Pursuing Sustainability for Healthcare through Digital Platforms

Sustainability, as well as the sustainable use of resources and related issues, has inspired a long-lasting and lively debate among scholars of different disciplines. Due to under-investigation of several of the sustainability-related challenges, this paper aims to better understand the system dynamics that, supported by some digital enablers (e.g., digital technologies and platforms), boost the sustainability of complex service systems such as healthcare. To this end, the theoretical meta-model of interaction types, which inspired the prototype digital platform dedicated to the online delivery of health-related services, is presented. Moreover, some healthcare usage scenarios, based on the prototype’s functions, are analysed and discussed. This allows understanding of how important the role of technologies and, in particular, digital platforms, are in empowering actors and in making them willing to interact, and share their own resources in continually new ways. This paves the way for ongoing value co-creation, which is essential for healthcare system sustainability.

[1]  Stafford Beer,et al.  Brain of the Firm: A Development in Management Cybernetics. , 1972 .

[2]  Angela Espinosa,et al.  Sustainability, complexity and learning: insights from complex systems approaches , 2011 .

[3]  James C. Spohrer,et al.  A service research contribution to the global challenge of sustainability , 2017 .

[4]  Richard I Skinner.  The Value of Information Technology in Healthcare , 2003, Frontiers of health services management.

[5]  Lorna Uden,et al.  Why Co-creation of Value May Not Work? , 2014, KMO.

[6]  L. Berry,et al.  Health Care , 2007 .

[7]  Giancarlo Nota,et al.  The interaction type approach to relationships management , 2017, Journal of Ambient Intelligence and Humanized Computing.

[8]  L. Wallace,et al.  What is co-production? , 2010 .

[9]  Kalle Lyytinen,et al.  Organizing for Innovation in the Digitized World , 2012, Organ. Sci..

[10]  Lia Patrício,et al.  Service Design for Value Networks: Enabling Value Cocreation Interactions in Healthcare , 2018 .

[11]  Steve Evans,et al.  Succeeding through service innovation : a service perspective for education, research, business and government , 2008 .

[12]  T. Valente.  Network Interventions , 2012, Science.

[13]  Stephen L. Vargo,et al.  On value and value co-creation: A service systems and service logic perspective , 2008 .

[14]  Ioannis Ioannou,et al.  The Consequences of Mandatory Corporate Sustainability Reporting , 2017, The Oxford Handbook of Corporate Social Responsibility.

[15]  Francesco Polese,et al.  Information Asymmetry and Co-Creation in Health Care Services , 2014 .

[16]  Alessandro Russo,et al.  Mixed Virtual Element Methods for general second order elliptic problems on polygonal meshes , 2014, 1506.07328.

[17]  Sergio Barile,et al.  Complexity and Sustainability in Management: Insights from a Systems Perspective , 2018 .

[18]  Francesco Polese,et al.  Value co-creation as a complex adaptive process , 2017 .

[19]  Paul P. Maglio,et al.  Steps Toward a Science of Service Systems , 2007, Computer.

[20]  Leonard Walletzký,et al.  Investigating the role of smartness for sustainability: insights from the Smart Grid domain , 2018, Sustainability Science.

[21]  A. Oudshoorn.  Client-Provider Relationships in a Community Health Clinic for People Experiencing Homelessness: A Critical Ethnography , 2011 .

[22]  K. Takeuchi,et al.  Sustainability science: building a new discipline , 2006 .

[23]  James C. Spohrer,et al.  Systems, networks, and ecosystems in service research , 2016 .

[24]  M. Barth,et al.  Learning for change: an educational contribution to sustainability science , 2012, Sustainability Science.

[25]  P. Shekelle,et al.  Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care , 2006, Annals of Internal Medicine.

[26]  F. Berkes,et al.  Adaptive co-management for social–ecological complexity , 2009 .

[27]  J. Spohrer,et al.  Service Systems, Networks, and Ecosystems: Connecting the Dots Concisely from a Systems Perspective , 2018 .

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

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

[30]  S. Cosimato,et al.  Dream or reality? A recipe for sustainable and innovative health care ecosystems , 2017 .

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

[32]  Jennifer L. Burton,et al.  Patient empowerment: A cross-disease exploration of antecedents and consequences , 2015 .

[33]  F. Berkes,et al.  Co-management: concepts and methodological implications. , 2005, Journal of environmental management.

[34]  Carlos Loch,et al.  Systemic thinking in environmental management: support for sustainable development , 2005 .

[35]  Juan P. Casas,et al.  Fulfilling the Promise of Personalized Medicine? Systematic Review and Field Synopsis of Pharmacogenetic Studies , 2009, PloS one.

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

[37]  Gaetano M. Golinelli,et al.  The Firm as a Viable System , 2001 .

[38]  José Aureliano Martín-Segura,et al.  The role of the service sector in regional economic resilience , 2012 .

[39]  Suzanne Austin Boren,et al.  Patient-Centered Care and Outcomes , 2013, Medical care research and review : MCRR.

[40]  Christoph F. Breidbach,et al.  Technology-enabled value co-creation: An empirical analysis of actors, resources, and practices , 2016 .

[41]  Gandolfo Dominici,et al.  viable Systems Approach (vSA): Governing Business Dynamics , 2015 .

[42]  K. Dooley,et al.  Health Care Organizations as Complex Adaptive Systems , 2003 .

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

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

[45]  R. Cassen.  Our common future: report of the World Commission on Environment and Development , 1987 .

[46]  Rocco Palumbo.  The Bright Side and the Dark Side of Patient Empowerment , 2017, SpringerBriefs in Public Health.

[47]  M. Saviano,et al.  Envisioning smart and sustainable healthcare: 3D Printing technologies for personalized medication , 2018, Futures.

[48]  Clara Bassano,et al.  A VSA-SS Approach to Healthcare Service Systems: The Triple Target of Efficiency, Effectiveness and Sustainability , 2010 .

[49]  A. Grunwald.  Technology Assessment and Policy Advice in the Field of Sustainable Development , 2017 .

[50]  Maciej Walczak.  Models of the Emergence and Diffusion of Mass Customization , 2014 .

[51]  J. Fiksel.  Sustainability and Resilience: Toward a Systems Approach , 2006, IEEE Engineering Management Review.

[52]  L. Lipsitz,et al.  Understanding health care as a complex system: the foundation for unintended consequences. , 2012, JAMA.