Despite the availability and accessibility of standardized screening services, such as preventative health services, many individuals avoid participation. The extant health literature has indicated that health locus of control (HLOC) influences engagement and uptake of health services. The purpose of this paper is to explore how the microfoundation, HLOC, contributes to value co-creation via service-generated and self-generated activities in standardized screening services.,A qualitative study of 25 consumers who have experienced one of the three standardized screening services in Australia was undertaken, followed by thematic analysis of the data.,Service-generated activities elicit reactive responses from consumers – compliance and relinquishing control – but when customers lead co-creation activities, their active responses emphasize protecting self and others, understanding relationship needs and gaining control. Consumers with high internal HLOC are more likely to take initiative for their health, take active control of the process and feel empowered through participating. Consumers with low internal HLOC, in contrast, require more motivation for participation, including encouragement from powerful others through promotion or interpersonal dialogue.,These findings can be used by policymakers and providers of preventative health services for the betterment of citizen health.,The integration of the DART framework, customer value co-creation activities, and the delineation of self-generated and service-generated activities provides a holistic framework to understand the influence of HLOC on the co-creation of value in standardized screening services.

中文翻译：

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控制卫生场所在标准化筛查服务价值共同创造中的作用

尽管有标准化筛查服务（如预防性保健服务）的可用性和可及性，但许多人还是避免参与。现有的健康文献表明，健康控制源（HLOC）影响卫生服务的参与和吸收。本文的目的是探讨微观基础HLOC如何通过标准化筛查服务中的服务生成和自我生成活动为价值共创做出贡献。对25位经历过三种标准化筛查之一的消费者进行定性研究在澳大利亚进行了服务，然后对数据进行了主题分析。服务生成的活动引起了消费者的反应性反应–合规性和放弃了控制–但是当客户领导共同创造活动时，他们的积极回应强调保护自己和他人，了解关系需求并获得控制。内部HLOC高的消费者更有可能为自己的健康采取主动行动，积极控制流程，并通过参与获得授权。相比之下，内部HLOC较低的消费者则需要更多的参与动机，包括通过晋升或人与人之间的对话来鼓励有力的人。这些发现可供决策者和预防保健服务提供者用来改善公民健康。 DART框架，客户价值共同创造活动，