{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T17:28:48Z","timestamp":1772213328934,"version":"3.50.1"},"reference-count":40,"publisher":"Emerald","issue":"4","license":[{"start":{"date-parts":[[2014,8,12]],"date-time":"2014-08-12T00:00:00Z","timestamp":1407801600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,8,12]]},"abstract":"\n Purpose<\/jats:title>\n \u2013 The purpose of this paper is to explore the concept of value co-creation in complex value networks with many actors. Electronic health records (EHRs) are innovations that warrant deep study to properly introduce such a complex system. <\/jats:p>\n <\/jats:sec>\n \n Design\/methodology\/approach<\/jats:title>\n \u2013 The paper describes a qualitative study based on Grounded Theory to understand value co-creation from multiple actors\u2019 perspectives in a National EHR Service Project: the Portuguese Health Data Platform. <\/jats:p>\n <\/jats:sec>\n \n Findings<\/jats:title>\n \u2013 Study results enabled further development of the value co-creation concept in complex environments with multiple actors. More specifically they allowed: operationalizing the value co-creation concept by identifying its factors and outcomes, understanding how value co-creation factors and outcomes are interconnected, and understanding of how value co-creation for each actor depends on his\/her own actions and the actions of other actors, in a complex set of interactions and interdependencies. <\/jats:p>\n <\/jats:sec>\n \n Practical implications<\/jats:title>\n \u2013 The findings have implications for service managers seeking to understand how actors participating in the network integrate resources and interact to co-create value. The study highlights the need for designing and managing services to co-create value, not only by enabling dyadic interactions between the customer and the service provider, but also by supporting and enabling value co-creation interactions among different actors in the network. <\/jats:p>\n <\/jats:sec>\n \n Originality\/value<\/jats:title>\n \u2013 This study responds to the need for empirical research on value co-creation in many-to-many contexts and for operationalizing the value co-creation concept.<\/jats:p>\n <\/jats:sec>","DOI":"10.1108\/josm-02-2014-0055","type":"journal-article","created":{"date-parts":[[2014,8,18]],"date-time":"2014-08-18T13:19:17Z","timestamp":1408367957000},"page":"470-493","source":"Crossref","is-referenced-by-count":188,"title":["Understanding value co-creation in complex services with many actors"],"prefix":"10.1108","volume":"25","author":[{"given":"Nelson","family":"Pinho","sequence":"first","affiliation":[]},{"given":"Gabriela","family":"Beir\u00e3o","sequence":"additional","affiliation":[]},{"given":"Lia","family":"Patr\u00edcio","sequence":"additional","affiliation":[]},{"given":"Raymond","family":"P. 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