Customer value approach in the development of public health care services
| Elements of value | |||||
|---|---|---|---|---|---|
| Characteristics of the public health care service development context | Subjectivity | Multi-dimensionality | Processual nature | Contextuality | Co-created nature |
| Contradicting drivers of developing customer experience and increasing impact of public services and scarcity of public resources | An interplay between individual and public value Who can determine what is valuable? | Finding right value attributes would enable more impactful allocation of resources | Understanding the difference between satisfaction with the service process vs outcome to find correct focus for development | Contradiction between a need to take into account the unique contexts when scarce resources prevail | Focus 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 power | Focus on professional viewpoint in service development | Tendency to focus on transactional solutions and functional value | Tendency to focus on transactional solutions, thus, part of the process only instead of coping with the holistic life situation | Professional viewpoint should be complemented with the understanding of resources in the customer context | Seeing the customer as an active value creator and co-creator, instead of being only a subject |
| Institutionalized idea of equality of service provisioning | Subjectivity contradicts with this by highlighting individual aspects of value creation | Contradicts by highlighting uniqueness of value attributes | To build more unique processes, more customer guidance is needed | Identification of individual's context and planning services based on that | Value co-creation in this context is about resource integration between ecosystem actors |
| Legislation-led system entails bureaucracy and silos | Whose subjective understanding of value is listened to in the bureaucratic and political system? | Challenges service integration across variety of professionalisms with multi-dimensionality | Challenges service integration across variety of professionalisms and service areas | Challenges service integration across variety of professionalisms and service areas | Value co-creation is about resource integration between variety of actors |
| Elements of value | |||||
|---|---|---|---|---|---|
| Characteristics of the public health care service development context | Subjectivity | Multi-dimensionality | Processual nature | Contextuality | Co-created nature |
| Contradicting drivers of developing customer experience and increasing impact of public services and scarcity of public resources | An interplay between individual and public value | Finding right value attributes would enable more impactful allocation of resources | Understanding the difference between satisfaction with the service process vs outcome to find correct focus for development | Contradiction between a need to take into account the unique contexts when scarce resources prevail | Focus 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 power | Focus on professional viewpoint in service development | Tendency to focus on transactional solutions and functional value | Tendency to focus on transactional solutions, thus, part of the process only instead of coping with the holistic life situation | Professional viewpoint should be complemented with the understanding of resources in the customer context | Seeing the customer as an active value creator and co-creator, instead of being only a subject |
| Institutionalized idea of equality of service provisioning | Subjectivity contradicts with this by highlighting individual aspects of value creation | Contradicts by highlighting uniqueness of value attributes | To build more unique processes, more customer guidance is needed | Identification of individual's context and planning services based on that | Value co-creation in this context is about resource integration between ecosystem actors |
| Legislation-led system entails bureaucracy and silos | Whose subjective understanding of value is listened to in the bureaucratic and political system? | Challenges service integration across variety of professionalisms with multi-dimensionality | Challenges service integration across variety of professionalisms and service areas | Challenges service integration across variety of professionalisms and service areas | Value co-creation is about resource integration between variety of actors |
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