Table 2

Coding of the data

Initial codesMain themesSubthemes
Contextual characteristicsIndividual impact/societal impact/scarce resources
  • A need to prioritize

  • A need to improve in all areas

  • Creates complex setting

Professional power
  • A tension in relation to customer focus

  • A need for customer perspective

Equality
  • May prevent impactful targeting

Inflexibility
  • Legislation/bureaucracy

  • Political decision-making as a friction force

  • Horizontal silos

The subjectivity of valueCreating understanding of subjective customer needs
  • Regarding citizens as experts by experience

  • The use of service design methods

  • Conducting surveys

  • Organizing workshops

Cultural change of accepting subjectivity
  • Importance of subjectivity recognized

  • However, developments not systemic yet

  • Reliant on local resources

Customer experience management more reactive than proactive
  • Focus on customer satisfaction surveys

  • Data not enabling corrective actions

Who determines the value?
  • Political interests add complexity

  • Multi-level nature of subjectivity

The multidimensionality of valueFocus from single transactions to combination of services
  • To support varied situations of citizen more holistically

  • Focus still too much on single transactions

Value-based segmentation
  • Unique combinations of value attributes for different groups

  • More detailed segmentation as a solution for challenges of impactful cure

Value is also about understanding customers' sacrifices
  • Costs like time, energy to acquire the services

  • Sacrifices still not sufficiently understood

A need for service integration
  • Cutting across formerly separated service areas

  • Highlighting the uniqueness of combination of value attributes

Processual nature of valueCustomer goal-oriented view instead of one service encounter at the time
  • The importance of a holistic view

  • Challenged by silos and lack of collaboration

  • Silos preventing development of holistic processes

Holistic perspective demands considerable levels of control across variety of service sectors
  • Management of individual processes as a point of development

  • Tensions over responsibilities

  • Importance of service guidance

Contextuality of valueCustomer value is experienced within the customer's operating and social context
  • Customer's context should inform value creation

  • Requires knowledge of individual's life situation

  • Considering daily living environment and social context

Co-created nature of valueThe use of terms patient/customer
  • Revealing pre-assumptions of roles

  • Customer/professional spheres

  • “Customer” somewhat more active than “patient”

Power of professionals impacting customer activeness
  • Professional power somewhat harmful for service culture

  • Now the professional power is questioned: Knowledge more accessible to everyone

Customers as active subjects
  • Customers are more demanding

  • The goal to see customers more engaged to their own value creation process

  • Customers as value co-creators

  • Services provided proactively

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