The Process Pattern of Value Co-creation in Healthcare Service Ecosystem

Mohsen Radpour, Seyed Hasan Hataminasab, S. Nayebzadeh
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Abstract

Background: Having an inclusive approach and explaining involvement practices and the roles played by the actors in healthcare ecosystems is a critical factor in healthcare industry. The aim of this study was to design the process pattern of value co-creation in the healthcare ecosystem. Methods: This study was practical in terms of the goal, and descriptive-survey with a two-staged qualitative method in terms of data collection. At first, 23 articles and scientific reports regarding theoretical foundations of value co-creation in healthcare were reviewed using the systematic review, and the basic pattern was designed. Then, in order to confirm and complete the identified factors in the first stage, 10 academic and professional experts familiar with value co-creation and health care ecosystem in the country were interviewed ,selected by combining targeted judgmental and chain sampling. The data gathered from these interviews were analyzed using thematic analysis. Result: In this study, 3 categories and 54 subcategories concerning health ecosystem were extracted. According to the results, the final pattern was designed in 3 stages of process readiness, value network and process achievements in 3 micro, meso and macro levels. Accordingly, the roles and tasks of the actors in the health service ecosystem were explained. Conclusion: Clarity of the role of the actors and making necessary preparations to implement them, paves the way for structural innovations of value co-creation process. In addition, establishing technical and legislative grounds to facilitate participation, leads to more participation. The suggested pattern can be used as a guide for value co-creation in the health service ecosystem.
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医疗服务生态系统中价值协同创造的过程模式
背景:在医疗保健行业中,采用包容性方法并解释参与实践和参与者在医疗保健生态系统中扮演的角色是一个关键因素。本研究旨在设计医疗保健生态系统中价值共同创造的过程模式。方法:本研究以实务性研究为目的,采用描述性调查法,资料收集采用两阶段定性方法。首先采用系统评价的方法,对医疗卫生领域价值共同创造理论基础相关的23篇文献和科学报告进行综述,并设计基本模式。然后,为了确认和完成第一阶段确定的因素,采用针对性判断和链式抽样相结合的方法,对10位熟悉国内价值共创和医疗保健生态系统的学术专家和专业专家进行了访谈。从这些访谈中收集的数据使用专题分析进行分析。结果:提取出健康生态系统的3大类54个亚类。根据结果,设计了过程准备、价值网络和过程成就三个阶段的最终模式,分别在微观、中观和宏观三个层面进行设计。因此,解释了卫生服务生态系统中行为者的角色和任务。结论:明确参与者的角色并做好必要的准备,为价值共同创造过程的结构创新铺平了道路。此外,建立技术和立法基础以促进参与,会导致更多的参与。建议的模式可作为卫生服务生态系统价值共同创造的指南。
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