A <i>VSA-SS</i> Approach to Healthcare Service Systems the Triple Target of Efficiency, Effectiveness and Sustainability

Saviano, Marialuisa; Bassano, Clara; Calabrese, Mario

doi:10.1287/serv.2.1_2.41

Cited by 54 publications

(56 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The combination of survival, together with an orientation towards sustainable governance, requires the better definition of some key concepts for business organizations. These concepts are efficiency, effectiveness and sustainability, and they can be defined as follows (Saviano et al, 2010;Barile et al, 2013a;2013b):…”

Section: A Viable Systems Approach Based Framework For Understanding mentioning

confidence: 99%

The Viable Systems Approach and its Contribution to the Analysis of Sustainable Business Behaviors

et al. 2014

Self Cite

View full text Add to dashboard Cite

This paper aims to propose the contribution of adopting a systemic perspective to researching sustainability in terms of inclusivity and holistic view, going beyond the limitations of a reductionist approach. Among the different systemic approaches, the methodological lens proposed herein is the one of the Viable Systems Approach, according to which sustainability, which can be seen as a process that is dynamic and changing over time, is linked to the notion of systemic viability and connected to some of the most relevant key concepts of Viable Systems Approach.\ud Through the proposition of the conceptual model of ‘The Viable Systems Cycle’, the authors intend to propose a different approach to the analysis and interpretation of sustainability that concerns the relationship among efficiency, effectiveness and sustainability itself and the way they orient and influence sustainable business behaviors

show abstract

Section: A Viable Systems Approach Based Framework For Understanding mentioning

confidence: 99%

The Viable Systems Approach and its Contribution to the Analysis of Sustainable Business Behaviors

et al. 2014

Self Cite

View full text Add to dashboard Cite

show abstract

“…These three dimensions can be defined as follows [2,40]: Bringing back these definitions to the vSa perspective, the objectives of efficiency can be measured with reference to the structure, while the effectiveness of the viable system is realized and measured with regard to its specific context of reference. Thus, it is possible to achieve sustainability objectives in relation to the general environment.…”

Section: The Vsa As a Framework For The Analysis Of Unified Health Asmentioning

confidence: 99%

“…The increasing attention to the treatment and care of patients makes central the role of healthcare technologies, as they are in constant development [1]. Indeed, technology has the potential to enhance efficiency and effectiveness in multiple areas of healthcare, and represents a great opportunity to improve the patient care and to increase the efficiency and effectiveness of all healthcare stakeholders, including policy makers, regulatory authorities, payers, and physicians [2]. Remote sensors, robotics, genomics, stem cells, and the availability of big data are just some of the innovations in this sector [3].…”

Section: Introductionmentioning

confidence: 99%

From Health Technology Assessment to Health Technology Sustainability

et al. 2018

View full text Add to dashboard Cite

This paper aims to propose a methodological lens to the assessment of technological innovations in healthcare based on the principles of social, economic, and political sustainability. Starting from the consideration of a lack of a unified interpretative framework of health technology assessment, using a content analysis of the relevant literature on the topic, we identified both the scientific perspectives adopted by the scholars and the most widely discussed topics. Consequently, the less explored scientific areas were framed, and, therefore, those more susceptible to further investigation came to light. The result is an overall picture which highlights the absence of unified and generally accepted approaches to evaluation, together with the lack of awareness on the fact that the multiplicity of methods adopted is essentially connected to the multiplicity of innovations, for each of which a method (or a set of methods) of preferable evaluation can be prefigured. Based on these observations, we propose a general reference framework for evaluation, based on the Viable Systems Approach (vSa), and a schematic outline of the connections between the complexity of innovations and the evaluation methodologies.Sustainability 2018, 10, 4748 2 of 22 other relates to the increasingly demanding policy makers and funders, who require greater evidence for new and existing therapies [6].Adopted primarily in the USA in the 1970s [7,8] and rapidly spread in Europe in the following decades, HTAs are currently being introduced in most countries of the world [3]. During the 1970s, the focus was to summarize the evidence concerning studies on the cost effectiveness of health interventions. Afterwards, at the end of the 1990s, HTA widened its focus from the evaluation of only large, expensive and machine-based technologies also to smaller technologies and healthcare, addressing broader issues (organizational, social implications, and ethics) [7]. Currently, the health technology assessment processes critically evaluate reimbursement submissions of pharmaceuticals, simple medical devices, and complex medical devices, such as hospital technologies [9], vaccines, procedures, health services, and public health interventions. Therefore, they are becoming an important tool to support health policy decisions in many countries [9].Nowadays, the importance of HTAs has increased further, also spreading in Central and Eastern European countries. HTA activities have a national focus associated with the Ministry of Health and, by influencing health policy documents of the European Commission, it seems likely that, in the future, the HTA will be institutionalized somehow as part of the EU's activities. The task of applying HTA techniques for the evaluation of new health technologies is devolved to the different government support bodies (e.g., NICE in the UK, IQWIG in Germany, and AGENAS in Italy).Thus, HTAs act to define a policy research approach that examines the short and long-term social, economic, and political consequences of the applicatio...

show abstract

“…The first considers how service operations can be managed internally, for example, by improving their effectiveness and efficiency (Saviano et al [52]) or by managing service quality (Salvador-Ferrer [50]). Typical elements of interest include the organizational structure and design of workflows (Espinosa et al [19]), the role and performance of service employees (Osmonbekov and Bernard [41]), or the impact of the service provider's brand on the performance of service operations (Mourad et al [36]).…”

Section: Phenomena Of Service Sciencementioning

confidence: 99%

Service Science: Toward Systematic Service System Innovation

Maglio¹,

Breidbach²

2014

Bridging Data and Decisions

View full text Add to dashboard Cite

Please scroll down for article-it is on subsequent pagesINFORMS is the largest professional society in the world for professionals in the fields of operations research, management science, and analytics. For more information on INFORMS, its publications, membership, or meetings visit http://www.informs.org INFORMS 2014 c 2014 INFORMS | isbn 978-0-9843378-5-9 http://dx.Abstract Service science is the study of complex service systems. It may involve methods and theories from operations, industrial engineering, marketing, computer science, psychology, information systems, design, and more. In fact, understanding innovation in service systems often requires combining multiple methods because of the complex ways in which interactions among people, technology, organizations, and information create value in different contexts and under different conditions. Service Science the journal documents empirical, modeling, and conceptual studies of complex service systems, and it is the archival record of service science the field. The journal is also helping to shape the field. In this tutorial, we review the emergence of service science the field by analyzing papers published in Service Science the journal, and discuss the new field's foundations, prospects, and opportunities.

show abstract

A VSA-SS Approach to Healthcare Service Systems the Triple Target of Efficiency, Effectiveness and Sustainability

Cited by 54 publications

References 39 publications

The Viable Systems Approach and its Contribution to the Analysis of Sustainable Business Behaviors

The Viable Systems Approach and its Contribution to the Analysis of Sustainable Business Behaviors

From Health Technology Assessment to Health Technology Sustainability

Service Science: Toward Systematic Service System Innovation

Contact Info

Product

Resources

About