Department of Business Studies, University of Uppsala, Uppsala, Sweden.
The University of Sydney Business School, Sydney, Australia.
J Health Organ Manag. 2023 Sep 26;37(9):34-55. doi: 10.1108/JHOM-11-2022-0339.
This article aims to examine how users' involvement in value co-creation influences the development and orchestration of well-being ecosystems to help tackle complex societal challenges. This research contributes to the public management literature and answers recent calls to investigate novel public service governances by discussing users' involvement and value co-creation for novel well-being solutions.
DESIGN/METHODOLOGY/APPROACH: The authors empirically explore this phenomenon through a case study of a complex ecosystem addressing increased well-being, focussing on the formative evaluation stage of a longitudinal evaluation of Sweden's first support centre for people affected by cancer. Following an abductive reasoning and action research approach, the authors critically discuss the potential of user involvement for the development of well-being ecosystems and outline preconditions for the success of such approaches.
The empirical results indicate that resource reconfiguration of multi-actor collaborations provides a platform for value co-creation, innovative health services and availability of resources. Common themes include the need for multi-actor collaborations to reconfigure heterogeneous resources; actors' adaptive change capabilities; the role of governance mechanisms to align the diverse well-being ecosystem components, and the engagement of essential actors.
RESEARCH LIMITATIONS/IMPLICATIONS: Although using a longitudinal case study approach has revealed stimulating insights, additional data collection, multiple cases and quantitative studies are prompted. Also, the authors focus on one country but the characteristics of users' involvement for value co-creation in innovative well-being ecosystems might vary between countries.
The findings of this study demonstrate the value of cancer-affected individuals, with "lived experiences", acting as sources for social innovation, and drivers of well-being ecosystem development. The findings also suggest that participating actors in the ecosystem should utilise wider knowledge and experience to tackle complex societal challenges associated with well-being.
Policymakers should encourage the formation of well-being ecosystems with diverse actors and resources that can help patients navigate health challenges. The findings especially show the potential of starting from the user's needs and life situation when the ambition is to integrate and innovate in fragmented systems.
ORIGINALITY/VALUE: The proposed model proposes that having a user-led focus on innovating new solutions can play an important role in the development of well-being ecosystems.
本文旨在探讨用户参与价值共创如何影响福祉生态系统的发展和协调，以帮助应对复杂的社会挑战。本研究通过讨论用户参与和价值共创对于新型福祉解决方案的作用，为公共管理文献做出贡献，并回应了最近关于新型公共服务治理的呼吁。
设计/方法/途径：通过对一个旨在提高福祉的复杂生态系统的案例研究，作者从实证角度探讨了这一现象，该案例重点关注瑞典首个癌症患者支持中心的纵向评估的形成性评估阶段。作者采用溯因推理和行动研究方法，批判性地讨论了用户参与对福祉生态系统发展的潜力，并概述了此类方法成功的前提条件。
实证结果表明，多主体合作的资源重新配置为价值共创、创新型卫生服务和资源可用性提供了平台。共同主题包括多主体合作重新配置异质资源的必要性；参与者的适应性变革能力；治理机制在协调多样化福祉生态系统组成部分以及吸引必要参与者方面的作用。
研究局限性/影响：尽管使用纵向案例研究方法揭示了令人振奋的见解，但需要进一步的数据收集、多个案例和定量研究。此外，作者关注的是一个国家，但在创新型福祉生态系统中用户参与价值共创的特点可能因国家而异。
本研究的发现表明，受癌症影响的个人具有“生活经验”，可以作为社会创新的源泉和福祉生态系统发展的驱动力。研究结果还表明，生态系统中的参与方应该利用更广泛的知识和经验来应对与福祉相关的复杂社会挑战。
政策制定者应鼓励形成具有多样化参与者和资源的福祉生态系统，以帮助患者应对健康挑战。研究结果尤其表明，当目标是整合和创新碎片化系统时，从用户的需求和生活情况出发具有潜在的可能性。
原创性/价值：所提出的模型表明，以用户为导向的创新新解决方案的重点可以在福祉生态系统的发展中发挥重要作用。
