“…Just as the importance of the emotional elements and sensory perceptions of patients during hospitalization has been highlighted [76], so digital health services require humanization and care in relational factors, which have been widely studied in the marketing of services and in different definitions of sustainability [77].…”
The rapid development of new technologies has created interesting and unexpected possibilities in e-health, and digital platforms have become widespread, connecting users, experts, and practitioners of the health world. This triggered our investigation into the relationship between the engagement platforms used by 293 doctors with various specializations, their satisfaction, and the dimensions of social sustainability in the healthcare sector. The research focused on professional interaction and its sphere of action in engagement platforms, defined as virtual contact points for exchanging information, thus increasing the co-creation of value between physicians and patients. In order to verify our hypothesis, a health digital platform called paginemediche.it was used, and the two dimensions of engagement and sustainability were considered, examining their causal relationship and evaluating their effects on physician loyalty in terms of the re-use of the digital platform by doctors. Our results, using a multiple linear regression analysis, showed that the social sustainability of the digital health platform was directly influenced by online engagement, generating a positive effect on physician loyalty. In particular, the human dimension of social sustainability proved to be decisive for the re-use of the platform.
“…Just as the importance of the emotional elements and sensory perceptions of patients during hospitalization has been highlighted [76], so digital health services require humanization and care in relational factors, which have been widely studied in the marketing of services and in different definitions of sustainability [77].…”
The rapid development of new technologies has created interesting and unexpected possibilities in e-health, and digital platforms have become widespread, connecting users, experts, and practitioners of the health world. This triggered our investigation into the relationship between the engagement platforms used by 293 doctors with various specializations, their satisfaction, and the dimensions of social sustainability in the healthcare sector. The research focused on professional interaction and its sphere of action in engagement platforms, defined as virtual contact points for exchanging information, thus increasing the co-creation of value between physicians and patients. In order to verify our hypothesis, a health digital platform called paginemediche.it was used, and the two dimensions of engagement and sustainability were considered, examining their causal relationship and evaluating their effects on physician loyalty in terms of the re-use of the digital platform by doctors. Our results, using a multiple linear regression analysis, showed that the social sustainability of the digital health platform was directly influenced by online engagement, generating a positive effect on physician loyalty. In particular, the human dimension of social sustainability proved to be decisive for the re-use of the platform.
“…general systems theory, cybernetics, and complexity theory) is among the most prevalent discourses within these sciences (cf. Barile et al 2018;Preiser et al 2018). According to Capra and Luisi (2014), systems thinking developed in the 1920s by biologists, Gestalt psychologists, ecologists, and quantum physicists.…”
Section: Relational Approaches To Epistemologymentioning
Relational thinking has recently gained increasing prominence across academic disciplines in an attempt to understand complex phenomena in terms of constitutive processes and relations. Interdisciplinary fields of study, such as science and technology studies (STS), the environmental humanities, and the posthumanities, for example, have started to reformulate academic understanding of nature-cultures based on relational thinking. Although the sustainability crisis serves as a contemporary backdrop and in fact calls for such innovative forms of interdisciplinary scholarship, the field of sustainability research has not yet tapped into the rich possibilities offered by relational thinking. Against this background, the purpose of this paper is to identify relational approaches to ontology, epistemology, and ethics which are relevant to sustainability research. More specifically, we analyze how relational approaches have been understood and conceptualized across a broad range of disciplines and contexts relevant to sustainability to identify and harness connections and contributions for future sustainability-related work. Our results highlight common themes and patterns across relational approaches, helping to identify and characterize a relational paradigm within sustainability research. On this basis, we conclude with a call to action for sustainability researchers to codevelop a research agenda for advancing this relational paradigm within sustainability research, practice, and education.
“…First, there are some enablers deriving from the technical dimensions identified in the technology-driven approach [30,52], such as platforms and technology quality and performance (Website quality) as well as technology adoption. The enablers conceptualized in the second approach are related to the relevance of resource integration, sharing, and collaboration among stakeholders as essential enablers for successful value co-creation [36] that is mediated through the human component [53]. Moreover, the significance of interactive features leads to the introduction of other key enabling dimensions, such as users' engagement and empowerment, that can modify the value co-creation experience [54] which is built collaboratively during the interaction between actors.…”
Section: Technology Value Co-creation and Innovationmentioning
The work identifies the main enabling dimensions and the strategic drivers to foster value co-creation and sustainable innovation in service ecosystems. The aim is to explore how resource and knowledge integration, through technology-mediated interactions, can lead to the emergence of novelties (new products, services, processes, social, and environmental practices). Based on a re-elaboration of literature, the study introduces a framework that describes the main drivers for managing the emergence of value co-creation and innovation (co-design, co-development, co-delivery, co-learning) across the contexts of exchange of service ecosystems (micro, meso, and macro). A “meta”-level is conceptualized to investigate how management can harmonize an actor’s objectives with an ecosystem’s goal to encourage the diffusion and renewal of a sustainable and innovation-oriented culture. The empirical research applies the framework proposed in the theoretical section to a case study analysis on “Palm”, an Italian company that designs and produces wood packaging. The technique employed is qualitative content analysis. The findings permit conceptualization of the key strategic levers for the management of co-creation and to increase managers’ and scholars’ understanding of (1) the enablers of value co-creation and innovation; (2) the mechanisms leading to knowledge renewal and the continuous production of sustainable innovation.
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