Value co-creation of product-service-system in multiple sclerosis: An ecosystem perspective
Mercedes Grijalvo, Joaquín Ordieres-Meré, Yolanda Aladro-Benito
Keywords:
Ehealth, Digitalization, Product-Service-System, innovation ecosystem, ecosystem business model
Abstract:
There is limited research on the connection between business models and the successful implementation of eHealth products and services involving different stakeholders, specifically considering (i) the potential contribution of each actor and (ii) their structural alignment with the ecosystem’s value propositions. This study explores a model in which healthcare products and services are integrated, allowing patients and providers to co-create value through collaborative, personalized healthcare solutions, also known as the Product-Service-System. A Remote Gait Monitoring Product-Service-System is developed to facilitate the implementation of innovative technologies and practices, linking care providers, healthcare professionals, and patients within the ecosystem. To identify value creation potential, several semi-structured qualitative interviews were conducted among main multiple sclerosis stakeholders. Participants were asked about their perception of the value and future potential of a Product-Service-System for managing chronic multiple sclerosis. Interviews were coded and analyzed using qualitative methods. The findings reveal three significant constructs that create value for each actor in the ecosystem: the ecosystem’s value proposition, value addition, and value network. The expected impacts in terms of innovation, sustainability, and social effects for the involved actors are related to value capture. Although this study focuses on a particular Product-Service-System for monitoring gait disturbances in real-life situations among patients with multiple sclerosis, the underlying principles could apply to other domains with similar critical factors.
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 Value co-creation of product-service-system in multiple sclerosis: An ecosystem perspective [PDF file] [Filesize: 1.18 MB]
 10.7441/joc.2025.04.11
Grijalvo, M., Ordieres-Meré, J., & Aladro-Benito, Y. (2025). Value co-creation of product-service-system in multiple sclerosis: An ecosystem perspective. Journal of Competitiveness, 17(4), 273-313. https://doi.org/10.7441/joc.2025.04.11
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