Abstract
Background: Health Information Systems (HIS), and especially Electronic Health Records (EHR), offer great promise. However, the true benefits of HIS and EHR are more elusive as research shows they have obtained mixed results across countries. To increase the success of these systems while creating value for healthcare professionals, research emphasizes the importance of involving clinical users in the design of HIS. Objective: Following calls for interdisciplinary research and increased end-user participation in HIS development, this paper shows how a service design approach can support the successful development and implementation of national EHRs. Service design brings a human-centered, participatory, holistic, creative and visual approach to HIS development, through an iterative process of exploration, ideation, reflection and implementation, fostering stakeholder participation and co-creation of the solution. Method: This paper presents an in-depth case study of the Portuguese National EHR development and implementation following a service design approach. The study involved individual and group interviews, as well as participatory design workshops with more than 170 participants along the different stages of exploration, ideation, reflection and implementation. Results: The service design approach, including the visual models and tools used across the different design stages, was instrumental to envision new EHR concepts and design the system to enhance healthcare users experience. A qualitative study performed after implementation showed that the EHR was considered useful and easy to use, and these results are backed by widespread usage of the system. Discussion and conclusion: This paper shows how a service design approach can address key challenges in EHR development. By adopting a holistic perspective, service design broadens the scope of EHR development to understand its broader service system and position it to enable value creation with users. The human-centered, participatory, creative, visual and holistic approach supports the understanding of user needs and context, and their active involvement in the design and co-creation effort. This service design approach fosters user adoption at the implementation stage. Service design can thus contribute to the successful development and implementation of EHRs.

Abstract
Purpose Service design is a multidisciplinary approach that plays a key role in fostering service innovation. However, the lack of a comprehensive understanding of its multiple perspectives hampers this potential to be realized. Through an activity theory lens, the purpose of this paper is to examine core areas that inform service design, identifying shared concerns and complementary contributions. Design/methodology/approach The study involved a literature review in two stages, followed by a qualitative study based on selected focus groups. The first literature review identified core areas that contribute to service design. Based on this identification, the second literature review examined 135 references suggested by 13 world-leading researchers in this field. These references were qualitatively analyzed using the NVivo software. Results were validated and complemented by six multidisciplinary focus groups with service research centers in five countries. Findings Six core areas were identified and characterized as contributing to service design: service research, design, marketing, operations management, information systems and interaction design. Data analysis shows the various goals, objects, approaches and outcomes that multidisciplinary perspectives bring to service design, supporting them to enable service innovation. Practical implications - This paper supports service design teams to better communicate and collaborate by providing an in-depth understanding of the multiple contributions they can integrate to create the conditions for new service. Originality/value This paper identifies and examines the core areas that inform service design, their shared concerns, complementarities and how they contribute to foster new forms of value co-creation, building a common ground to advance this approach and leverage its impact on service innovation.

Abstract
Purpose Service design is a multidisciplinary approach that is key to service innovation, as it brings new service ideas to life. In this context, the development of new service design methods and models for creating new service futures is an important stream of service design research. Such developments can benefit from a systematized research methodology that builds on existing knowledge and robustly evaluates the suitability of research contributions. To address this challenge, the purpose of this paper is to present design science research (DSR), an established methodology from the information systems field, and examine how it can be useful for service design research by supporting the development of new artifacts, such as service design constructs, methods and models. Design/methodology/approach This paper presents DSR and related literature and shows how DSR can support service design research through a step-by-step approach. A methodology to develop prescriptive-driven solutions for classes of problems, DSR can support service design research in developing rigorous and relevant research. One illustrative example of a service design research effort using the DSR approach is presented. Findings Building on DSR's robust methodological background, this paper discusses how DSR can support service design research, namely, through the development of new methods and models, and how DSR can be adapted to leverage service design research participatory, iterative, human-centric and creative approach. Originality/value This paper provides an overview of DSR and proposes it as a methodology to conduct service design research, offering step-by-step guidance on the application of DSR in service design research and discussing how it can be adapted according to the specific characteristics of service design research and drive future research.

Abstract
Across the world, several developing countries with recent wind energy (WE) diffusion have been demonstrating an interest in expanding WE generation quickly and expressively. In Brazil, this fast and remarkable WE diffusion process started in the past decade, facing a variety of barriers. This research proposes to reliably identify and analyse current barriers to the implementation of onshore wind farms in the country, aiming at informing other developing countries with the intention to expand WE utilization about potential barriers, as well as assisting the Brazilian WE sector in its efforts to keep growing sustainably. To achieve this research goal, 41 key stakeholders from the Brazilian WE sector were interviewed. Based on a content analysis of the interviews, twenty-four barriers where identified, three of which with particular relevance: poor transmission infrastructure, unattractive financial loans and unstable macroeconomic environment. The data collected suggests a serious risk that Brazil's WE sector stops growing if the recovery of its national economy, the reestablishment of regular energy auctions, the access to competitive credit, and improvements to the transmission system infrastructure keep being held back. In the face of this scenario, this study concludes by providing policy recommendations concerning the sustainability of the Brazilian WE sector.

Abstract
Previous literature shows that there are different environmental factors with different impacts on the adoption of technologies in a supply chain context. Thus, the adoption of technologies in supply chains may vary according to different environmental factors. Despite the existence of several studies about adoption of technologies in supply chain contexts that include environmental factors, there is a gap in identifying which environmental factors influence the adoption of digitalization technologies in supply chains. The purpose of this study is therefore to identify and analyze the environmental factors that influence the adoption of digitalization technologies in the supply chain. An exploratory qualitative research was conducted using semi-structured interviews with Portuguese managers of companies at several tiers of the automotive supply chain. Environmental factors were pointed as particularly critical drivers to promote the adoption of digitalization technologies in the automotive supply chain. Such adoption is mainly driven by the Original Equipment Manufacturer ( OEM), through coercive and normative pressures over the other tiers of the supply chain. Relevant factors identified are: compliance with standards and legislation, market and industry pressures, and benchmark the evolution of supply chain partners. This study contributes to the literature with new knowledge concerning new specificities of the environmental factors that showed an important influence on the adoption decision.

Abstract
The Business Model is recognized as a valuable tool that helps companies leverage their competitive advantage while dealing with market uncertainty. It enables startups to organize in an efficient way, helping them to rapidly adapt to the different challenges they might face. By using a multiple case study this research aims at understanding how and why startups commercializing technology-based products that support healthcare providing activities changed their business model in the path to a sustainable growth. Based on the Business Model Canvas (BMC), it was possible to analyze different approaches used by those startups to face the challenges encountered. Three main challenges were identified that drove change in the business models: lack of knowledge about the customers' needs, lack of knowledge about the best fitting configuration of a standard product to the market, and lack of knowledge about configuration and interests of the different players. Moreover, even though the literature argues that business model evolution is driven by market and technology conditions, the business models of the startups included in this study changed exclusively due to market conditions.