Cross-Border Health Care Services as Inward Internationalization




Cross-Border Health Care, Inward Internationalization, Effectuation, International Experience, Networking


Purpose: The research aimed at investigating the pre-conditions and the decision-making process by which physician-entrepreneurs adopt CBHCS as part of their business.

Method: The study uses the case method of investigation.

Main results: Results showed that, in the cases studied, international experience and international networking are relevant characteristics of the physician-entrepreneur, besides country reputation, cultural and language similarities, and physician reputation. In addition, the decision processes of the physician-entrepreneurs in these organizations are based on an effectual logic. The offer of cross-border health care services was a combination of given means and contingencies, which helped the entrepreneurs to discover, or to create, the opportunity, and then develop it.

Relevance/originality: The research combines the literatures on effectuation and inward internationalization to study the decision-making process of adopting CBHCS by medical clinics.

Theoretical contributions: The study contributes to the literature by identifying certain pre-conditions and providing an in-depth analysis of the use of effectual logic by physician-entrepreneurs in their decision-making process of adopting CBHCS.


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Biografia do Autor

Renato Cotta de Mello, Universidade Federal do Rio de Janeiro - UFRJ, Rio de Janeiro, (Brasil)

Area de Marketing e Negocios Internacionais, Pós-doutorado (Ohio University). Doutor em Engenharia da Produção pela Universidade Federal do Rio de Janeiro - (COPPE/UFRJ), (Brasil).

Angela da Rocha, Pontifícia Universidade Católica do Rio de Janeiro - PUC/RJ, Rio de Janeiro, RJ

Professora da Escola de Negócios da Pontifícia Universidade Católica do Rio de Janeiro

Henrique F. Pacheco, Pontifícia Universidade Católica do Rio de Janeiro - PUC, Rio de Janeiro, (Brasil)

Pesquisador Associado do Núcleo de Pesquisas em Negócios Internacionais da Pontifícia Universidade Católica do Rio de Janeiro - PUC/Rio, (Brasil). PhD e Mestre em Administração de Empresas pela Universidade Católica do Rio de Janeiro - PUC/Rio.


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Como Citar

Cotta de Mello, R., da Rocha, A., & Pacheco, H. F. (2021). Cross-Border Health Care Services as Inward Internationalization. Internext, 16(3), 306–323.