Department of Management and Innovation Systems, University of Salerno, Salerno, Italy.
Faculty of Business, Design and Arts, Swinburne University of Technology, Kuching, Malaysia.
J Health Organ Manag. 2022 Apr 5;36(9):133-157. doi: 10.1108/JHOM-11-2021-0401.
Healthcare policies around the globe are aimed at achieving patient-centeredness. The patient is understood as a prosumer of healthcare, wherein healthcare service co-production and value co-creation take center stage. The article endeavors to unpack the state of the literature on the innovations promoting the transition toward patient-centeredness, informing policy and management interventions fostering the reconceptualization of the patient as a prosumer of healthcare services.
DESIGN/METHODOLOGY/APPROACH: A hybrid review methodology consisting of a bibliometric-interpretive review following the Scientific Procedures and Rationales for Systematic Literature Reviews (SPAR-4-SLR) protocol is used. The bibliometric component enabled us to objectively map the extant scientific knowledge into research streams, whereas the interpretive component facilitated the critical analysis of research streams.
Patient-centeredness relies on a bundle of innovations that are enacted through a cycle of patients' activation, empowerment, involvement and engagement, wherein the omission of any steps arrests the transition toward service co-production and value co-creation. Institutional, organizational and cognitive barriers should be overcome to boost the transition of patients from consumers to prosumers in a patient-centered model of healthcare.
ORIGINALITY/VALUE: The article delivers the state of the art of the scientific literature in the field of innovations aimed at sustaining the transition toward patient-centeredness and provides some food for thoughts to scholars and practitioners who wish to push forward service co-production and value co-creation in healthcare.
全球医疗保健政策旨在实现以患者为中心。患者被理解为医疗保健的生产者，其中医疗服务共同生产和价值共创占据中心地位。本文旨在梳理促进向以患者为中心转变的创新文献，为促进将患者重新概念化为医疗服务生产者的政策和管理干预提供信息。
设计/方法/途径：采用混合审查方法，包括按照科学程序和系统文献综述的合理依据（SPAR-4-SLR）协议进行的文献计量解释性审查。文献计量学部分使我们能够客观地将现有科学知识映射到研究流中，而解释性部分则便于对研究流进行批判性分析。
以患者为中心依赖于一整套创新，这些创新通过患者激活、赋权、参与和参与的循环来实施，其中任何步骤的缺失都将阻碍服务共同生产和价值共创的过渡。为了在以患者为中心的医疗模式中促进患者从消费者向生产者的转变，应克服制度、组织和认知障碍。
原创性/价值：本文提供了旨在维持向以患者为中心转变的创新领域的科学文献的最新进展，并为希望推动医疗保健服务共同生产和价值共创的学者和从业者提供了一些思考。
