Open Digital Platforms in Health Care: Implementation and Scaling Strategies

Daniel Fürstenau, Carolin Auschra

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review


We investigate strategies to implement and scale digital platforms in highly-regulated settings such as health care. Despite considerable research efforts, these scaling dynamics are still not well understood. Based on a qualitative, comparative study (U.S. and Germany) of six digital health care platforms, we suggest two feedback cycles that contribute to explaining the arising difficulties: First, we observe that openness on code and content layers fuels platform growth as suppliers, healthcare providers, insurances, and patients are more likely to use and contribute to the platform. In opposition, risks such as a lack of or uncertainty about regulations prompt the provider to close the platform to uphold control which in turn reduces the benefits for potential suppliers. We further discuss scaling strategies when multiple user groups are involved.

Original languageEnglish
Title of host publicationICIS 2016 Proceedings
Place of PublicationAtlanta, GA
PublisherAssociation for Information Systems. AIS Electronic Library (AISeL)
Publication date2016
Article number19
ISBN (Electronic)9780996683135
Publication statusPublished - 2016
Externally publishedYes
Event2016 International Conference on Information Systems, ICIS 2016: Digital Innovation at the Crossroads - University of Limerick, Dublin, Ireland
Duration: 11 Dec 201614 Dec 2016
Conference number: 37


Conference2016 International Conference on Information Systems, ICIS 2016
LocationUniversity of Limerick
OtherThirty Seventh International Conference on Information Systems
Internet address
SeriesProceedings of the International Conference on Information Systems


  • Digital health platform
  • Implementation and scaling strategy
  • Openness

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