Service Innovations in the Healthcare Service Ecosystem: A Case Study

In the service economy, scholars and practitioners are even more focused on the development and appliance of innovative services. The importance of service innovation is rising in many sectors and among different organizations. Several disciplines (e.g., marketing, management, operations research, etc.) deal with this innovation, a concept widely used, but with different definitions. In this paper, service innovation has been analyzed according to the Service Dominant Logic (S-D Logic) and a service ecosystem perspective. The literature still calls for a greater understanding of how a new or renewed combination of resources affects the shaping of service ecosystems. To contribute to filling this gap, this study explores the practices that different actors, enact to co-create value in novel ways; i.e., service innovation. The paper is structured as follows. In the first section, the main academic contributions on service research have been reviewed, focusing on healthcare service innovation. This is followed by the research method and discussion of the research findings. Finally, the theoretical and managerial implications have been detailed and an agenda for future research suggested. The paper offers interesting insights to develop new or renewed practices that foster the reshaping and maintaining of a healthcare service ecosystem. Some recommendations are included to support managers in the development of service innovation strategies.

[1]  G. Winship Case Study Research in Practice , 2010 .

[2]  Stephen L. Vargo,et al.  Institutions and axioms: an extension and update of service-dominant logic , 2016 .

[3]  F. Collins,et al.  The path to personalized medicine. , 2010, The New England journal of medicine.

[4]  B. Edvardsson,et al.  Key Concepts for New Service Development , 1996 .

[5]  Mary Jo Bitner,et al.  Moving Forward and Making a Difference: Research Priorities for the Science of Service , 2010 .

[6]  Luis Rubalcaba The New Service Economy , 2007 .

[7]  Pamela Baxter,et al.  Qualitative Case Study Methodology: Study Design and Implementation for Novice Researchers , 2008 .

[8]  Aurelio Tommasetti,et al.  Patient empowerment and health online community : two ways to give the new viability doctor-patient relationship = Cooperación y intercambio de conocimiento en la era de Internet : dos maneras de dar nueva viabilidad a la relación médico-paciente , 2014 .

[9]  Thomas B. Lawrence,et al.  Institutional Work: Actors and Agency in Institutional Studies of Organizations , 2009 .

[10]  Faïz Gallouj,et al.  The Handbook of Innovation and Services: A Multi-disciplinary Perspective , 2010 .

[11]  Ann E. Marucheck,et al.  Service Management - Academic Issues and Scholarly Reflections from Operations Management Researchers , 2007, Decis. Sci..

[12]  Oskar Korkman,et al.  Customer Value Formation in Practice: A Practice-Theoretical Approach , 2006 .

[13]  A. Oke Innovation types and innovation management practices in service companies , 2007 .

[14]  Oliver Gassmann,et al.  Service innovation: why is it so difficult to accomplish? , 2011 .

[15]  J. Schumpeter The Theory of Economic Development: An Inquiry into Profits, Capital, Credit, Interest, and the Business Cycle , 1934 .

[16]  W. Scott Institutions and organizations : ideas, interests and identities , 2014 .

[17]  Faïz Gallouj,et al.  Innovation in Services: Issues at Stake and Trends : Studies on Innovation Matters Related to the Implementation of the Community "Innovation and SMEs Programme" , 2004 .

[18]  C. Cassell,et al.  Essential guide to qualitative methods in organizational research , 2004 .

[19]  G Tröster,et al.  Pervasive Healthcare , 2009, Methods of Information in Medicine.

[20]  Keith A. Joiner,et al.  Evolving to a Service-Dominant Logic for Health , 2015 .

[21]  S. Staniszewska,et al.  Patient and Public Involvement in Patient-Reported Outcome Measures , 2012, The Patient - Patient-Centered Outcomes Research.

[22]  F. Gallouj,et al.  Innovation in services: a review of the debate and a research agenda , 2009 .

[23]  B. Tether,et al.  The sources and aims of innovation in services: Variety between and within sectors , 2003 .

[24]  Kevin E. Bennet,et al.  Innovation in Health Care: A Primer , 2008, American journal of medical quality : the official journal of the American College of Medical Quality.

[25]  Michel Wensing,et al.  Improving Patient Care: The Implementation of Change in Health Care , 2013 .

[26]  Alan Wilson,et al.  Service experiences and dyadic value cocreation in healthcare service delivery : a CIT approach , 2015 .

[27]  Stephen L. Vargo,et al.  From goods to service(s): Divergences and convergences of logics , 2008 .

