Research on value co-creation with the participation of patients based on DART model – methodological remarks

INTRODUCTION

Derived from business practices co-creation theory indicates that patient can be a source of value and actively contribute to it.

METERIAL AND METHODS

DART model - most popular conceptualizing framework for value creation - was presented. Considering the multiplicity of perspectives of a large stakeholders group appearing in the healthcare system a direction of its development was also proposed.

AIM

The possibility of using quantitative methods to study value creation between empowered patients and selected stakeholders was tested as well as work of the questionnaire that was adapted from value creation research based on the DART model that was conducted among entrepreneurs.

RESULTS

Substantial number of inadequate questions in relation to the respondents’ experience was indicated on the other hand the need to include further groups of stakeholders was emphasized. The results signal the possibility of significant differences in the perception of meeting the requirements for co-creating value with patients by individual stakeholders, such as: doctors, state offices or pharmaceutical companies.

DISCUSSION

Different perception of value makes difficult to find universal tools for measuring it. However, the economic and humanitarian importance of the issue in the healthcare system necessitates such tools further development.

CONCLUSIONS

The tested tool has limited application in the healthcare system but may provide valuable information on the relationship between the patient and doctor or other stakeholder pairs as well as in selected contexts of co-creation.

Digital age: The path choice of government-citizen value co-creation

This study explores the relationship between government and citizen in the digital age and proposes a specific path to realize the value co-creation of government and citizen in the digital age. Quantitative analysis of 40 policy texts on "digital government construction" of 30 provincial and municipal governments in China before November 2022 was conducted using NVivo12. The case of Minsheng Cloud revealed that provincial and municipal government departments have not paid sufficient attention to citizen participation. Furthermore, citizens' participation ability and enthusiasm are not high. The study found that in the process of strengthening the construction of digital government, "government optimisation", "citizen participation", "governance guarantee", "data governance" and "government digitization" are the key elements. We discuss the feasibility, necessity and coupling of the value co-creation theory to establish the benign interaction between government and citizens and realize co-creation. We find that the "DART" model can be co-created based on value, and that the continuous Improving the four aspects of "dialogue", "access", "transparency" and "risk assessment" will undoubtedly help realize the value co-creation of government and citizens in the digital era, and form a governance pattern of co-construction and sharing. It is therefore of great significance to promote the government's digital construction and digital governance capability to accelerate the construction of digital China and promote the modernisation of the national governance system and governance capability.

Continuance intention and digital health resources from the perspective of elaboration likelihood model and DART model: a structural equation modeling analysis

Background

Internet hospitals, online health communities, and other digital health APPs have brought many changes to people's lives. However, digital health resources are experiencing low continuance intention due to many factors, including information security, service quality, and personal characteristics of users.

Methods

We used cross-sectional surveys and structural equation modeling analysis to explore factors influencing user willingness to continue using digital health resources.

Results

Information quality (β = 0.31, p < 0.05), service quality (β = 0.19, p < 0.05), platform reputation (β = 0.34, p < 0.05), and emotional support (β = 0.23, p < 0.05) have significant positive effects on user value co-creation behavior. Additionally, user trust and perceived usefulness could mediate the association between user value co-creation behavior and continuance intention, with mediation effects of 0.143 and 0.125, respectively. User involvement can positively moderate the association between user value co-creation behavior and user trust (β = 0.151, t = 2.480, p < 0.001). Also, user involvement can positively moderate the association between value co-creation behavior and perceived usefulness (β = 0.103, t = 3.377, p < 0.001).

Conclusion

The keys to solving the problem of low continuance intention are improving the quality and service level of digital health resources, and promoting users' value co-creation behavior. Meanwhile, enterprises should build a good reputation, create a positive communication atmosphere in the community, and enhance user participation and sense of belonging.