{"id":"https://openalex.org/W4385652406","doi":"https://doi.org/10.1177/09514848231194846","title":"Service design for the transformation of healthcare systems: A systematic review of literature","display_name":"Service design for the transformation of healthcare systems: A systematic review of literature","publication_year":2023,"publication_date":"2023-08-08","ids":{"openalex":"https://openalex.org/W4385652406","doi":"https://doi.org/10.1177/09514848231194846","pmid":"https://pubmed.ncbi.nlm.nih.gov/37553289"},"language":"en","primary_location":{"id":"doi:10.1177/09514848231194846","doi":"https://doi.org/10.1177/09514848231194846","is_oa":false,"landing_page_url":"https://doi.org/10.1177/09514848231194846","pdf_url":null,"source":{"id":"https://openalex.org/S166753014","display_name":"Health Services Management Research","issn_l":"0951-4848","issn":["0951-4848","1758-1044"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-c","anvur-scientific","cwts-core","dongbi-c","fnege-4","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Services Management Research","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Noe Vaz","orcid":"https://orcid.org/0000-0002-7367-8950","observed_orcids":["https://orcid.org/0000-0002-7367-8950"]},"institutions":[{"id":"https://openalex.org/I122140584","display_name":"Universidade Federal do Rio de Janeiro","ror":"https://ror.org/03490as77","country_code":"BR","type":"education","lineage":["https://openalex.org/I122140584"]}],"countries":["BR"],"is_corresponding":true,"raw_author_name":"Noe Vaz","raw_affiliation_strings":["Universidade Federal do Rio de Janeiro","Instituto Coppead de Administracao, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil","Instituto Coppead, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil"],"raw_orcid":"https://orcid.org/0000-0002-7367-8950","affiliations":[{"raw_affiliation_string":"Universidade Federal do Rio de Janeiro","institution_ids":["https://openalex.org/I122140584"]},{"raw_affiliation_string":"Instituto Coppead de Administracao, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil","institution_ids":["https://openalex.org/I122140584"]},{"raw_affiliation_string":"Instituto Coppead, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil","institution_ids":["https://openalex.org/I122140584"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5027422525","display_name":"Cl\u00e1udia Affonso Silva Ara\u00fajo","orcid":"https://orcid.org/0000-0003-0290-4807","observed_orcids":["https://orcid.org/0000-0003-0290-4807","https://orcid.org/0000-0002-3040-7974"]},"institutions":[{"id":"https://openalex.org/I122140584","display_name":"Universidade Federal do Rio de Janeiro","ror":"https://ror.org/03490as77","country_code":"BR","type":"education","lineage":["https://openalex.org/I122140584"]},{"id":"https://openalex.org/I4400600936","display_name":"Escola de Administra\u00e7\u00e3o de Empresas de S\u00e3o Paulo","ror":"https://ror.org/02c0rrp38","country_code":"BR","type":"education","lineage":["https://openalex.org/I4400600936","https://openalex.org/I44202434"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Cl\u00e1udia Affonso Silva Araujo","raw_affiliation_strings":["FGV-EAESP","Universidade Federal do Rio de Janeiro","FGV-EAESP, Sao Paulo, Brazil","Instituto Coppead de Administracao, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil"],"raw_orcid":"https://orcid.org/0000-0003-0290-4807","affiliations":[{"raw_affiliation_string":"FGV-EAESP","institution_ids":["https://openalex.org/I4400600936"]},{"raw_affiliation_string":"Universidade Federal do Rio de Janeiro","institution_ids":["https://openalex.org/I122140584"]},{"raw_affiliation_string":"FGV-EAESP, Sao Paulo, Brazil","institution_ids":[]},{"raw_affiliation_string":"Instituto Coppead de Administracao, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil","institution_ids":["https://openalex.org/I122140584"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I122140584"],"apc_list":{"value":3500,"currency":"USD","value_usd":3500},"apc_paid":null,"fwci":0.3532,"has_fulltext":false,"cited_by_count":12,"citation_normalized_percentile":{"value":0.48997773,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":99},"biblio":{"volume":"37","issue":"3","first_page":"174","last_page":"188"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11114","display_name":"Service and Product Innovation","score":0.6675000190734863,"subfield":{"id":"https://openalex.org/subfields/1406","display_name":"Marketing"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11114","display_name":"Service