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Facilitating inter-professional integration in palliative care: A service ecosystem perspective

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  • Sudbury-Riley, Lynn
  • Hunter-Jones, Philippa

Abstract

A paradigm shift toward healthcare inter-professional collaboration is leading to searches for ways to better facilitate integration. However, policy rhetoric often fails to acknowledge the complexity of healthcare service systems, and the difficulties involved in achieving successful collaborations. Consequently, more research is called for. We utilize the concept of a service ecosystem, a perspective currently prominent in service science, which is transforming the ways service systems are studied. This research aims to examine palliative care provision through a service ecosystem lens in order to uncover previously unidentified insights and opportunities for improvement. The palliative care ecosystem under study encompasses a defined geographical area of the UK. Data comprises pathographies (i.e., narratives of illness) with patients and their families (n = 31) and in-depth interviews with a variety of palliative care providers (n = 21), collected between 2017 and 2018. Capability issues comprising collaboration, coordination, and resource integration, together with communicating value all emerged as common themes impacting palliative care services. Taking a service ecosystem perspective, we also found shared intentionality for better integration and collaboration, with a desire among palliative care providers for the ecosystem's hospice organization to take the role of leader and facilitator. Acting on these findings, we demonstrate the ways new institutional arrangements provide a foundation for value cocreation. We make a contribution to the burgeoning service ecosystem literature which currently lacks empirical insights, particularly in health. We argue that in complex service systems such as healthcare, the focus must be on service design rather than organizational design, approached from the perspective of aggregation of service providers. We demonstrate empirically how reconfiguring resources and developing new institutional arrangements at the meso level can change micro-macro level interaction, enabling the emergence of new and enhanced value cocreation in palliative care.

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  • Sudbury-Riley, Lynn & Hunter-Jones, Philippa, 2021. "Facilitating inter-professional integration in palliative care: A service ecosystem perspective," Social Science & Medicine, Elsevier, vol. 277(C).
    • Handle: RePEc:eee:socmed:v:277:y:2021:i:c:s0277953621002446
    DOI: 10.1016/j.socscimed.2021.113912
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    References listed on IDEAS

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    1. Powell, Alison E. & Davies, Huw T.O., 2012. "The struggle to improve patient care in the face of professional boundaries," Social Science & Medicine, Elsevier, vol. 75(5), pages 807-814.
    2. Vargo, Stephen L. & Lusch, Robert F., 2017. "Service-dominant logic 2025," International Journal of Research in Marketing, Elsevier, vol. 34(1), pages 46-67.
    3. Khosla, Nidhi & Marsteller, Jill Ann & Hsu, Yea Jen & Elliott, David L., 2016. "Analysing collaboration among HIV agencies through combining network theory and relational coordination," Social Science & Medicine, Elsevier, vol. 150(C), pages 85-94.
    4. Taillard, Marie & Peters, Linda D. & Pels, Jaqueline & Mele, Cristina, 2016. "The role of shared intentions in the emergence of service ecosystems," Journal of Business Research, Elsevier, vol. 69(8), pages 2972-2980.
    5. Hulda G. Black & Andrew S. Gallan, 2015. "Transformative service networks: cocreated value as well-being," The Service Industries Journal, Taylor & Francis Journals, vol. 35(15-16), pages 826-845, November.
    6. Peters, Linda D., 2016. "Heteropathic versus homopathic resource integration and value co-creation in service ecosystems," Journal of Business Research, Elsevier, vol. 69(8), pages 2999-3007.
    7. Storbacka, Kaj & Brodie, Roderick J. & Böhmann, Tilo & Maglio, Paul P. & Nenonen, Suvi, 2016. "Actor engagement as a microfoundation for value co-creation," Journal of Business Research, Elsevier, vol. 69(8), pages 3008-3017.
    8. Vargo, Stephen L. & Maglio, Paul P. & Akaka, Melissa Archpru, 2008. "On value and value co-creation: A service systems and service logic perspective," European Management Journal, Elsevier, vol. 26(3), pages 145-152, June.
    9. Zaman, Shahaduz & Inbadas, Hamilton & Whitelaw, Alexander & Clark, David, 2017. "Common or multiple futures for end of life care around the world? Ideas from the ‘waiting room of history’," Social Science & Medicine, Elsevier, vol. 172(C), pages 72-79.
    10. Stephen L. Vargo & Robert F. Lusch, 2016. "Institutions and axioms: an extension and update of service-dominant logic," Journal of the Academy of Marketing Science, Springer, vol. 44(1), pages 5-23, January.
    11. McDougall, A. & Goldszmidt, M. & Kinsella, E.A. & Smith, S. & Lingard, L., 2016. "Collaboration and entanglement: An actor-network theory analysis of team-based intraprofessional care for patients with advanced heart failure," Social Science & Medicine, Elsevier, vol. 164(C), pages 108-117.
    12. Lusch, Robert F. & Vargo, Stephen L. & Gustafsson, Anders, 2016. "Fostering a trans-disciplinary perspectives of service ecosystems," Journal of Business Research, Elsevier, vol. 69(8), pages 2957-2963.
    13. Koskela-Huotari, Kaisa & Edvardsson, Bo & Jonas, Julia M. & Sörhammar, David & Witell, Lars, 2016. "Innovation in service ecosystems—Breaking, making, and maintaining institutionalized rules of resource integration," Journal of Business Research, Elsevier, vol. 69(8), pages 2964-2971.
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    Cited by:

    1. Whitelaw, Sandy & Bell, Anthony & Clark, David, 2022. "The expression of ‘policy’ in palliative care: A critical review," Health Policy, Elsevier, vol. 126(9), pages 889-898.

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