The purpose of this research is to present the ecosystem model of startups in the field of medical services. This research is practical in terms of purpose and descriptive-survey in terms of data collection. The investigated community is the services of five startups in the field of medicine. After defining the topic and conducting initial exploratory and library studies, the factors and components were determined through theme analysis and by a researcher-made questionnaire that reached the opinion of academic and professional experts familiar with the topic (including 3 university professors and 7 experts) and after Obtaining their qualitative and quantitative corrective opinions (using the Delphi method) based on statistical methods related to the ultimate proportional analysis of the model, components and combination of factors has reached the consensus of the elites. In the qualitative part, maxqda software was used for thematic analysis, and in the quantitative part, smart pls software was used for factor analysis. This research was based on the number of 267 primary codes, of which 30 open codes and 9 central codes were formed. The findings of the research showed that (financial, cultural, political, education, market structure, human capital, networks, technology, support) has a significant impact on the ecosystem of startups. The results showed that bio ecosystem components have a better understanding of the use of bio ecosystem startups among startups in the medical field, which can lead to more optimal use of it among them. Using the introduced model helps the startups to identify the components of the startup ecosystem and understand their strengths and weaknesses in the relevant fields and also be more efficient in the competitive environment.
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