This paper develops an analytical framework using process thinking to achieve sustainable healthcare services. Healthcare is characterised by low economic efficiency. At the same time, it is embedded in ethical concerns related to society and nature. Healthcare is thus conceptualised as functionality in an ecosystem. The patient is woven into both nature and society. Given the complex nature of healthcare services, we seek an alternative way to understand healthcare services, focusing on the exchange aspect of the economy. We offer a conceptual model that helps build an analytical framework focusing on how practitioners and leaders in healthcare frame their activities. This framing provides guidance in healthcare practice. Furthermore, framing is associated with both healthcare service providers as well as patients and next of kin—the recipients. This framework aims to guide practical research and development activities in healthcare.

中文翻译：

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构建可持续的医疗保健服务

本文使用过程思维开发了一个分析框架来实现可持续的医疗保健服务。医疗保健的特点是经济效率低。同时，它也植根于与社会和自然相关的伦理问题。因此，医疗保健被概念化为生态系统中的功能。病人既融入自然，又融入社会。鉴于医疗保健服务的复杂性，我们寻求另一种方式来理解医疗保健服务，重点关注经济的交流方面。我们提供了一个概念模型，有助于构建一个分析框架，重点关注医疗保健领域的从业者和领导者如何制定他们的活动。该框架为医疗保健实践提供了指导。此外，框架与医疗保健服务提供者以及患者和近亲（接受者）有关。