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Karolinska Sjukhuset (A) SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Karolinska Sjukhuset (A)


The case describes the major transformation that took place in one of the largest university hospitals in Sweden. Changes involved refocusing on the patient as final customer, improving quality and reducing costs. They were achieved through a total quality improvement scheme combined with process re-engineering. Organisational changes helped implement these changes.

Authors :: Tabet Joe, James Teboul

Topics :: Leadership & Managing People

Tags :: Product development, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Karolinska Sjukhuset (A)" written by Tabet Joe, James Teboul includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Karolinska Sjukhuset facing as an external strategic factors. Some of the topics covered in Karolinska Sjukhuset (A) case study are - Strategic Management Strategies, Product development and Leadership & Managing People.


Some of the macro environment factors that can be used to understand the Karolinska Sjukhuset (A) casestudy better are - – increasing commodity prices, there is backlash against globalization, increasing energy prices, technology disruption, wage bills are increasing, customer relationship management is fast transforming because of increasing concerns over data privacy, increasing transportation and logistics costs, digital marketing is dominated by two big players Facebook and Google, increasing household debt because of falling income levels, etc



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Introduction to SWOT Analysis of Karolinska Sjukhuset (A)


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in Karolinska Sjukhuset (A) case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Karolinska Sjukhuset, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Karolinska Sjukhuset operates in.

According to Harvard Business Review, 75% of the managers use SWOT analysis for various purposes such as – evaluating current scenario, strategic planning, new venture feasibility, personal growth goals, new market entry, Go To market strategies, portfolio management and strategic trade-off assessment, organizational restructuring, etc.




SWOT Objectives / Importance of SWOT Analysis and SWOT Matrix


SWOT analysis of Karolinska Sjukhuset (A) can be done for the following purposes –
1. Strategic planning using facts provided in Karolinska Sjukhuset (A) case study
2. Improving business portfolio management of Karolinska Sjukhuset
3. Assessing feasibility of the new initiative in Leadership & Managing People field.
4. Making a Leadership & Managing People topic specific business decision
5. Set goals for the organization
6. Organizational restructuring of Karolinska Sjukhuset




Strengths Karolinska Sjukhuset (A) | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Karolinska Sjukhuset in Karolinska Sjukhuset (A) Harvard Business Review case study are -

Ability to recruit top talent

– Karolinska Sjukhuset is one of the leading recruiters in the industry. Managers in the Karolinska Sjukhuset (A) are in a position to attract the best talent available. The firm has a robust talent identification program that helps in identifying the brightest.

Superior customer experience

– The customer experience strategy of Karolinska Sjukhuset in the segment is based on four key concepts – personalization, simplification of complex needs, prompt response, and continuous engagement.

Learning organization

- Karolinska Sjukhuset is a learning organization. It has inculcated three key characters of learning organization in its processes and operations – exploration, creativity, and expansiveness. The work place at Karolinska Sjukhuset is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in Karolinska Sjukhuset (A) Harvard Business Review case study emphasize – knowledge, initiative, and innovation.

Strong track record of project management

– Karolinska Sjukhuset is known for sticking to its project targets. This enables the firm to manage – time, project costs, and have sustainable margins on the projects.

Cross disciplinary teams

– Horizontal connected teams at the Karolinska Sjukhuset are driving operational speed, building greater agility, and keeping the organization nimble to compete with new competitors. It helps are organization to ideate new ideas, and execute them swiftly in the marketplace.

Highly skilled collaborators

– Karolinska Sjukhuset has highly efficient outsourcing and offshoring strategy. It has resulted in greater operational flexibility and bringing down the costs in highly price sensitive segment. Secondly the value chain collaborators of the firm in Karolinska Sjukhuset (A) HBR case study have helped the firm to develop new products and bring them quickly to the marketplace.

Operational resilience

– The operational resilience strategy in the Karolinska Sjukhuset (A) Harvard Business Review case study comprises – understanding the underlying the factors in the industry, building diversified operations across different geographies so that disruption in one part of the world doesn’t impact the overall performance of the firm, and integrating the various business operations and processes through its digital transformation drive.

Diverse revenue streams

– Karolinska Sjukhuset is present in almost all the verticals within the industry. This has provided firm in Karolinska Sjukhuset (A) case study a diverse revenue stream that has helped it to survive disruptions such as global pandemic in Covid-19, financial disruption of 2008, and supply chain disruption of 2021.

Digital Transformation in Leadership & Managing People segment

- digital transformation varies from industry to industry. For Karolinska Sjukhuset digital transformation journey comprises differing goals based on market maturity, customer technology acceptance, and organizational culture. Karolinska Sjukhuset has successfully integrated the four key components of digital transformation – digital integration in processes, digital integration in marketing and customer relationship management, digital integration into the value chain, and using technology to explore new products and market opportunities.

