TableĀ 3

Customer value approach in the development of public health care services

Elements of value
Characteristics of the public health care service development contextSubjectivityMulti-dimensionalityProcessual natureContextualityCo-created nature
Contradicting drivers of developing customer experience and increasing impact of public services and scarcity of public resourcesAn interplay between individual and public value
Who can determine what is valuable?
Finding right value attributes would enable more impactful allocation of resourcesUnderstanding the difference between satisfaction with the service process vs outcome to find correct focus for developmentContradiction between a need to take into account the unique contexts when scarce resources prevailFocus on professional view considered as a starting point for impact, making idea of co-creation challenging
Tension between the professional power and the assumptions of increasing customer's powerFocus on professional viewpoint in service developmentTendency to focus on transactional solutions and functional valueTendency to focus on transactional solutions, thus, part of the process only instead of coping with the holistic life situationProfessional viewpoint should be complemented with the understanding of resources in the customer contextSeeing the customer as an active value creator and co-creator, instead of being only a subject
Institutionalized idea of equality of service provisioningSubjectivity contradicts with this by highlighting individual aspects of value creationContradicts by highlighting uniqueness of value attributesTo build more unique processes, more customer guidance is neededIdentification of individual's context and planning services based on thatValue co-creation in this context is about resource integration between ecosystem actors
Legislation-led system entails bureaucracy and silosWhose subjective understanding of value is listened to in the bureaucratic and political system?Challenges service integration across variety of professionalisms with multi-dimensionalityChallenges service integration across variety of professionalisms and service areasChallenges service integration across variety of professionalisms and service areasValue co-creation is about resource integration between variety of actors

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