A Model of Antecedents for the Co-Creation of Value in Health Care: An Application of Structural Equation Modeling

Abstract

There is a lack of empirical studies to understand the creation of value in the context of health services. This research proposes a model with three antecedent variables (flexibility, responsiveness and co-innovation) and an outcome variable (co-creation) to be analyzed by the partial least square method (PLS). Four vignettes were built from the literature review, validated by experts, in order to capture the perceptions of respondents about the actions of the protagonists in scenarios on the value of co-creation in a health service. The assumptions of the model were tested empirically through a survey of 225 health professionals in São Paulo (nurses, nursing technicians and physiotherapists). The results support the hypotheses that flexibility is positively associated with the responsiveness and co-innovation. Also there was a positive association with the responsiveness co-innovation and co-creation. There was support for the positive association between co-innovation and co-creation, however, in that context, a direct association between flexibility and co-creation has not been verified. The research contributes to a better understanding of background variables that amplify the value co-creation capacity in health services.

Market‐focused flexibility and innovative performance in public healthcare: Evidence from India

“…Some respondents opined that responsiveness to the changing clinical conditions of the patients is very crucial. The capability to serve a range of services (clinical or non‐clinical) is a notion of flexibility that provides the capabilities to adapt to the changing conditions and requirements of the patients (Da Silva et al, 2015). Respondents emphasized that during COVID‐19 admittance, inter‐departmental responsiveness played a crucial role.…”

“…On the other hand, it was also found during the interview processes that a variety of convenient services are delivered to the patients. Previous researchers argue that patients as customers demand convenience and value them in the process of care (Da Silva et al, 2015; Tuzovic & Kuppelwieser, 2016). The respondents reveal that several healthcare programs and activities are introduced for convenient delivery.…”

“…Third, many studies on flexibility suggest exploring the industry‐specific dynamics (Alessandra et al, 2020; Liu et al, 2019; Shukla & Sushil, 2020; Singh et al, 2019). Healthcare, in particular, is faced with several uncertainties (Da Silva et al, 2015; Eric & Thomas, 2004; Fox & James, 2020; Sturmberg & Lanham, 2014), and therefore, flexibility is required as an inbuilt mechanism. This study explores flexibility dynamics in public healthcare and explains how healthcare firms exhibit multiple flexibilities at various levels.…”

“…Early studies on flexibility in a healthcare context involve decisions on facilities, equipment, and employees (Jack & Powers, 2006; Powers & Jack, 2008; Timothy, 2000). More recent research explored various operational issues and their linkages with patients' experience and satisfaction (Da Silva et al, 2015; Ponsignon et al, 2015). Powers and Jack (2008) argue that volume flexible capabilities are essential in a healthcare organization to cope with demand variability.…”

Perception of Value Co-creation Actions in Agricultural Cooperatives

“…Silva et al 20151.5 The input supply policies (fertilizers, pesticides, and fertilizers) developed by the cooperative in terms of price and cost of the product in relation to the market are: Silva et al (2015) 1.6 The policies of sale of machinery and agricultural implements, carried out by the cooperative, in relation to the market are: Silva et al (2015)…”