Responding to COVID – 19: Insight Into Capability Re-Configuration of Healthcare Service Ecosystems? The Use Case of Hospitalization at Home

Keywords: hospitalization at home, systems thinking, viable system, complex ecosystems, healthcare service ecosystems INTRODUCTION An effective Healthcare Service Ecosystem (H-SES) (Frow et al, 2014) must emphasize the notion of well-being co-creation which entails a dynamic interplay of actors, in face of the challenges, with their ability to use the available resource pools, at the different system levels (Häring et al, 2017). Healthcare Service Ecosystems have to support new concepts and services;technology deployment that facilitates telemedicine, care at home and consultation at a distance must be accelerated to expand the public's access to essential health services during the COVID-19 Pandemic (CDC.ORG). Motivation Healthcare systems have buckled under the health emergency in the pandemic, due to insufficient hospital availability of beds, long waiting times, lack of adoption of intervention plans for emergencies, lack of medical and health personnel, of the total absence of coordination between the different ones' actors and, above all, the lack of an adequate assistance territorial network (Grimm, 2020). [...]HaH can be viewed as a practical expression of H-SES adaptive features, re-configuration ability and modular design on the grounds of the System Thinking perspective".