Quadruple helix collaboration for eHealth: a business relationship approach

Collaboration between various stakeholders is crucial for healthcare digitalisation and eHealth utilisation. Given that valuable outcomes can emerge from collaborative interactions among multiple stakeholders, exploring a quadruple helix (QH) approach to collaboration may be fruitful in involving the public sector, business, citizens, and academia. Therefore, this study aimed to explore stakeholder views on eHealth collaboration from a QH perspective using the grounded theory methodology. First, an inductive qualitative study involving all stakeholders in the QH was conducted. Subsequently, the findings were related to the actor-resource-activity (ARA) model of business relationships. The results emphasise the role of considering diverse perspectives on collaboration because digitalisation and eHealth require teamwork to benefit the end users within various settings. A model depicting the various aspects of the ARA model related to digitalisation in a healthcare QH setting is presented.