Networked health care: Rethinking value creation in learning health care systems

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MARC

Fjeldstad, Øystein D.International Strategy and Management, BI-Norwegian Business School, Oslo, Norway (author)

Networked health care : Rethinking value creation in learning health care systems

Article/chapterEnglish2020

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John Wiley & Sons,2020
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:hj-47173
https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-47173URI
https://doi.org/10.1002/lrh2.10212DOI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Creating better value in health care service today is very challenging. The social pressure to do so is real for every health care system and its leadership. Real benefit has been achieved in manufacturing sector work by the use of "value-chain" thinking, which assumes that the work is a series of linked processes necessary to make a product. For those activities in health care systems that are similar, this model may be very helpful. Attempts to "install" the value chain widely in health care systems have, however, been frustrating. As a result, well-meaning leaders seeking better value have resorted to programs of cost reduction, rather than service redesign. Professionals have not been very happy or willing participants. The work of health care service invites an expanded model of value creation, one that better matches the work. This paper proposes a networked architecture that can mobilize and integrate the resources of health care professionals, interested patients, family, and other community members in the delivery and improvement of health care systems. It also suggests how this value-creation architecture might contribute to research and the development of new knowledge. Two cases illustrate the proposed architecture and its implications for system design and practice, technology development, and roles and responsibilities of all actors involved in health care systems. We believe that this model better fits the need of making and improving health care services. This expanded understanding of how value is created invites attention by senior leaders, by those attempting to facilitate the improvement of current systems, by patients and clinicians involved in the daily work of health care service coproduction, by those charged with the preparation and formation of future professionals, by those who measure and conduct research in health care services, and by those leading policy, payment, and reimbursement systems.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
learning health systems
organizational architecture
value in health care

Added entries (persons, corporate bodies, meetings, titles ...)

Johnson, Julie K.Feinberg School of Medicine, Northwestern University, Chicago, Illinois (author)
Margolis, Peter A.Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio (author)
Seid, MichaelCincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio (author)
Höglund, PärJönköping University,The Jönköping Academy for Improvement of Health and Welfare (author)
Batalden, Paul B.Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire(Swepub:hj)bapa (author)
International Strategy and Management, BI-Norwegian Business School, Oslo, NorwayFeinberg School of Medicine, Northwestern University, Chicago, Illinois (creator_code:org_t)

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In:Learning Health Systems: John Wiley & Sons4:22379-6146

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