[28]  Vallabh Sambamurthy,et al.  Editorial Notes - The Growth of Interest in Services Management: Opportunities for Information Systems Scholars , 2006, Inf. Syst. Res..

[29]  Rhonda Nay,et al.  Promoting a continuation of self and normality: person-centred care as described by people with dementia, their family members and aged care staff. , 2010, Journal of clinical nursing.

[30]  Leonard L. Berry,et al.  Creating New Markets Through Service , 2006 .

[31]  Stephen L. Vargo,et al.  Service Innovation in the Digital Age: Key Contributions and Future Directions , 2015, MIS Q..

[32]  Frédéric Jallat Reframing Business: When the Map Changes the Landscape , 2004 .

[33]  Ángeles Montoro-Sánchez,et al.  Public funding for product, process and organisational innovation in service industries , 2010 .

[34]  F. Collins,et al.  A new initiative on precision medicine. , 2015, The New England journal of medicine.

[35]  Stephen L. Vargo,et al.  Author ' s personal copy It ' s all B 2 B ... and beyond : Toward a systems perspective of the market , 2011 .

[36]  Francesco Polese,et al.  B2B is Not an Island , 2009 .

[37]  Francesco Polese,et al.  The Determinants of Translational Medicine Success - A Managerial Contribution , 2013, Translational medicine @ UniSa.

[38]  Christine Nadel,et al.  Case Study Research Design And Methods , 2016 .

[39]  Francesco Polese,et al.  Smart Service Systems and Viable Service Systems: Applying Systems Theory to Service Science , 2010 .

[40]  Elina Jaakkola,et al.  Accessing resources for service innovation – the critical role of network relationships , 2014 .

[41]  Mohanbir Sawhney,et al.  Making the Most of the Global Brain for Innovation , 2009 .

[42]  Ian Miles,et al.  Patterns of innovation in service industries , 2008, IBM Syst. J..

[43]  Stephen L. Vargo,et al.  Competing through service: Insights from service-dominant logic , 2007 .

[44]  C. Mele,et al.  “Five Co‐s” in innovating: a practice‐based view , 2012 .

[45]  R. Herzlinger,et al.  Why innovation in health care is so hard. , 2006, Harvard business review.

[46]  Maria Vincenza Ciasullo,et al.  Health care ecosystem: some evidence from the International Consortium for Health Outcomes Measurement (ICHOM)International Conference on quality and service sciences (ICQSS). , 2016 .

[47]  Gwen Fontenot,et al.  Innovation in healthcare: Issues and future trends☆ , 2012 .

[48]  A. Payne,et al.  Managing the co-creation of value , 2008 .

[49]  Amy L. Ostrom,et al.  Transformative Service Research: An Agenda for the Future , 2013 .

[50]  Maria Vincenza Ciasullo,et al.  Improving health care quality: the implementation of whistleblowing , 2017 .

[51]  Stephen L. Vargo,et al.  Contextualization and value-in-context: How context frames exchange , 2011 .

[52]  P. Maglio,et al.  The Emergence of Service Science: Toward Systematic Service Innovations to Accelerate Co‐Creation of Value , 2008 .

[53]  Cristina Sousa,et al.  Topologies of innovation networks in knowledge-intensive sectors: Sectoral differences in the access to knowledge and complementary assets through formal and informal ties , 2012 .

[54]  Christine K. Cassel,et al.  Consumer-driven health care may not be what patients need--caveat emptor. , 2009, JAMA.

[55]  E. Hippel,et al.  Users as Service Innovators: The Case of Banking Services , 2011 .

[56]  Janet R. McColl-Kennedy Health Care in Service Science Special Issue of Australasian Marketing Journal , 2014 .

[57]  Mona J. Fitzsimmons,et al.  New Service Development: Creating Memorable Experiences , 1999 .

[58]  Stephen L. Vargo,et al.  Innovation through institutionalization: A service ecosystems perspective , 2015 .

[59]  Marialuisa Saviano,et al.  Immaginare l'innovazione , 2012 .

[60]  P. Maglio,et al.  Handbook of Service Science , 2012 .

[61]  Nicolaj Siggelkow Persuasion with case studies , 2007 .

[62]  Sergio Barile,et al.  Foundations of Systems Thinking: The Structure-System Paradigm , 2011 .

[63]  Orlando Troisi,et al.  How Service Innovation Contributes to Co-Create Value in Service Networks , 2016, IESS.

