Abstract: This article presents the findings from four case studies
on stakeholder engagement in new healthcare information
and communication technology (ICT) product-service system
(PSS) development. The degree of connectivity between the new
healthcare ICT PSS and its intended operating environment has
emerged to be an important contextual factor that may impact
decisions concerning stakeholder engagement in the early stage
development process. The four propositions of stakeholder
identification and engagement in the development process, put
forward in this article, provide important directions for future
work in exploring the implications of PSS characterization in
early-stage new healthcare PSS development process