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Knowledge structures of a health ecosystem

Harri Laihonen (Department of Business Information Management and Logistics, Tampere University of Technology, Tampere, Finland)

Journal of Health Organization and Management

ISSN: 1477-7266

Article publication date: 3 August 2012

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Abstract

Purpose

This paper aims to hypothesize that modern health systems are transforming towards what has been called a health ecosystem in complexity‐based health care literature. It has been argued that complexity arises from the interconnectedness, which in this paper is equated with knowledge flows between actors. The paper seeks to discuss the possible implications of a health ecosystem approach to health system management.

Design/methodology/approach

The paper is conceptual in nature but the transition towards a health ecosystem is illustrated with an example of a regional health care system in Finland. The case description and related analysis presented are based on qualitative data gathered by interviewing leading office‐holders, by process modeling and by observing management group meetings.

Findings

Conceptually, a health ecosystem seems to have potential for the system‐level analysis of the health care system. The discussion concludes that management of knowledge flows should be a strategic management function for individual health organizations as well as for the wider health system.

Research limitations/implications

This study focuses on a Finnish health care system. The operations and structures of health care services and systems vary in different areas and countries.

Practical implications

The practical illustration of the health ecosystem provides a reminder that health care systems are dynamic and largely based on interaction between different actors. The approach provides new strategic insights for the development of health care systems by concentrating on interrelationships and knowledge flows.

Originality/value

The literature has suggested that the ecosystem metaphor offers useful insights for the development of health care systems. Nevertheless, this approach has not been thoroughly studied so far. This paper makes a contribution by presenting a practical illustration of the framework and in light of this discusses the possible implications for health care management.

Keywords

Citation

Laihonen, H. (2012), "Knowledge structures of a health ecosystem", Journal of Health Organization and Management, Vol. 26 No. 4, pp. 542-558. https://doi.org/10.1108/14777261211251571

Publisher

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Emerald Group Publishing Limited

Copyright © 2012, Emerald Group Publishing Limited

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