From one-sized to over-individualized? Service logic’s value creation

Purpose: There is a current trend in healthcare management away from produced and standardized one-size-fits-all processes toward co-created and individualized services. The purpose of this paper is to increase understanding of the value concept in healthcare organization and management by recognizing different levels of value (private, group and public) and the interconnectedness among these levels. Design/methodology/approach: The paper uses social constructionism as a lens to problematize the individualization of service logic’s value concept. Theories from consumer culture theory/transformative service research and public management add group and public levels of value to the private level. Findings: An intersubjective (rather than subjective) approach to value creation entails the construction and sharing of value perceptions among groups of people. Such an approach also implies that group members may face similar barriers in their value creation efforts. Practical implications: Healthcare management should be aware of the inherent individualism of service logic and, consequently, the need to balance private value with group and public levels of value. Social implications: Identifying and addressing disadvantaged groups and the reasons for their disadvantaged positions is important in order to enhance the individual’s value creation prerequisites as well as to address public and societal values, such as equal/equitable health(care). Originality/value: It is important to complement service logic’s value creation with group and public levels in order to understand the complexity and interconnectedness of value and the creation thereof