How service modularity can provide the flexibility to support person-centered care and shared decision-making

BMC Health Services Research

E. A. Bartels¹  B. R. Meijboom²  L. M. W. Nahar-van Venrooij³  E. de Vries⁴ 

[1] Department of Management, Tilburg University, PO Box 90153, 5000LE, Tilburg, The Netherlands;Department of Management, Tilburg University, PO Box 90153, 5000LE, Tilburg, The Netherlands;Tranzo, Tilburg University, PO Box 90153, 5000LE, Tilburg, The Netherlands;Department of Marketing, Innovation and Organization, Ghent University, Tweekerkenstraat 2, 9000, Ghent, Belgium;Jeroen Bosch Academy Research, Jeroen Bosch Ziekenhuis, PO Box 90153, B1.02.014, 5200ME, ‘s-Hertogenbosch, The Netherlands;Tranzo, Tilburg University, PO Box 90153, 5000LE, Tilburg, The Netherlands;Jeroen Bosch Academy Research, Jeroen Bosch Ziekenhuis, PO Box 90153, B1.02.014, 5200ME, ‘s-Hertogenbosch, The Netherlands;

关键词: Service modularity;    Person-centered care;    Shared decision-making;   

DOI  :  10.1186/s12913-021-07267-6

来源: Springer

【 摘 要 】

BackgroundToday’s healthcare provision is facing several challenges, that cause the level of complexity to increase at a greater rate than the managerial capacity to effectively deal with it. One of these challenges is the demand for person-centered care in an approach that is tuned towards shared decision-making. Flexibility is needed to adequately respond to individual needs.MethodsWe elaborate on the potential of service modularity as a foundation for person-centered care delivered in a shared decision-making context, and examine to what extent this can improve healthcare. We primarily focused on theory building. To support our effort and gain insight into how service modularity is currently discussed and applied in healthcare, we conducted a scoping review.ResultsDescriptions of actual implementations of modularity in healthcare are rare. Nevertheless, applying a modular perspective can be beneficial to healthcare service improvement since those service modularity principles that are still missing can often be fulfilled relatively easily to improve healthcare practice. Service modularity offers a way towards flexible configuration of services, facilitating the composition of tailored service packages. Moreover, it can help to provide insight into the possibilities of care for both healthcare professionals and patients.ConclusionsWe argue that applying a modular frame to healthcare services can contribute to individualized, holistic care provision and can benefit person-centered care. Furthermore, insight into the possibilities of care can help patients express their preferences, increasing their ability to actively participate in a shared decision-making process. Nevertheless, it remains essential that the healthcare professional actively collaborates with the patient in composing the care package, for which we propose a model. Altogether, we posit this can improve healthcare practice, especially for the people receiving care.

【 授权许可】

CC BY