What matters to me! User conceptions of value in specialist cancer care

Abstract

This paper is the first to apply the services marketing framework of service-dominant logic (S-D logic) to enhance understanding of patient conceptualisations of value in the context of cancer health services. Using data from a case study, the findings reveal that 'value' is a temporal, experiential, and complex concept. Three dominant themes are identified as contributing to value creation; access to resources, quality of interactions, and resource use.Although these findings show a broad degree of support for the S-D logic framework, distinctive variations emerge from this application in a health care context.

Governance-as-legitimacy: are ecosystems replacing networks?

“…Top left in figure-2 are emotional-cognitive individuals, who from practice are learning from the exercise of discretion possible in the locale, guided by emotional attachments to design and deliver service models that solve users' problems. Organizing is a systems level; it assumes the practice in the system of individual users (and individual other agents) and as Hardyman, Kitchener, and Daunt (2019) note, that as agents respond to the results of practice, new patterns of practice will emerge, referencing (in healthcare) professional and clinical standards. Since users can be vulnerable and depend upon service outcomes for wellbeing, these combine control (standards) and trust (shared intent).…”

“…Our paper features recent PMR research on value creation and value destruction: Bozeman (2018), Hardyman, Kitchener, and Daunt (2019), Trishchler, Dietrich, and Rundel-Thiele (2019), Dudau, Glennon, and Verschuere (2019) and Engen et al (2020;Plé, Chumpitaz Cáceres, and Harris (2010). These papers are not directly concerned with governance; they focus on coproduction from service-dominant logic marketing perspective and investigate how and why value creation and/or destruction occurs.…”

Following the yellow brick road? (Dis)enchantment with co-design, co-production and value co-creation in public services

“…The last three papers in this special issue help us understand this paradigm in action as well as open the way to future research pathways towards a post-public service logic paradigm. To start with, Hardyman and colleagues (Hardyman et al 2019) apply SDL to a public service context to explore what value means for users of specialist cancer care services. Antecedents and contingency factors for value creation in this service area are identified, and distinctive variations of the PSDL in healthcare contexts.…”

Creating or Destructing Value in Use? Handling Cognitive Impairments in Co-Creation with Serious and Chronically Ill Users

“…Low health literacy also prevents the opportunity to fill the cognitive gaps that are produced by inadequate individual skills through the establishment of clear and comfortable relationships with the providers of care (Hironaka and Paasche-Orlow 2008). The side effects of inadequate health literacy are particularly significant for people suffering from multiple chronic conditions (Hardyman et al 2019). Studies have also shown that patients may be unwilling to participate in the provision of care due to the physical and psychological weaknesses that are associated with the illness (Arnetz et al 2008).…”