems which arise from aging of population. The results provide several recommendations for the smart home platform developers in public and private sectors. By the analysis, public organizations dominate service provision and private markets are emergent state at present. We argue that public-private partnerships are nececssary for creating key suppliers. Indeed, paying attion on appropriate regulation, service specifications and technology standards would foster diffusion of new services. The dynamics of the service provision networks is driven by need for new capabiltities which are required for adapting business concepts to new competitive situation. Finally, the smart home framework revealed links between conventionally distant business areas such as health care and energy distribution. The platform integrates functionalities different for purposes which however apply same resource basis.

Making Sense of Shared Leadership. A case study of leadership processes and practices without formal leadership structure in the team context

Leadership is essential for the effectiveness of the teams and organizations they are part of. The challenges facing organizations today require an exhaustive review of the strategic role of leadership. In this context, it is necessary to explore new types of leadership capable of providing an effective response to new needs. The presentday situations, characterized by complexity and ambiguity, make it difficult for an external leader to perform all leadership functions successfully. Likewise, knowledge-based work requires providing professional groups with sufficient autonomy to perform leadership functions. This study focuses on shared leadership in the team context. Shared leadership is seen as an emergent team property resulting from the distribution of leadership influence across multiple team members. Shared leadership entails sharing power and influence broadly among the team members rather than centralizing it in the hands of a single individual who acts in the clear role of a leader. By identifying the team itself as a key source of influence, this study points to the relational nature of leadership as a social construct where leadership is seen as social process of relating processes that are co-constructed by several team members. Based on recent theoretical developments concerned with relational, practice-based and constructionist approaches to the study of leadership processes, this thesis proposes the study of leadership interactions, working processes and practices to focus on the construction of direction, alignment and commitment. During the research process, critical events, activities, working processes and practices of a case team have been examined and analyzed with the grounded theory –approach in the terms of shared leadership. There are a variety of components to this complex process and a multitude of factors that may influence the development of shared leadership. The study suggests that the development process of shared leadership is a common sense -making process and consists of four overlapping dimensions (individual, social, structural, and developmental) to work with as a team. For shared leadership to emerge, the members of the team must offer leadership services, and the team as a whole must be willing to rely on leadership by multiple team members. For these individual and collective behaviors to occur, the team members must believe that offering influence to and accepting it from fellow team members are welcome and constructive actions. Leadership emerges when people with differing world views use dialogue and collaborative learning to create spaces where a shared common purpose can be achieved while a diversity of perspectives is preserved and valued. This study also suggests that this process can be supported by different kinds of meaning-making and process tools. Leadership, then, does not reside in a person or in a role, but in the social system. The built framework integrates the different dimensions of shared leadership and describes their relationships. This way, the findings of this study can be seen as a contribution to the understanding of what constitutes essential aspects of shared leadership in the team context that can be of theoretical value in terms of advancing the adoption and development process of shared leadership. In the real world, teams and organizations can create conditions to foster and facilitate the process. We should encourage leaders and team members to approach leadership as a collective effort that the team can be prepared for, so that the response is rapid and efficient.

Innovaatiotoiminnan nykytilan kartoittaminen - Case: Mikkelin ammattikorkeakoulu

Diplomityö on tehty Mikkelin ammattikorkeakoululle tavoitteenaan kartoittaa kyseisen organisaation innovaatiotoiminnan nykytila. Tunnistamalla innovaatiotoiminnan puutteet sekä hyvät käytännöt, voidaan toimintaa kehittää määrätietoisesti. Nykytilan kartoitus toteutettiin käytäntölähtöisen innovaatiotoiminnan näkökulmasta käsin. Työn teoreettinen tausta rakentuu ammattikorkeakoulujen TKI-toiminnan muutoksen, innovaatioiden ja innovaatiotoiminnan käytäntölähtöisyyden ympärille. Empiirinen aineisto kerättiin kyselytutkimuksen avulla, joka toteutettiin Mikkelin ammattikorkea-koulun henkilöstölle keväällä 2012. Tehdyssä tutkimuksessa oli kvalitatiivisen tutkimus-menetelmän lisäksi piirteitä kvantitatiivisesta tutkimusmenetelmästä, johtuen kyselyssä esitettyjen kysymysten luonteesta. Tutkimustulosten perusteella innovaatiotoiminnan nykytila ja siihen vaikuttavat tekijät kyettiin kuvaamaan. MAMKin innovaatiotoimintaan liittyvistä osa-alueista osassa käytännöt ja puitteet tukivat käytäntölähtöistä innovaatiotoimintaa, mutta myös selkeitä kehityskohteita havaittiin. Suurimmat kehityskohteet liittyivät sisäiseen verkostoitumiseen sekä henkilöstön ja opiskelijoiden innovaatiopotentiaalin täysimääräiseen hyödyntämiseen. Saatujen tulosten perusteella esitettiin keinoja innovaatiotoiminnan tehostamiseksi ja kehittämiseksi. Saadut tulokset ja niiden pohjalta annetut kehitysehdotukset luovat hyvät lähtökohdat Mikkelin ammattikorkeakoulun innovaatiotoiminnan kehittämiselle.

