Patients, when using healthcare services, (co)create value by integrating their own resources with those of a range of stakeholders. These resource integration activities, however, require different types of skills and effort from the patients, and different types of interactions with stakeholders, while also having different effects on patients' well-being. The purpose of the present study is to develop a better understanding of why some patients are better able or willing to perform resource integration activities that impact their well-being. To reach this objective, barriers and facilitators of these activities in their interactions with various stakeholders were identified.,The study uses a multiple case study design. Individual patients having received a lung transplant, together with their entourage (family, medical professionals, other patients) each represent a case. In-depth interviews were conducted with the patients and with various categories of stakeholders in their service delivery network who were relevant to their experience and with whom they integrated their resources.,The study identifies three levels on which barriers and facilitators of the resource integration process occur: the individual, relational and systemic level. Factors on these levels affect different aspects of the process.,This study takes a systems perspective and investigates how various systemic factors and stakeholders conduce or inhibit healthcare service users to perform resource integration activities, especially focusing on those activities that strongly affect their well-being.

中文翻译：

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作为资源整合者的医疗保健服务用户：调查在个人，二元和系统层面共同影响价值共同创造的因素

患者在使用医疗保健服务时，通过将自己的资源与一系列利益相关者的资源整合起来，共同创造价值。但是，这些资源整合活动需要患者提供不同类型的技能和精力，并需要与利益相关者进行不同类型的互动，同时对患者的幸福感也会产生不同的影响。本研究的目的是为了更好地理解为什么某些患者能够或愿意进行影响其福祉的资源整合活动。为了实现这一目标，在与各种利益相关者的互动中，确定了这些活动的障碍和促进者。本研究采用了多案例研究设计。接受过肺移植的患者及其随行人员（家庭，医疗专业人员，其他患者）各代表一个案例。对患者及其服务交付网络中与他们的经验有关并与他们整合资源的各种利益相关者进行了深入访谈。研究确定了资源整合过程中的障碍和促进者的三个层次发生：个人，关系和系统层面。这些级别上的因素会影响流程的各个方面。本研究从系统角度出发，研究了各种系统性因素和利益相关者如何引导或抑制医疗保健服务用户执行资源整合活动，特别是着重于那些会严重影响其福祉的活动。对患者及其服务交付网络中与他们的经验有关并与他们整合资源的各种利益相关者进行了深入访谈。研究确定了资源整合过程中的障碍和促进者的三个层次发生：个人，关系和系统层面。这些级别上的因素会影响流程的各个方面。本研究从系统角度出发，研究了各种系统性因素和利益相关者如何引导或抑制医疗保健服务用户执行资源整合活动，特别是着重于那些会严重影响其福祉的活动。对患者及其服务交付网络中与他们的经验有关并与他们整合资源的各种利益相关者进行了深入访谈。研究确定了资源整合过程中的障碍和促进者的三个层次发生：个人，关系和系统层面。这些级别上的因素会影响流程的各个方面。本研究从系统角度出发，研究了各种系统性因素和利益相关者如何引导或抑制医疗保健服务用户执行资源整合活动，特别是着重于那些会严重影响其福祉的活动。该研究确定了资源整合过程中障碍和促进因素发生的三个层次：个人，关系和系统层次。这些级别上的因素会影响流程的各个方面。本研究从系统角度出发，研究了各种系统性因素和利益相关者如何引导或抑制医疗保健服务用户执行资源整合活动，特别是着重于那些会严重影响其福祉的活动。该研究确定了资源整合过程中障碍和促进因素发生的三个层次：个人，关系和系统层次。这些级别上的因素会影响流程的各个方面。本研究从系统角度出发，研究了各种系统性因素和利益相关者如何引导或抑制医疗保健服务用户执行资源整合活动，特别是着重于那些会严重影响其福祉的活动。