Co-creation involves amalgamation of essential layers of an ecosystem to work together for enhancing whole sum effectiveness. In context of healthcare ecosystem, co-creation is vital as it synergizes dependency of providers, policymakers, and seekers. Also, for assessing patient centric approaches where priority is patient prerequisites, the term specific promotes co-creation in a refined manner. Therefore, this chapter reviews the influence of specific co-creation practices in health care ecosystems by analyzing development and empirical validation along with quantitative and qualitative measures for interactions between actors. Furthermore, proximity between different actors is outlined in terms of physical space, psychological space, and symbolic space. The relationships between actors in the ecosystem using different models of bonding, bridging, and linking are also investigated in lieu of merits and demerits of environmental jolts. It is revealed how adopting a patient-centric care approach changes the co-creation practices with different case studies of patients.
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