Technology park as an element of innovative infrastructure- its role in internationalization support.

The Thesis concentrates on two central terms – Technology park and the resource-based view of the organization. General attention is devoted to competencies and capabilities of organizations that operate in foreign environment. It is difficult to go abroad without any experience and support from local government, especially for small or medium company. Technology and Science parks are the main sources of competitive advantage for this kind of organizations. They provide a huge range of services as well as business consultations and financial support on different stages of companies’ development. The Thesis was made with the assistance of Technopolis Oy in Lappeenranta. During the research companies in Finland and Russia were interviewed. Based on empirical findings important capabilities for entering foreign market were identified and some recommendations for the Technology park were given.

Research framework for the connection between environmental collaboration and firm performance

This thesis focuses on collaborative activities with regard to environmental issues both within the firm and outside the firm with the key suppliers and customers, i.e. internal and external environmental collaboration. Integrating environmental thinking into supply chain management has received increasing interest in recent years. The relational view and the natural resource-based-view together suggest that environmental capabilities can be built jointly with supply chain partners and used to gain sustained competitive advantage. Several studies have been undertaken to analyse the connection between environmental activities and firm performance but most studies have taken only economic performance into account. This study pays attention also to two other dimensions of firm performance, intra-firm supply chain performance and environmental performance, and aims at presenting the linkages between them and environmental collaboration. This thesis creates a research framework for the connections between environmental collaboration and firm performance and suggests approaches to analyse these. In order to find out the key concepts and their relationship, an extensive literature review is conducted. The research framework proposes a positive connection between internal and external environmental collaboration and all three dimensions of firm performance. In addition, environmental performance and intra-firm supply chain performance are expected to contribute positively to economic performance. Hence, firms are suggested to benefit from environmental collaboration both within the firm and outside the firm. Empirical testing of the developed research framework is out of the scope of this study. However, this thesis proposes using a mixed methods research approach, including survey research and multiple case studies. Finland State of Logistics 2012 survey commissioned by the Finnish Ministry of Transport and Communications and conducted by Turku School of Economics is used as an example of data for the quantitative phase. The applicability of these two methods is discussed at a general level and with regard to analysing the research framework developed in the thesis. Future research will aim at the development of the research framework and the methods in order to confirm the connection between environmental collaboration and firm performance.

Electrical Machine Product Development; Transmission to Lean Approach

The requirements set by the market for electrical machines become increasingly demanding requiring more sophisticated technological solutions. Companies producing electrical ma-chines are challenged to develop machines that provide competitive edge for the customer for example through increased efficiency, reliability or some customer specific special requirement. The objective of this thesis is to derive a proposal for the first steps to transform the electrical machine product development process of a manufacturing company towards lean product development. The current product development process in the company is presented together with the processes of four other companies interviewed for the thesis. On the basis of current processes of the electrical machine industry and the related literature, a generalized electrical machine product development process is derived. The management isms and –tools utilized by the companies are analyzed. Adoption of lean Pull-Event –reviews, Oobeya –management and Knowledge based product development are suggested as the initial steps of implementing lean product development paradigm in the manufacturing company. Proposals for refining the cur-rent product development process and increasing the stakeholder involvement in the development projects are made. Lean product development is finding its way to Finnish electrical machine industry, but the results will be available only after the methods have been implemented and adopted by the companies. There is some enthusiasm about the benefits of lean approach and if executed successfully it will provide competitive edge for the Finnish electrical machine industry.

Hankintatoimen osaamisen kehittäminen

Tutkimuksen tavoitteena oli kuvata sekä määrittää case-yrityksen hankintaosaamisen nykytila. Nykytila-analyysin tarkoituksena oli muodostaa lähtökohdat hankintatoimen kehittämiselle case-yrityksessä. Yksi tavoite oli myös tutkia hankinnan sähköisten työkalujen vaikutusta hankintaosaamiseen. Kirjallisuuden osalta tutkimuksessa hyödynnettiin resurssipohjaisen näkökulmaa sekä dynaamisten kyvykkyyksien lähestymistapaa kuvaamaan hankintaosaamisen sekä -kyvykkyyksien vaikutusta hankintatoimen suorituskykyyn. Empiirisen tutkimuksen aineisto on koottu hyödyntämällä kyselytutkimusta, ryhmähaastattelua sekä puolistrukturoitua haastattelua. Tutkimustulokset kuvaavat laaja-alaisesti case-yrityksen hankintaosaamisen nykytilan sekä hankintatoimen aseman yrityksessä yleisesti. Johtopäätöksissä on nostettu esiin keskeisten tutkimustuloksien lisäksi myös kehittämisen kannalta huomioitavia tekijöitä.