Ability to lead change in Leadership & Managing People field

– Karolinska Sjukhuset is one of the leading players in its industry. Over the years it has not only transformed the business landscape in its segment but also across the whole industry. The ability to lead change has enabled Karolinska Sjukhuset in – penetrating new markets, reaching out to new customers, and providing different value propositions to different customers in the international markets.

High switching costs

– The high switching costs that Karolinska Sjukhuset has built up over years in its products and services combo offer has resulted in high retention of customers, lower marketing costs, and greater ability of the firm to focus on its customers.

Low bargaining power of suppliers

– Suppliers of Karolinska Sjukhuset in the sector have low bargaining power. Karolinska Sjukhuset (A) has further diversified its suppliers portfolio by building a robust supply chain across various countries. This helps Karolinska Sjukhuset to manage not only supply disruptions but also source products at highly competitive prices.






Weaknesses Karolinska Sjukhuset (A) | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Karolinska Sjukhuset (A) are -

High dependence on star products

– The top 2 products and services of the firm as mentioned in the Karolinska Sjukhuset (A) HBR case study still accounts for major business revenue. This dependence on star products in has resulted into insufficient focus on developing new products, even though Karolinska Sjukhuset has relatively successful track record of launching new products.

Capital Spending Reduction

– Even during the low interest decade, Karolinska Sjukhuset has not been able to do capital spending to the tune of the competition. This has resulted into fewer innovations and company facing stiff competition from both existing competitors and new entrants who are disrupting the industry using digital technology.

Interest costs

– Compare to the competition, Karolinska Sjukhuset has borrowed money from the capital market at higher rates. It needs to restructure the interest payment and costs so that it can compete better and improve profitability.

Increasing silos among functional specialists

– The organizational structure of Karolinska Sjukhuset is dominated by functional specialists. It is not different from other players in the Leadership & Managing People segment. Karolinska Sjukhuset needs to de-silo the office environment to harness the true potential of its workforce. Secondly the de-silo will also help Karolinska Sjukhuset to focus more on services rather than just following the product oriented approach.

Lack of clear differentiation of Karolinska Sjukhuset products

– To increase the profitability and margins on the products, Karolinska Sjukhuset needs to provide more differentiated products than what it is currently offering in the marketplace.

Low market penetration in new markets

– Outside its home market of Karolinska Sjukhuset, firm in the HBR case study Karolinska Sjukhuset (A) needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

Slow to harness new channels of communication

– Even though competitors are using new communication channels such as Instagram, Tiktok, and Snap, Karolinska Sjukhuset is slow explore the new channels of communication. These new channels of communication mentioned in marketing section of case study Karolinska Sjukhuset (A) can help to provide better information regarding products and services. It can also build an online community to further reach out to potential customers.

Slow decision making process

– As mentioned earlier in the report, Karolinska Sjukhuset has a very deliberative decision making approach. This approach has resulted in prudent decisions, but it has also resulted in missing opportunities in the industry over the last five years. Karolinska Sjukhuset even though has strong showing on digital transformation primary two stages, it has struggled to capitalize the power of digital transformation in marketing efforts and new venture efforts.

Compensation and incentives

– The revenue per employee as mentioned in the HBR case study Karolinska Sjukhuset (A), is just above the industry average. Karolinska Sjukhuset needs to redesign the compensation structure and incentives to increase the revenue per employees. Some of the steps that it can take are – hiring more specialists on project basis, etc.

Ability to respond to the competition

– As the decision making is very deliberative, highlighted in the case study Karolinska Sjukhuset (A), in the dynamic environment Karolinska Sjukhuset has struggled to respond to the nimble upstart competition. Karolinska Sjukhuset has reasonably good record with similar level competitors but it has struggled with new entrants taking away niches of its business.

Slow to strategic competitive environment developments

– As Karolinska Sjukhuset (A) HBR case study mentions - Karolinska Sjukhuset takes time to assess the upcoming competitions. This has led to missing out on atleast 2-3 big opportunities in the industry in last five years.




Opportunities Karolinska Sjukhuset (A) | External Strategic Factors
What are Opportunities in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The opportunities highlighted in the Harvard Business Review case study Karolinska Sjukhuset (A) are -

Using analytics as competitive advantage

– Karolinska Sjukhuset has spent a significant amount of money and effort to integrate analytics and machine learning into its operations in the sector. This continuous investment in analytics has enabled, as illustrated in the Harvard case study Karolinska Sjukhuset (A) - to build a competitive advantage using analytics. The analytics driven competitive advantage can help Karolinska Sjukhuset to build faster Go To Market strategies, better consumer insights, developing relevant product features, and building a highly efficient supply chain.

