All successful public service innovations require learning and just as importantly and often more deeply, unlearning. This research investigates the unlearning of health professionals focusing on the issue of why and how unlearning happens at an individual level for health care professions in the transition from product logic to service-dominant logic at Tampere University Hospital in Finland. We applied a qualitative single case study method, a problem-centred unlearning framework with a narrative approach, which facilitates understanding of how the informants perceived the service transition process. We identified three distinct unlearning narratives, and we recognised barriers and enablers to unlearning in the health care service culture and context and suggest ways in which these might be overcome. Results of the study shows that deep and radical change in public health care services is possible, by applying distributed leadership and allowing individual actors time for reflections, mind-wandering, listening and learning from users and discourse between professionals.

中文翻译：

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取消学习和公共服务-Vygotskian方法的案例研究

所有成功的公共服务创新都需要学习，而且同样重要的是，往往是更深入的学习。这项研究调查了卫生专业人员的学习不足，重点是为什么芬兰坦佩雷大学医院从产品逻辑向以服务为主导的逻辑过渡时，医疗专业人员在个人层面上为什么会以及如何发生学习不足的问题。我们采用了定性的单案例研究方法，这是一种以叙事方式为中心的以问题为中心的学习框架，可帮助您了解信息提供者如何看待服务转换过程。我们确定了三种截然不同的无学习方式，并认识到在卫生保健服务文化和背景下无学习的障碍和促成因素，并提出了克服这些障碍的方法。