Finnish cleantech SMEs in China: Challenges and solutions

The rapid economic growth in China has resulted in environmental challenges ranging from air pollution to water-related issues. Thus supporting clean technology, or cleantech, that encompasses industries that focus on alternative energy, pollution and recycling, power supplies and conservation has become one of the focal points in the Chinese economic policy for the next decade. Simultaneously, the Finnish government has initiated programs to support the internationalisation of domestic cleantech companies in an attempt to spiral the industry into one of the pillars of Finnish economic growth. This study concentrates on the conjunction of these two themes and studies the challenges faced by Finnish cleantech SMEs in the Chinese market. Consequently, the study answers the following sub questions: 1. What human and financial resource-based challenges do Finnish cleantech SMEs face in the Chinese market and what are their solutions? 2. What knowledge-based challenges do Finnish cleantech SMEs face in the Chinese market and how can these difficulties be resolved? 3. What network-based challenges do Finnish cleantech SMEs face in the Chinese market, how do they relate to the resource- and knowledge-based challenges, and how can these difficulties be resolved? This qualitative study is conducted by analysing four semi structured interviews collected from four Finnish SMEs that operate in China. The findings of the study indicate that in human resources the most important challenges are related to the hiring and retaining of employees. In contrast to extant academic literature results distinguish salary and social status as the main solutions to this challenge. Regarding financial resources it is discovered that cleantech companies enjoy a benign business environment in China and benefit from the Chinese government’s support for cleantech industry. Challenges related to knowledge resources can be grouped into categories with the most interesting knowledge flows being the stream of local market knowledge into to the foreign parent company and the outward flow of manufacturing and business practice information into the target venture. The challenge related to the first flow is gathering relevant information and the main solutions are clustering at the foreign location and hiring knowledge prior to internationalisation. Regarding the second flow the main challenge is related to intellectual property rights and the most interesting solution is the purposeful transformation of explicit knowledge into tacit knowledge. Finally, it is discovered that networks, called guanxi in China, greatly affect the business processes. Within the guanxi system there is the concept of face which was found to affect employee propensity to stay as well as, as a novel academic result, employees’ knowledge sharing intention.

Lääkäripalveluyritysten tunnistamat kilpailuedut ja toimialan kilpailuvoimat

Tutkimuksessa kuvataan yksityisten lääkäripalveluyritysten kilpailuetuja. Tutkimus ottaa kantaa taloustieteissä esiintyviin kilpailuetuteorioihin ja pyrkii löytämään toimialan kilpailuvoimia. Tutkimuksessa syvennytään myös toimialan rakenteeseen, sen merkitykseen kilpailuedun luomisessa sekä peilataan alan kirjallisuutta toimialan todelliseen rakenteeseen. Empiirisen aineiston kerääminen toteutetaan teema-haastattelumenetelmällä. Haastattelu on laadullinen tutkimus, jonka tarkoitus on paljastaa toimialan kilpailuvoimia ja selvittää, miten yritykset säilyttävät kilpailuetujaan. Teoreettisena viitekehyksenä tutkimuksessa käytetään viiden kilpailuvoiman mallia ja yrityksen resurssiperustaista näkemystä. Tutkimus osoittaa toimialan olevan monitahoinen ja kompleksinen kokonaisuus, joka koostuu monia toisiaan tukevista osista. Yritykset tuottavat lääkäripalveluiden lisäksi myös muita palveluita, jotka osaltaan tukevat kilpailuetua tutkittavassa liiketoiminnassa. Haastattelujen perusteella voidaan todeta kilpailuetujen syntyvän tekijöistä kuten sosiaaliset prosessit, jotka syntyvät yrityksissä jokapäiväisen toiminnan sivutuotteena. Lisäksi tärkeitä ovat yritysten ja asiakkaiden väliset suhteet sekä yrityksen suhteet omaan työvoimaansa, jolla palvelut tuotetaan.