and Product Innovation","score":0.6675000190734863,"subfield":{"id":"https://openalex.org/subfields/1406","display_name":"Marketing"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14147","display_name":"Innovative Approaches in Technology and Social Development","score":0.2655999958515167,"subfield":{"id":"https://openalex.org/subfields/1405","display_name":"Management of Technology and Innovation"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.01269999984651804,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/service-design","display_name":"service design","score":0.9959999918937683},{"id":"https://openalex.org/keywords/health-system-transformation","display_name":"health system transformation","score":0.9879999756813049},{"id":"https://openalex.org/keywords/health-system-innovation","display_name":"health system innovation","score":0.6230000257492065},{"id":"https://openalex.org/keywords/ecosystem-perspective","display_name":"ecosystem perspective","score":0.6729999780654907},{"id":"https://openalex.org/keywords/experience-based-design","display_name":"experience-based design","score":0.7260000109672546},{"id":"https://openalex.org/keywords/co-design","display_name":"co-design","score":0.9819999933242798},{"id":"https://openalex.org/keywords/stakeholder-engagement","display_name":"stakeholder engagement","score":0.7310000061988831},{"id":"https://openalex.org/keywords/implementation-barriers","display_name":"implementation barriers","score":0.7940000295639038},{"id":"https://openalex.org/keywords/digital-health-technologies","display_name":"digital health technologies","score":0.5659999847412109},{"id":"https://openalex.org/keywords/transformative-services","display_name":"transformative services","score":0.47200000286102295}],"concepts":[{"id":"https://openalex.org/C70587473","wikidata":"https://www.wikidata.org/wiki/Q7834111","display_name":"Transformative learning","level":2,"score":0.8502585887908936},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.683030366897583},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.556675910949707},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.4290139675140381},{"id":"https://openalex.org/C14224292","wikidata":"https://www.wikidata.org/wiki/Q13600188","display_name":"Conceptual framework","level":2,"score":0.4248029589653015},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.41650599241256714},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.4110787808895111},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.39933300018310547},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.37237638235092163},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.36996105313301086},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3386416435241699},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.3044446110725403},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.28413838148117065},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.26355719566345215},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.2430403232574463},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.17444941401481628},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C19417346","wikidata":"https://www.wikidata.org/wiki/Q7922","display_name":"Pedagogy","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009936","descriptor_name":"Organizational Innovation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1177/09514848231194846","doi":"https://doi.org/10.1177/09514848231194846","is_oa":false,"landing_page_url":"https://doi.org/10.1177/09514848231194846","pdf_url":null,"source":{"id":"https://openalex.org/S166753014","display_name":"Health Services Management Research","issn_l":"0951-4848","issn":["0951-4848","1758-1044"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-c","anvur-scientific","cwts-core","dongbi-c","fnege-4","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Services Management Research","raw_type":"journal-article"},{"id":"pmid:37553289","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37553289","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health services management research","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.5683000087738037,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/9","score":0.4943999946117401,"display_name":"Industry, innovation and