Manufacturing automation

– Karolinska Sjukhuset can use the latest technology developments to improve its manufacturing and designing process in Leadership & Managing People segment. It can use CAD and 3D printing to build a quick prototype and pilot testing products. It can leverage automation using machine learning and artificial intelligence to do faster production at lowers costs, and it can leverage the growth in satellite and tracking technologies to improve inventory management, transportation, and shipping.

Changes in consumer behavior post Covid-19

– Consumer behavior has changed in the Leadership & Managing People industry because of Covid-19 restrictions. Some of this behavior will stay once things get back to normal. Karolinska Sjukhuset can take advantage of these changes in consumer behavior to build a far more efficient business model. For example consumer regular ordering of products can reduce both last mile delivery costs and market penetration costs. Karolinska Sjukhuset can further use this consumer data to build better customer loyalty, provide better products and service collection, and improve the value proposition in inflationary times.

Loyalty marketing

– Karolinska Sjukhuset has focused on building a highly responsive customer relationship management platform. This platform is built on in-house data and driven by analytics and artificial intelligence. The customer analytics can help the organization to fine tune its loyalty marketing efforts, increase the wallet share of the organization, reduce wastage on mainstream advertising spending, build better pricing strategies using personalization, etc.

Better consumer reach

– The expansion of the 5G network will help Karolinska Sjukhuset to increase its market reach. Karolinska Sjukhuset will be able to reach out to new customers. Secondly 5G will also provide technology framework to build new tools and products that can help more immersive consumer experience and faster consumer journey.

Remote work and new talent hiring opportunities

– The widespread usage of remote working technologies during Covid-19 has opened opportunities for Karolinska Sjukhuset to expand its talent hiring zone. According to McKinsey Global Institute, 20% of the high end workforce in fields such as finance, information technology, can continously work from remote local post Covid-19. This presents a really great opportunity for Karolinska Sjukhuset to hire the very best people irrespective of their geographical location.

Buying journey improvements

– Karolinska Sjukhuset can improve the customer journey of consumers in the industry by using analytics and artificial intelligence. Karolinska Sjukhuset (A) suggest that firm can provide automated chats to help consumers solve their own problems, provide online suggestions to get maximum out of the products and services, and help consumers to build a community where they can interact with each other to develop new features and uses.

Lowering marketing communication costs

– 5G expansion will open new opportunities for Karolinska Sjukhuset in the field of marketing communication. It will bring down the cost of doing business, provide technology platform to build new products in the Leadership & Managing People segment, and it will provide faster access to the consumers.

Increase in government spending

– As the United States and other governments are increasing social spending and infrastructure spending to build economies post Covid-19, Karolinska Sjukhuset can use these opportunities to build new business models that can help the communities that Karolinska Sjukhuset operates in. Secondly it can use opportunities from government spending in Leadership & Managing People sector.

Low interest rates

– Even though inflation is raising its head in most developed economies, Karolinska Sjukhuset can still utilize the low interest rates to borrow money for capital investment. Secondly it can also use the increase of government spending in infrastructure projects to get new business.

Harnessing reconfiguration of the global supply chains

– As the trade war between US and China heats up in the coming years, Karolinska Sjukhuset can build a diversified supply chain model across various countries in - South East Asia, India, and other parts of the world. This reconfiguration of global supply chain can help, as suggested in case study, Karolinska Sjukhuset (A), to buy more products closer to the markets, and it can leverage its size and influence to get better deal from the local markets.

Learning at scale

– Online learning technologies has now opened space for Karolinska Sjukhuset to conduct training and development for its employees across the world. This will result in not only reducing the cost of training but also help employees in different part of the world to integrate with the headquarter work culture, ethos, and standards.

Developing new processes and practices

– Karolinska Sjukhuset can develop new processes and procedures in Leadership & Managing People industry using technology such as automation using artificial intelligence, real time transportation and products tracking, 3D modeling for concept development and new products pilot testing etc.




Threats Karolinska Sjukhuset (A) External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Karolinska Sjukhuset (A) are -

Shortening product life cycle

– it is one of the major threat that Karolinska Sjukhuset is facing in Leadership & Managing People sector. It can lead to higher research and development costs, higher marketing expenses, lower customer loyalty, etc.

Instability in the European markets

– European Union markets are facing three big challenges post Covid – expanded balance sheets, Brexit related business disruption, and aggressive Russia looking to distract the existing security mechanism. Karolinska Sjukhuset will face different problems in different parts of Europe. For example it will face inflationary pressures in UK, France, and Germany, balance sheet expansion and demand challenges in Southern European countries, and geopolitical instability in the Eastern Europe.

