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Cited by 24Service and Product InnovationInnovative Approaches in Technology and Social DevelopmentHealthcare, Law, Governance, and Management Studies

Value Co-creation in the Health Service Ecosystems: The Enabling Role of Institutional Arrangements

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Ciasullo, Maria Vincenza, Cosimato, Silvia, Palumbo, Rocco, Storlazzi, Alessandra·2017·International Business Research
DOI 10.5539/ibr.v10n12p222
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Abstract

The health care service system is currently undergoing a profound revolution that has put the patient at the core of health outcome co-creation. Patient-centered care could be associated with Service Dominant Logic that looks at co-creation process as a dynamic resources’ integration between actors. From this standpoint, the need for a broader vision of value creation process towards a service ecosystem perspective is emerging. This paper includes an overview of the scientific literature and reports on a narrative case study analysis concerning the "International Consortium for Health Outcomes Measurement" in an attempt to nourish the debate on the different ways that multiple actors can collaboratively shape a health service ecosystem. Findings reveal that co-creation practices, involving multiple actors who belong to different ecosystem levels, led to mutual adjustments and to on-going shared changes. These processes directly influenced health outcome creation, which is reframed in light of patients’ needs, expectations, and experiences. Therefore, patients are assuming the role of health outcome “co-creator”, interacting with all other ecosystems actors (e.g. physicians, institutions, NGOs, health managers, ICTs providers etc.). This study represents a first and preliminary attempt to investigate a real example of dynamic resources’ exchange, based on the contribution of multiple interacting actors and on the role of interdepend and interacting institutions in value practices.

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Research works printed but not linked: 4

  1. Kaplan, R. S., & Porter, M. E. (2011). How to solve the cost crisis in health care. Harvard Business Review, 89(9), 46-52.
  2. Mele, C., Gummesson, E., & Polese, F. (2016). The Naples Forum on Service Developing theory through the practices of a community. Marketing Theory, 16(2), 266-268. https://doi.org/10.1177/1470593115608077d · DOI
  3. Porter, M. E., & Lee, T. H. (2013). The Strategy That Wilt Fix Health Care. Harvard business review, 91(10), 50-70.
  4. Porter, M., & Tiesberg, E. (2006). Re-defining health care delivery. Business Harvard Press, Boston.

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Authors
Ciasullo, M. V., Cosimato, S., Palumbo, R., & Storlazzi, A.
Affiliations
  • University of Salerno (IT)
  • Università degli Studi Suor Orsola Benincasa (IT)
ORCID
Venue
International Business Research
Publisher
Canadian Center of Science and Education
Published
2017-11-16
Volume
10
Issue
12
Pages
222
ISSN
  • 1913-9004 (ISSN-L)
  • 1913-9012
DOI
10.5539/ibr.v10n12p222
OpenAlex
W2769630004
Cited by
24
References
76
Citations by year
2026: 1 · 2025: 1 · 2024: 5 · 2023: 1 · 2022: 4 · 2021: 5 · 2020: 1 · 2019: 1 · 2018: 5
FWCI
3.46
Type
journal article
Language
en
Open access
Licence
Locations
  • International Business Research (publishedVersion, cc-by)
  • RePEc: Research Papers in Economics (submittedVersion)
  • Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion, cc-by-nc-nd)
Topics
  • Social Sciences › Business, Management and Accounting › Marketing › Service and Product Innovation
  • Social Sciences › Business, Management and Accounting › Management of Technology and Innovation › Innovative Approaches in Technology and Social Development
  • Health Sciences › Health Professions › General Health Professions › Healthcare, Law, Governance, and Management Studies
Keywords
value co-creation, service-dominant logic, institutional arrangements, patient-centered care, health outcome measurement, service ecosystems, resource integration

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