“…public organizations, third sector organizations, private firms, patients and families), with whom health organizations interact, contributing to shape a health care ecosystem with faded boundaries (Pinho, Beirão, Patrício, & Fisk, 2014;Frow et al, 2016;Beirao, Patrício, & Fisk, 2017, Ciasullo et al, 2017. Actors' collaboration is essential to increase resources density, their availability and the value they contribute to create (Normann, 2001). Thus, actors constantly create and recreate emergent A2A structures (Lusch & Nambisan, 2015), lying upon different activities enacted within the health care service system, which form and reform mutual links able to enhance health outcomes and patient satisfaction.…”