Internationalization Barriers in the Healthtech Industry : A study of barriers that business-to-business Software-as-a-Service healthtech companies experience when expanding organically from Sweden to other European markets

Abstract: As a result of the aging and growing population in Europe, the demand for healthcare services continues to rise. It is therefore important to streamline the healthcare sector to manage the growing demand. One way to do this is by implementing digital-health solutions. By either developing digital services and applications in-house or outsourcing this to an external business-to-business (B2B) Software-as-a-Service (SaaS) healthtech company, the healthcare sector can adopt such digital-health solutions. The evolution of the healthcare sector has accelerated as numerous innovators have capitalized on opportunities in this area by establishing healthtech firms. Furthermore, previous research shows that there is a need for internationalization among healthtech firms for them to succeed in the long run. This study aims to identify the barriers arising when B2B SaaS healthtech firms expand organically from Sweden to other European markets. This is done by conducting a single case study at a leading Swedish healthtech firm providing a SaaS with a B2B business model. Interviews are conducted and analyzed qualitatively to explore the barriers perceived within the studied organization. Several expansion barriers specific for B2B SaaS healthtech firms are identified. Furthermore, the study shows a new perspective on barriers arising within this phenomenon. This includes barriers regarding laws, language, prioritization, market structures, competition, lack of information, and attaining the first customer. The findings identified from the case study can contribute to streamlining the healthcare sector by encouraging innovation. Moreover, this research can be usedto understand barriers experienced by many distinct companies within the industry.