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Issues And Trends In Healthcare Delivery System01:29

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

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Healthcare leaders face challenges in creating value. A new networked architecture integrates professionals, patients, and communities for improved healthcare service delivery and knowledge development.

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Area of Science:

  • Health Services Research
  • Healthcare Management
  • Systems Engineering

Background:

  • Healthcare systems face increasing pressure to deliver better value.
  • Traditional value-chain models from manufacturing have been difficult to implement in healthcare.
  • Cost reduction initiatives have often replaced service redesign, leading to professional dissatisfaction.

Purpose of the Study:

  • To propose an expanded model for value creation in healthcare service delivery.
  • To introduce a networked architecture that integrates diverse stakeholders.
  • To explore the potential of this architecture for research and knowledge development.

Main Methods:

  • Conceptualizing a networked architecture for healthcare value creation.
  • Integrating healthcare professionals, patients, families, and community members.
  • Illustrating the architecture's implications through two case studies.

Main Results:

  • The proposed networked architecture mobilizes and integrates resources for healthcare improvement.
  • The model better aligns with the complexities of healthcare service coproduction.
  • It offers implications for system design, practice, technology, and stakeholder roles.

Conclusions:

  • A networked architecture provides a more suitable framework for creating and improving healthcare value.
  • This expanded understanding of value creation is relevant for leaders, clinicians, patients, researchers, and policymakers.
  • The model supports system design, practice innovation, and the development of new knowledge in healthcare services.