[64]  Mary Jo Bitner,et al.  Service Blueprinting: A Practical Technique for Service Innovation , 2008 .

[65]  R. Thomson,et al.  Shared Decision Making: A Model for Clinical Practice , 2012, Journal of General Internal Medicine.

[66]  P. Maglio,et al.  Actor engagement as a microfoundation for value co-creation , 2016 .

[67]  Stephen L. Vargo,et al.  A service perspective. Key managerial insights from service-dominant (S-D) logic , 2016 .

[68]  A. Parasuraman,et al.  Crowd-Funding: Transforming Customers into Investors through Innovative Service Platforms , 2011 .

[69]  Stephen L. Vargo,et al.  Service-Dominant Logic: Premises, Perspectives, Possibilities , 2014 .

[70]  P. Trott,et al.  WHY 'OPEN INNOVATION' IS OLD WINE IN NEW BOTTLES , 2009, International Journal of Innovation Management.

[71]  Janet R. Mccoll-Kennedy,et al.  Value propositions , 2014 .

[72]  Lisen Selander,et al.  Capability search and redeem across digital ecosystems , 2013, J. Inf. Technol..

[73]  Lars-Erik Gadde,et al.  Systematic combining: an abductive approach to case research , 2002 .

[74]  Stephen L. Vargo,et al.  Evolving to a New Dominant Logic for Marketing , 2004 .

[75]  Stephen L. Vargo,et al.  Service-dominant logic: continuing the evolution , 2008 .

[76]  T. Friedli,et al.  Behavioral implications of the transition process from products to services , 2005 .

[77]  B. Edvardsson,et al.  Innovation in service ecosystems—Breaking, making, and maintaining institutionalized rules of resource integration , 2016 .

[78]  Luca Carrubbo,et al.  Service Innovation in Translational Medicine , 2017 .

[79]  Yi Wang,et al.  IT capability and organizational performance: the roles of business process agility and environmental factors , 2014, Eur. J. Inf. Syst..

[80]  L. Dooley Case Study Research and Theory Building , 2002 .

[81]  Janet R. Mccoll-Kennedy,et al.  Co-creation practices: Their role in shaping a health care ecosystem , 2016 .

[82]  J. Marshall Open Innovation: The New Imperative for Creating and Profiting from Technology , 2004 .

[83]  Bo Edvardsson,et al.  Service quality: beyond cognitive assessment , 2005 .

[84]  Amy L. Ostrom,et al.  Service Research Priorities in a Rapidly Changing Context , 2015 .

[85]  Steven L. Alter Service system fundamentals: Work system, value chain, and life cycle , 2008, IBM Syst. J..

[86]  Moncef Tagina,et al.  An Automated Petri-Net Based Approach for Change Management in Distributed Telemedicine Environment , 2012, ArXiv.

[87]  G. Noci,et al.  How to Sustain the Customer Experience:: An Overview of Experience Components that Co-create Value With the Customer , 2007 .

[88]  E. Nijssen,et al.  Exploring product and service innovation similarities and differences , 2006 .

[89]  R. Evangelista,et al.  Innovation and economic performance in services. A firm level analysis , 2006 .

[90]  Stephen W. Brown,et al.  Shaping, organizing, and rethinking service innovation: a multidimensional framework , 2012 .

[91]  Kathleen M. Eisenhardt,et al.  Theory Building From Cases: Opportunities And Challenges , 2007 .

[92]  Richard,et al.  Interactive innovation in financial and business services : The vanguard of the service revolution , 2001 .

[93]  Evert Gummesson,et al.  Many-to-Many Marketing as Grand Theory: A Nordic School Contribution , 2006 .

[94]  Andreas Reckwitz Toward a Theory of Social Practices , 2002 .

[95]  E. Sandberg,et al.  Enabling service innovation: A dynamic capabilities approach , 2013 .

[96]  Stephen L. Vargo,et al.  It's all B2B…and beyond: Toward a systems perspective of the market , 2011 .

[97]  Stephen L. Vargo,et al.  Reconfiguration of the conceptual landscape: a tribute to the service logic of Richard Normann , 2008 .

[98]  Bo Edvardsson,et al.  Co‐creation in Radical Service Innovation: A Systematic Analysis of Microlevel Processes , 2012 .

[99]  Vincent K. Omachonu,et al.  Innovation in Healthcare Delivery Systems: A Conceptual Framework , 2010 .

[100]  Robert F. Lusch,et al.  Service Innovation: A Service-Dominant Logic Perspective , 2015, MIS Q..