{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:30:23Z","timestamp":1772253023412,"version":"3.50.1"},"reference-count":100,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2017,5,9]],"date-time":"2017-05-09T00:00:00Z","timestamp":1494288000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Systems"],"abstract":"<jats:p>In the service economy, scholars and practitioners are even more focused on the development and appliance of innovative services. The importance of service innovation is rising in many sectors and among different organizations. Several disciplines (e.g., marketing, management, operations research, etc.) deal with this innovation, a concept widely used, but with different definitions. In this paper, service innovation has been analyzed according to the Service Dominant Logic (S-D Logic) and a service ecosystem perspective. The literature still calls for a greater understanding of how a new or renewed combination of resources affects the shaping of service ecosystems. To contribute to filling this gap, this study explores the practices that different actors, enact to co-create value in novel ways; i.e., service innovation. The paper is structured as follows. In the first section, the main academic contributions on service research have been reviewed, focusing on healthcare service innovation. This is followed by the research method and discussion of the research findings. Finally, the theoretical and managerial implications have been detailed and an agenda for future research suggested. The paper offers interesting insights to develop new or renewed practices that foster the reshaping and maintaining of a healthcare service ecosystem. Some recommendations are included to support managers in the development of service innovation strategies.<\/jats:p>","DOI":"10.3390\/systems5020037","type":"journal-article","created":{"date-parts":[[2017,5,9]],"date-time":"2017-05-09T11:50:48Z","timestamp":1494330648000},"page":"37","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Service Innovations in the Healthcare Service Ecosystem: A Case Study"],"prefix":"10.3390","volume":"5","author":[{"given":"Maria","family":"Ciasullo","sequence":"first","affiliation":[{"name":"Department of Management &amp; Information Technology, University of Salerno, 84081 Salerno, Italy"}]},{"given":"Silvia","family":"Cosimato","sequence":"additional","affiliation":[{"name":"Department of Management &amp; Information Technology, University of Salerno, 84081 Salerno, Italy"}]},{"given":"Marco","family":"Pellicano","sequence":"additional","affiliation":[{"name":"Department of Management &amp; Information Technology, University of Salerno, 84081 Salerno, Italy"}]}],"member":"1968","published-online":{"date-parts":[[2017,5,9]]},"reference":[{"key":"ref_1","first-page":"58","article-title":"Why innovation in health care is so hard","volume":"84","author":"Herzlinger","year":"2006","journal-title":"Harv. 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