Transforming community well-being through patients' lived experiences

Andrew Gallan, Janet McColl-Kennedy, Tatiana Barakshina , Bernardo Figueiredo, Josephine Go Jefferies, Johanna Gollnhofer, Sally Hibbert, Nadina Luca, Sanjit Roy, Jelena Spanjol, Heidi Winklhofer

Research output: Contribution to journalArticlepeer-review


The purpose of this article is to (1) explicate micro-to-meso linkages of well-being, (2) provide a theoretical framework to guide research on connecting patient experiences to community well-being, and (3) offer guidelines to policymakers. We develop a conceptual framework establishing connections between micro and meso levels through the expansion of patients' lived ecosystems. We introduce the concept of patient ecosystem management (PEM), an organizational process that focuses on treating patients differently in terms of assessing, managing, and expanding resources to achieve patient health and well-being goals. This process establishes a foundational perspective that is necessary to connect patients' ecosystems and to facilitate community well-being. Theoretically, this research creates ties between micro-level interactions and a collective measure (community well-being). Policymakers and healthcare professionals should take a PEM perspective, which will require new roles and behaviors, and leverage technology to expand and overlap patients' individual service ecosystems (intra-alignment), thus enlarging community well-being (inter-alignment).
Original languageEnglish
Pages (from-to)376-391
Number of pages16
Early online date28 Dec 2018
Publication statusPublished - Jul 2019
EventTransformative Consumer Research Conference: Dialogical conference - Cornell University, Ithaca, United States
Duration: 18 Jun 201720 Jun 2017

Bibliographical note

© 2018 Elsevier Inc. All rights reserved. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy.


  • Patient experience
  • Community well-being
  • Value cocreation
  • Patient ecosystem management
  • Transformative service research
  • Well-being
  • Service Ecosystem

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