Learning curve for new practices

– As the technology based on artificial intelligence and machine learning platform is getting complex, as highlighted in case study Karolinska Sjukhuset (A), Karolinska Sjukhuset may face longer learning curve for training and development of existing employees. This can open space for more nimble competitors in the field of Leadership & Managing People .

Consumer confidence and its impact on Karolinska Sjukhuset demand

– There is a high probability of declining consumer confidence, given – high inflammation rate, rise of gig economy, lower job stability, increasing cost of living, higher interest rates, and aging demography. All the factors contribute to people saving higher rate of their income, resulting in lower consumer demand in the industry and other sectors.

Stagnating economy with rate increase

– Karolinska Sjukhuset can face lack of demand in the market place because of Fed actions to reduce inflation. This can lead to sluggish growth in the economy, lower demands, lower investments, higher borrowing costs, and consolidation in the field.

High dependence on third party suppliers

– Karolinska Sjukhuset high dependence on third party suppliers can disrupt its processes and delivery mechanism. For example -the current troubles of car makers because of chip shortage is because the chip companies started producing chips for electronic companies rather than car manufacturers.

Barriers of entry lowering

– As technology is more democratized, the barriers to entry in the industry are lowering. It can presents Karolinska Sjukhuset with greater competitive threats in the near to medium future. Secondly it will also put downward pressure on pricing throughout the sector.

Capital market disruption

– During the Covid-19, Dow Jones has touched record high. The valuations of a number of companies are way beyond their existing business model potential. This can lead to capital market correction which can put a number of suppliers, collaborators, value chain partners in great financial difficulty. It will directly impact the business of Karolinska Sjukhuset.

Technology disruption because of hacks, piracy etc

– The colonial pipeline illustrated, how vulnerable modern organization are to international hackers, miscreants, and disruptors. The cyber security interruption, data leaks, etc can seriously jeopardize the future growth of the organization.

Easy access to finance

– Easy access to finance in Leadership & Managing People field will also reduce the barriers to entry in the industry, thus putting downward pressure on the prices because of increasing competition. Karolinska Sjukhuset can utilize it by borrowing at lower rates and invest it into research and development, capital expenditure to fortify its core competitive advantage.

Regulatory challenges

– Karolinska Sjukhuset needs to prepare for regulatory challenges as consumer protection groups and other pressure groups are vigorously advocating for more regulations on big business - to reduce inequality, to create a level playing field, to product data privacy and consumer privacy, to reduce the influence of big money on democratic institutions, etc. This can lead to significant changes in the Leadership & Managing People industry regulations.

Technology acceleration in Forth Industrial Revolution

– Karolinska Sjukhuset has witnessed rapid integration of technology during Covid-19 in the Leadership & Managing People industry. As one of the leading players in the industry, Karolinska Sjukhuset needs to keep up with the evolution of technology in the Leadership & Managing People sector. According to Mckinsey study top managers believe that the adoption of technology in operations, communications is 20-25 times faster than what they planned in the beginning of 2019.

High level of anxiety and lack of motivation

– the Great Resignation in United States is the sign of broader dissatisfaction among the workforce in United States. Karolinska Sjukhuset needs to understand the core reasons impacting the Leadership & Managing People industry. This will help it in building a better workplace.




Weighted SWOT Analysis of Karolinska Sjukhuset (A) Template, Example


Not all factors mentioned under the Strengths, Weakness, Opportunities, and Threats quadrants in the SWOT Analysis are equal. Managers in the HBR case study Karolinska Sjukhuset (A) needs to zero down on the relative importance of each factor mentioned in the Strengths, Weakness, Opportunities, and Threats quadrants. We can provide the relative importance to each factor by assigning relative weights. Weighted SWOT analysis process is a three stage process –

First stage for doing weighted SWOT analysis of the case study Karolinska Sjukhuset (A) is to rank the strengths and weaknesses of the organization. This will help you to assess the most important strengths and weaknesses of the firm and which one of the strengths and weaknesses mentioned in the initial lists are marginal and can be left out.

Second stage for conducting weighted SWOT analysis of the Harvard case study Karolinska Sjukhuset (A) is to give probabilities to the external strategic factors thus better understanding the opportunities and threats arising out of macro environment changes and developments.

Third stage of constructing weighted SWOT analysis of Karolinska Sjukhuset (A) is to provide strategic recommendations includes – joining likelihood of external strategic factors such as opportunities and threats to the internal strategic factors – strengths and weaknesses. You should start with external factors as they will provide the direction of the overall industry. Secondly by joining probabilities with internal strategic factors can help the company not only strategic fit but also the most probably strategic trade-off that Karolinska Sjukhuset needs to make to build a sustainable competitive advantage.



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