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Evolving to a new service-dominant logic for health care

Authors Joiner K, Lusch R

Received 31 July 2015

Accepted for publication 24 November 2015

Published 29 January 2016 Volume 2016:3 Pages 25—33

DOI https://doi.org/10.2147/IEH.S93473

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Rubin Pillay


Keith A Joiner,1,2 Robert F Lusch3,4

1Department of Internal Medicine, College of Medicine, The University of Arizona, Tucson, AZ, USA; 2Department of Economics, Eller College of Management, The University of Arizona, Tucson, AZ, USA; 3Department of Marketing, Eller College of Management, The University of Arizona, Tucson, AZ, USA; 4McGuire Center for Entrepreneurship, Eller College of Management, The University of Arizona, Tucson, AZ, USA

Abstract: Consumers value health and a sense of well-being. The health care system cannot supply these values, but only “products” such as hospitalization, ambulatory care, medications, procedures, and preventative care. These components of health care represent neither the value within the system nor the desired final output. Nonetheless, the health care system has focused inordinately on the products, to the point of suggesting that they have intrinsic value. We link this situation to the concept of goods-dominant logic, which has dominated business and managerial thinking since the Industrial Revolution. We then explain why and how moving to service-dominant logic is essential for consumers and providers to better cocreate value from products which are not intrinsically valuable. The challenge of cocreating value is confounded by information asymmetry, and by the myriad factors in the health care ecosystem that contribute to or detract from health and well-being. A new lexicon, emanating from service-dominant logic, is suggested to facilitate the move away from a goods-dominant mindset.

Keywords: service, health, ecosystem, health care

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