The Community Health Experience Model-value generation from person-centered health transaction network

• Published in: Public health reviews 2018-10, Vol.39 (1), p.29-29, Article 29
• Main Authors: Lantos, Zoltán, Simon, Judit
• Format: Article
• Language: English
• Subjects: Activities of daily living; Biocompatibility; Biomedical materials; Case Report; Chronic obstructive pulmonary disease; Collaboration; Collaborative approach; Communities; Community health; Ecosystems; Ethnography; Falls; Health; Health care policy; Health literacy; Health services; Health status; Joint surgery; Marketing; Networking; Networks; Osteoporosis; Patients; Public health; Selfmanagement; Society; Systematic review; Systems design; Teamwork; Transactions; Value; Value chain
• ISSN: 0301-0422; 2107-6952; 2107-6952
• DOI: 10.1186/s40985-018-0105-8

Network society is creating new opportunities for value generation in all areas of our lives: new collaborative methods and tools are increasingly available for use by closely connected individuals and organizations. The stakeholders of the health ecosystem are potential winners of this networking process as a consequence of the increase in knowledge about health value generation supported by teamwork and collaborative approaches in this field. In this paper, we focus on the transactional nature of health value generation networks. First, we analyze the transactions in the networks. We then propose a design structure-the Community Health Experience Model-for effective person-centered health value generation networks. In the second phase of the work, we describe how the system design of the complete transaction network was tested in a real-life pilot environment focusing on fall prevention in individuals with osteoporosis.As a result of the network-based collaborative service approach, fall risk decreased by 11.8% and the number of falls decreased by 4.5% within 3 months. Regarding the major health experience outcomes, self-evaluated condition-specific health literacy improved from 7.85 to 8.26 (an improvement of 0.41), while self-evaluated condition-specific self-management capability changed from 7.25 to 8.06 (0.81 improvement). In conclusion, the proposed Community Health Experience Model is a novel and promising approach to designing the structure of more effective and efficient health services and collaborative networks.