A business ecosystem supports relationships between its stakeholders. Although it has been recognized that ecosystem stakeholders neither solely compete, nor collaborate, but rather co-develop their capabilities, empirically-based research evidence on this interactive co-development in ecosystems remains scarce. The interaction among ecosystem stakeholders is approached from the business model perspective. Accordingly, this article builds on business model literature, and on empirical data gathered within an emerging connected health ecosystem. This article conceptualizes business models as dynamic capabilities that enable ecosystemic and symbiotic interaction through opportunity exploration and exploitation, value creation and capture, and, advantage exploration and exploitation. This article argues that co-developing business models through sensing, seizing and transforming is a key enabler for ecosystem's success and sustainability.

Digitalisation is seen as a vehicle for restructuring practices of social and health care in Finland. A conceptual model of connected health has evolved over time focusing on bringing together individuals and health professionals by means of 'eHealth', 'telecare', 'telemedicine' or 'telehealth' services and data connected via the Internet of Things. Digital transformation has triggered the emergence of innovative connected health services, as well as novel business models in the health and healthcare sector. Additionally, current literature emphasises growing importance of ecosystems in advancing the connected health business. The main reason for this, the increased understanding of business ecosystems would allow companies to create coherent services that would be easier for patients and health professionals (e.g. doctors and nurses) to use. This paper aims to develop and present a conceptual model for business ecosystem for connected health by mapping service needs for healthcare in the future. For this research, we conducted 16 meetings/workshops related to business models and business ecosystems. We also involved different end-user groups in our research (seven doctor interviews, four workshops with nurses and digital discussions and workshops with 12 parents with sick children).This qualitative case study illustrates the construct of the Nordic Central Hospital test lab-an innovation ecosystem for connected health service providers. Alongside the broad service map, we demonstrate the logic of value flow between different layers of services in the ecosystem. From an originality perspective, this multidisciplinary paper focuses on the pediatric day surgery to check the scope of connected health, which has not been done before.

This paper outlines the scope and aims of the MIDAS Project, a Horizon 2020-funded initiative to develop a data analytics platform to support better policy-making in the European health sector. It focuses specifically on the engagement of users in the co-design of the platform, and describes a participatory workshop which encouraged stakeholders to share their understanding of the problem to be addressed and insights into potential solutions. The major elements of the workshop are described and the key results are presented. Participant feedback is analysed and the main lessons and insights are highlighted, including the importance of an adopting an iterative approach to user engagement in software design and development.

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