Purpose. Health care is currently undergoing a profound revolution that has put the patient-centered approach at the core of health outcome creation, considering co-creation fundamental for increasing value. This vision arises from Service Dominant Logic that looks at the co-creation process as a dynamic resources’ integration between actors, linked through a value proposition in a dense relationships’ network. Consequently, the need for a broader vision of value creation processes towards a service ecosystem perspective is emerging. Starting from these theoretical assumptions, and participating in the recent debate on the different ways that multiple actors can collaboratively shape a health service ecosystem, this paper aims to contribute to the literature on co-creation practices. Design/methodology/approach. The paper is based on a literature review and on a narrative approach to case study analysis. To this end, the analysis has been focused on the narration of International Consortium for Health Outcomes Measurement (ICHOM) co-practices. Findings. Our investigation reveals that co-creation practices, involving multiple actors belonging to different ecosystem levels, led to mutual adjustments and to on-going shared changes. These processes have directly influenced outcome creation, which is now based not only on patients’ needs, expectations, and experiences, but also “with” the patients. Consequently, they are assuming the role of health outcome “co-builder”, interacting with all other ecosystems actors (e.g. physicians, institutions, ONGs, health managers, ICTs providers etc.) in order to create and constantly reshape their offering. Originality/value. This study represent a first and preliminary attempt to investigate a real example of dynamic resources’ exchange, based on contribution of multiple interacting actors and on the role of interdepend and interacting institutions in value practices.
Health care ecosystem: some evidence from the International Consortium for Health Outcomes Measurement (ICHOM)International Conference on quality and service sciences (ICQSS).
CIASULLO, MARIA VINCENZA;COSIMATO, SILVIA;
2016
Abstract
Purpose. Health care is currently undergoing a profound revolution that has put the patient-centered approach at the core of health outcome creation, considering co-creation fundamental for increasing value. This vision arises from Service Dominant Logic that looks at the co-creation process as a dynamic resources’ integration between actors, linked through a value proposition in a dense relationships’ network. Consequently, the need for a broader vision of value creation processes towards a service ecosystem perspective is emerging. Starting from these theoretical assumptions, and participating in the recent debate on the different ways that multiple actors can collaboratively shape a health service ecosystem, this paper aims to contribute to the literature on co-creation practices. Design/methodology/approach. The paper is based on a literature review and on a narrative approach to case study analysis. To this end, the analysis has been focused on the narration of International Consortium for Health Outcomes Measurement (ICHOM) co-practices. Findings. Our investigation reveals that co-creation practices, involving multiple actors belonging to different ecosystem levels, led to mutual adjustments and to on-going shared changes. These processes have directly influenced outcome creation, which is now based not only on patients’ needs, expectations, and experiences, but also “with” the patients. Consequently, they are assuming the role of health outcome “co-builder”, interacting with all other ecosystems actors (e.g. physicians, institutions, ONGs, health managers, ICTs providers etc.) in order to create and constantly reshape their offering. Originality/value. This study represent a first and preliminary attempt to investigate a real example of dynamic resources’ exchange, based on contribution of multiple interacting actors and on the role of interdepend and interacting institutions in value practices.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
