Asia Pacific Journal of Management

, Volume 32, Issue 1, pp 39–65 | Cite as

Institutional entrepreneurship, governance, and poverty: Insights from emergency medical response servicesin India

  • Gerard GeorgeEmail author
  • Rekha Rao-Nicholson
  • Christopher Corbishley
  • Rahul Bansal


We present an in-depth case study of GVK Emergency Management and Research Institute, an Indian public–private partnership (PPP), which successfully brought emergency medical response to remote and urban settings. Drawing insights from the case, we investigate how the organization established itself through institutional entrepreneurship using a process conceptualized as opportunity framing, entrenchment, and propagation. The case and context highlight the need for innovation in organizational design and governance modes to create a new opportunity that connects state actors, private healthcare providers, and the public at large. We consider the role of open innovation and novel business models in creating these service platforms. The implications of our findings for the literature on PPPs, institutional entrepreneurship, inclusive and open innovation, and organizational design in base of the pyramid contexts are discussed.


Public–Private Partnership (PPP) Base of the pyramid Coordination Governance Business models Health Emerging economies Poverty Entrepreneurship Institutional entrepreneurship India Developing economy Healthcare 



Gerard George and Chris Corbishley gratefully acknowledge the Economic and Social Research Council Professorial Fellowship and doctoral assistantship (RES-051-27-0321). The authors acknowledge the support of the Rajiv Gandhi Centre at Imperial College London and the support of the management team of EMRI. The authors would like to thank Rachel (Rae) Pinkham and Marc Ahlstrom of Burlington County College for their editorial assistance.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Gerard George
    • 1
    Email author
  • Rekha Rao-Nicholson
    • 2
  • Christopher Corbishley
    • 1
  • Rahul Bansal
    • 1
  1. 1.Imperial College LondonLondonUK
  2. 2.School of ManagementUniversity of BathBathUK

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