Health and social care integration : fixing a fixed service ecosystem for value co-creation

Strokosch, Kirsty and Roy, Michael (2024) Health and social care integration : fixing a fixed service ecosystem for value co-creation. Public Management Review. pp. 1-23. ISSN 1471-9037 (https://doi.org/10.1080/14719037.2024.2375566)

[thumbnail of Strokosch-Roy-PMR-2024-Health-and-social-care-integration]
Preview
 Text. Filename: Strokosch-Roy-PMR-2024-Health-and-social-care-integration.pdf
Final Published Version
License: Creative Commons Attribution 4.0 logo
Download (678kB)| Preview

Abstract

In response to increasingly complex needs and tightening fiscal constraints, integration has led to changes in governance arrangements and joint service delivery. Applying a service ecosystem, a holistic view is presented to discuss the interconnectedness between the domains of the health and social care ecosystem, including their unique and shared contexts and the various actors and institutions involved. However, our analysis also exposes important power dimensions regarding how the service ecosystem is framed and the actors acknowledged as involved in value co-creation. In response, three interdependent types of integration (structural, institutional, and relational) are proposed.

ORCID iDs

Strokosch, Kirsty ORCID logoORCID: https://orcid.org/0000-0001-6119-2112 and Roy, Michael;
CORE (COnnecting REpositories)