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The research is focusing on small and mid-sized enterprises (SMEs) in the German Medical Technology (MedTech) industry and investigates the antecedents and the effects of organizational capabilities on their strategy regarding international ventures. Although there is various research in the field of strategy, internationalisation and SMEs, the impact of existing research in the specific field of German Medtech SMEs is relatively poor while theoretical and empirical findings obtained in another particular institutional context are not yet applicable in other countries or industries. As a consequence, a systematic review of the literature has been conducted. An initial conceptual model was developed, in which significant findings regards country, industry and firm-specific aspects could be identified. The philosophical stand of the researcher and his ontological view as a post-positivist allows both, a qualitative and a quantitative approach. By applying a mixed method approach a focus group discussion provided in depth-knowledge in order to sharpen the initial model. Antecedents, as well as the most important factors related to strategy, were emphasized and further important aspects that focus on capabilities were revealed. With these results, constructs and relationships were modeled and quantitative data from a survey with more than 60 German MedTech SMEs were collected and assessed. This approach led to the finding that factors such as ´market potential´, ´physical capital´, ´medical regulations´ and ´product competitive-ness´ have the highest influence on the firm´s strategic approach. ´Organizational learning´ and ´coordination mechanism´ have particularly an impact on strategy development, whereas relationship capabilities mediating effect on the strategy-competitive advantage relationship. Firm size and firm´s experience in international ventures influence a firm´s internationalisation. The results will serve as a strategic input for SME’s in the German MedTech industry. This research provided a contribution to knowledge that is relevant from an academic as well as from an economic point of view. The findings should help academics, MedTech SMEs, and governmental institutions to understand the decisive factors for internationalisation and the importance to develop specific organizational capabilities in this context. This understanding contributes towards a sound development of German MedTech SMEs in their future internationalisation.

SME Internationalization: Investigating Antecedents and the Effect of Organizational Capabilities on Strategy in the German MedTech Industry