infrastructure"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":32,"referenced_works":["https://openalex.org/W2050047870","https://openalex.org/W2053261125","https://openalex.org/W2086590104","https://openalex.org/W2088986512","https://openalex.org/W2133674686","https://openalex.org/W2133880275","https://openalex.org/W2143615203","https://openalex.org/W2149524158","https://openalex.org/W2208053283","https://openalex.org/W2231070912","https://openalex.org/W2288281658","https://openalex.org/W2397469638","https://openalex.org/W2463087602","https://openalex.org/W2564685734","https://openalex.org/W2589043473","https://openalex.org/W2595900916","https://openalex.org/W2607384897","https://openalex.org/W2769389427","https://openalex.org/W2775000407","https://openalex.org/W2788595771","https://openalex.org/W2884150621","https://openalex.org/W2890514283","https://openalex.org/W2893235356","https://openalex.org/W2946079517","https://openalex.org/W2947693655","https://openalex.org/W2973770315","https://openalex.org/W2986925238","https://openalex.org/W3003132437","https://openalex.org/W3006235590","https://openalex.org/W3018008359","https://openalex.org/W3028541214","https://openalex.org/W3163466157"],"related_works":["https://openalex.org/W4385620846","https://openalex.org/W3018008359","https://openalex.org/W2946212762","https://openalex.org/W2911516131","https://openalex.org/W7163071060","https://openalex.org/W3189272797","https://openalex.org/W7204889103","https://openalex.org/W2320425969","https://openalex.org/W4415088554","https://openalex.org/W3201330843"],"abstract_inverted_index":{"There":[0],"is":[1,234],"a":[2,114,173,190,250],"growing":[3],"interest":[4],"in":[5,84,102,105,118,122,192,226,229,241],"applying":[6,219],"the":[7,27,42,48,55,61,66,75,80,85,94,137,145,165,203,216,220],"Service":[8],"Design":[9,222],"(SD)":[10],"approach":[11,44,139],"to":[12,47,59,73,93,208,244],"innovate":[13],"and":[14,87,108,132,144,213,223,239,256],"transform":[15,60,74,209],"healthcare":[16,33,49],"systems.":[17],"However,":[18],"comprehensive":[19],"studies":[20,120,126],"are":[21,54,65,79],"scarce.":[22],"This":[23,232],"study":[24,233],"systematically":[25],"reviews":[26],"literature":[28],"on":[29,252],"SD":[30,43,56,71,138,156,177,187,198],"initiatives":[31,57,72,157,178,188],"towards":[32],"system":[34],"transformation.":[35],"The":[36,98,152,176],"research":[37,115],"questions":[38],"are:":[39],"How":[40],"has":[41],"been":[45,159],"applied":[46],"sector?":[50],"To":[51],"what":[52],"extent":[53],"contributing":[58],"health":[62,76,194,210,254],"systems?":[63],"What":[64],"main":[67,81],"challenges":[68,179,217],"faced":[69],"by":[70],"system?":[77],"Which":[78],"stakeholders":[82],"involved":[83],"process,":[86],"how":[88],"could":[89],"they":[90],"change":[91],"according":[92],"type":[95],"of":[96,164,205,218],"initiative?":[97],"search":[99],"was":[100],"conducted":[101],"March":[103],"2021":[104],"eight":[106],"databases":[107],"returned":[109],"990":[110],"articles":[111],"evaluated":[112],"through":[113,129],"protocol,":[116],"resulting":[117],"47":[119],"included":[121],"this":[123],"review.":[124],"These":[125],"were":[127,180],"explored":[128],"thematic":[130],"analysis":[131],"considering":[133],"two":[134],"conceptual":[135],"models:":[136],"(Patr\u00edcio":[140],"et":[141,149],"al.,":[142,150],"2020)":[143],"ecosystem":[146],"perspective":[147],"(Beir\u00e3o":[148],"2017).":[151],"findings":[153],"show":[154],"that":[155],"have":[158],"implemented":[160],"at":[161],"all":[162],"levels":[163],"ecosystem,":[166],"but":[167],"only":[168],"49%":[169],"(47/23":[170],"studies)":[171],"present":[172],"transformative":[174,247],"character.":[175],"organized":[181],"into":[182],"four":[183],"themes:":[184],"(1)":[185],"Planning":[186],"as":[189],"lever":[191],"transforming":[193],"systems;":[195],"(2)":[196],"Using":[197],"tools":[199],"creatively;":[200],"(3)":[201],"Considering":[202],"use":[204],"new":[206],"technologies":[207],"systems":[211,255],"positively,":[212],"(4)":[214],"Facing":[215],"Experience-Based":[221],"Experience":[224],"Based":[225],"Co-Design":[227],"approaches":[228],"project":[230],"development.":[231],"relevant":[235],"for":[236],"helping":[237],"managers":[238],"researchers":[240],"their":[242],"efforts":[243],"design":[245],"truly":[246],"services":[248],"with":[249],"focus":[251],"improving":[253],"social":[257],"wellbeing.":[258]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":3}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2023-08-09T00:00:00"}