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The outbreak of COVID-19 has presented great challenges for health services targeted at patients with chronic diseases, such as cardiovascular disorders. Hospitals and medical clinics must find new and effective solutions to address the impacts on individual and collective well-being due to the increased diffusion of these types of diseases, especially during a pandemic. This implies the evolution of the service ecosystem through enhanced coordination and resource integration between different actors (patients, doctors, service providers, relatives, caregivers, etc.). The coordination process might be leveraged by technological devices aimed at integrating resources and co-creating transformative value (Anderson et al. 2013; Danaher and Gallan 2016; Anderson et al. 2018). This chapter, in particular, investigates how digital health technologies impact the evolution of the Italian healthcare service ecosystem in a transformative way through the study of the case of Centro Cardiologico Monzino. The study adopted a qualitative approach based on in-depth interviews with patients of Centro Cardiologico Monzino with cardiovascular pathologies who use digital health devices and doctors, caregivers, and other key informants who are experts in the Italian healthcare service ecosystem. Our findings illustrate how digital health contributes to value co-creation and to the enhancement of individual and collective well-being, considering the renewed interaction between different actors in the service ecosystem.

La tesi, che si compone di tre paper strettamente collegati tra loro, si pone l’obiettivo di valutare e analizzare come le collaborazioni tra imprese e aziende non profit possano creare valore per gli attori coinvolti nella partnership stessa e per l’ambiente circostante. Il primo paper della tesi analizza il tema della creazione di valore nelle collaborazioni tra imprese e aziende non profit dal punto di vista della letteratura: in particolare, partendo dall’analisi della letteratura riferita alla creazione di valore nel marketing, e considerando il tema delle relazioni interorganizzative e dell’approccio dell’”impresa vivente”, si è arrivati a definire la creazione di valore, sempre in base ai riferimenti presenti in letteratura, in riferimento a questa tipologia di collaborazioni. Il secondo paper presenta, attraverso un’analisi quantitativa condotta su un campione di imprese e aziende non profit che effettuano collaborazioni tra loro, una serie di ipotesi che arrivano a definire il valore creato da questa tipologia di collaborazioni e che prendono in considerazione alcuni costrutti come la fiducia interorganizzativa, la fiducia interpersonale, la comunicazione interorganizzativa, il livello di collaborazione, la creazione di valore e l’alleanza dei brand. Il terzo paper presenta quattro casi studio che fanno riferimento a tre cluster in cui si è stato suddiviso il database costruito per il secondo paper. Partendo dalla definizione delle caratteristiche di un network innovativo, i casi sono stati studiati al fine di valutare l’impatto della collaborazione sul territorio, in una logica di marketing territoriale e di creazione di valore per il territorio in cui operano., The thesis, which consists of three inter-related papers, aims to evaluate and analyze how the collaboration between business and non-profit organizations can create value for the partners themselves, for the stakeholders and for the environment. The first paper of the thesis analyzes the theme of value creation in collaborations between businesses and non-profit organizations from the point of view of literature, in particular, starting from an analysis of the literature related to the creation of value in marketing, and considering the issue of relations inter organizational and approach of ''living enterprise", the rest of the paper defines the creation of value, always according to the references in the literature, of these collaborations. The second paper presents, through a quantitative analysis conducted on a sample of businesses and non-profit organizations that carry out cooperation between them, a number of hypothesis that come to define the value created by this type of cooperation and taking into account some constructs like inter organizational trust, interpersonal trust, inter organizational communication, the level of cooperation, the creation of value and the alliance of brands. The third paper presents four case studies that refer to three clusters in which the database, built for the second paper, has been split. Starting from the definition of the characteristics of an innovative network, the cases have been investigated in order to assess the impact of collaboration on the ground, in a logic of local marketing and value creation for the area in which they operate.