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Managing shifts to value-based healthcare and value digitalization as a multi-level dynamic capability development process

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  • Kokshagina, Dr Olga

Abstract

Hospital care worldwide changes with the needs and expectations of patients, caregivers, clinicians, and communities. Given that the value-based healthcare (VBHC) approach and the digital technology's role to add value receive increasing attention, the literature provides compelling evidence of their advantages for patients and healthcare transformation generally. Shifts to VBHC and digital health require hospitals to undertake organizational changes, balance countervailing processes within their organizations, and build new dynamic capabilities. Yet, the literature remains silent about managing shifts to VBHC and digital health. By focusing on perspectives of public healthcare service providers, this research conducted a qualitative study of a major European public hospital's cardiology department. Building on the multi-level theory of dynamic capability, this research shows that the development of new capabilities in healthcare occurs by linking micro-levels (individual levels) and macro-levels (hospital levels) through a constructive dialogue at the meso‑level (department and interdepartmental level) and by acknowledging the improvement processes' iterative nature. The paper contributes with new insights on managing and digitalizing VBHC as a multi-level dynamic capability development process.

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  • Kokshagina, Dr Olga, 2021. "Managing shifts to value-based healthcare and value digitalization as a multi-level dynamic capability development process," Technological Forecasting and Social Change, Elsevier, vol. 172(C).
    • Handle: RePEc:eee:tefoso:v:172:y:2021:i:c:s0040162521005047
    DOI: 10.1016/j.techfore.2021.121072
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    1. Anja Burmann & Burkhard Fischer & Nico Brinkkötter & Sven Meister, 2022. "Managing Directors’ Perspectives on Digital Maturity in German Hospitals—A Multi-Point Online-Based Survey Study," IJERPH, MDPI, vol. 19(15), pages 1-18, August.
    2. Pundziene, Asta & Sermontyte-Baniule, Rima & Rialp-Criado, Josep & Chesbrough, Henry, 2023. "Indirect effect of open innovation on clinical and economic value creation in digital healthcare: A comparative study of European countries," Journal of Business Research, Elsevier, vol. 159(C).
    3. Nadeem, Kashif & Wong, Sut I. & Za, Stefano & Venditti, Michelina, 2024. "Digital transformation and industry 4.0 employees: Empirical evidence from top digital nations," Technology in Society, Elsevier, vol. 76(C).
    4. Berbel-Vera, Jose & Barrachina Palanca, Mercedes & Gonzalez-Sanchez, Maria Beatriz, 2022. "Key CDO functions for successful digital transformation: Insights from a Delphi study," Technological Forecasting and Social Change, Elsevier, vol. 181(C).
    5. Angelos I. Stoumpos & Fotis Kitsios & Michael A. Talias, 2023. "Digital Transformation in Healthcare: Technology Acceptance and Its Applications," IJERPH, MDPI, vol. 20(4), pages 1-44, February.
    6. Azadi, Majid & Yousefi, Saeed & Farzipoor Saen, Reza & Shabanpour, Hadi & Jabeen, Fauzia, 2023. "Forecasting sustainability of healthcare supply chains using deep learning and network data envelopment analysis," Journal of Business Research, Elsevier, vol. 154(C).

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