Networks and partnerships in third party logistics service production

Third party logistics, and third party logistics providers and the services they offer have grown substantially in the last twenty years. Even though there has been extensive research on third party logistics providers, and regular industry reviews within the logistics industry, a closer research in the area of partner selection and network models in the third party logistics industry is missing. The perspective taken in this study was of expanding the network research into logistics service providers as the focal firm in the network. The purpose of the study is to analyze partnerships and networks in the third party logistics industry in order to define how networks are utilized in third party logistics markets, what have been the reasons for the partnerships, and whether there are benefits for the third party logistics provider that can be achieved through building networks and partnerships. The theoretical framework of this study was formed based on common theories in studying networks and partnerships in accordance with models of horizontal and vertical partnerships. The theories applied to the framework and context of this study included the strategic network view and the resource-based view. Applying these two network theories to the position and networks of third party logistics providers in an industrial supply chain, a theoretical model for analyzing the horizontal and vertical partnerships where the TPL provider is in focus was structured. The empirical analysis of TPL partnerships consisted of a qualitative document analysis of 33 partnership examples involving companies present in the Finnish TPL markets. For the research, existing documents providing secondary data on types of partnerships, reasons for the partnerships, and outcomes of the partnerships were searched from available online sources. Findings of the study revealed that third party logistics providers are evident in horizontal and vertical interactions varying in geographical coverage and the depth and nature of the relationship. Partnership decisions were found to be made on resource based reasons, as well as from strategic aspects. The discovered results of the partnerships in this study included cost reduction and effectiveness in the partnerships for improving existing services. In addition in partnerships created for innovative service extension, differentiation, and creation of additional value were discovered to have emerged as results of the cooperation. It can be concluded that benefits and competitive advantage can be created through building partnerships in order to expand service offering and seeking synergies.

Strategic narratives and competitive advantage : do winners speak differently?

Concepts, models, or theories that end up shaping practices, whether those practices fall in the domains of science, technology, social movements, or business, always emerge through a change in language use. First, communities begin to talk differently, incorporating new vocabularies (Rorty, 1989), in their narratives. Whether the community’s new narratives respond to perceived anomalies or failures of the existing ones (Kuhn, 1962) or actually reveal inadequacies by addressing previously unrecognized practices (Fleck, 1979; Rorty, 1989) is less important here than the very phenomena that they introduce differences. Then, if the new language proves to be useful, for example, because it helps the community solve a problem or create a possibility that existing narratives do not, the new narrative will begin circulating more broadly throughout the community. If other communities learn of the usefulness of these new narratives, and find them sufficiently persuasive, they may be compelled to test, modify, and eventually adopt them. Of primary importance is the idea that a new concept or narrative perceived as useful is more likely to be adopted. We can expect that business concepts emerge through a similar pattern. Concepts such as “competitive advantage,” “disruption,” and the “resource based view,” now broadly known and accepted, were each at some point first introduced by a community. This community experimented with the concepts they introduced and found them useful. The concept “competitive advantage,” for example, helped researchers better explain why some firm’s outperformed others and helped practitioners more clearly understand what choices to make to improve the profit and growth prospects of their firms. The benefits of using these terms compelled other communities to consider, apply, and eventually adopt them as well. Were these terms not viewed as useful, they would not likely have been adopted. This thesis attempts to observe and anticipate new business concepts that may be emerging. It does so by seeking to observe a community of business practitioners that are using different language and appear to be more successful than a similar community of practitioners that are have not yet begun using this different language as extensively. It argues that if the community that is adopting new types of narratives is perceived as being more successful, their success will attract the attention of other communities who may then seek to adopt the same narratives. Specifically, this thesis compares the narratives used by a set of firms that are considered to be performing well (called Winners) with those of set of less-successful peers (called Losers). It does so with the aim of addressing two questions: - How do the strategic narratives that circulate within “winning” companies and their leaders differ from those circulating within “losing” companies and their leaders? - Given the answer to the first question: what new business strategy concepts are likely to emerge in the business community at large? I expected to observe “winning” companies shifting their language, abandoning an older set of narratives for newer ones. However the analysis indicates a more interesting dynamic: “winning” companies adopt the same core narratives as their “losing” peers with equal frequency yet they go beyond these. Both “winners” and “losers” seem to pursue economies of scale, customer captivity, best practices, and securing preferential access to resources with similar vigor. But “winners” seem to go further, applying three additional narratives in their pursuits of competitive advantage. They speak of coordinating what is uncoordinated, adopting what this thesis calls “exchanging the role of guest for that of host,” and “forcing a two-front battle” more frequently than their “loser” peers. Since these “winning” companies are likely perceived as being more successful, the unique narratives they use are more likely to be emulated and adopted. Understanding in what ways winners speak differently, therefore, gives us a glimpse into the possible future evolution of business concepts.