Interfaces in service modularity: A typology developed in modular health care provision

DOIhttp://doi.org/10.1016/j.jom.2014.03.001
AuthorBert Meijboom,Roger Schroeder,Carolien Blok,Katrien Luijkx,Jos Schols
Published date01 May 2014
Date01 May 2014
Journal
of
Operations
Management
32
(2014)
175–189
Contents
lists
available
at
ScienceDirect
Journal
of
Operations
Management
j
o
ur
na
l
ho
mepage:
www.elsevier.com/locate
/jom
Interfaces
in
service
modularity:
A
typology
developed
in
modular
health
care
provision
Carolien
de
Bloka,,
Bert
Meijboomb,c,
Katrien
Luijkxc,
Jos
Scholsc,d,
Roger
Schroederb,e
aDepartment
of
Operations,
Groningen
University,
Nettelbosje
2,
9747
AE
Groningen,
The
Netherlands
bDepartment
of
Organization
and
Strategy,
Tilburg
University,
P.O.
Box
90153,
5000
LE
Tilburg,
The
Netherlands
cDepartment
of
Tranzo,
Tilburg
University,
P.O.
Box
90153,
5000
LE
Tilburg,
The
Netherlands
dDepartment
of
General
Practice,
Maastricht
University,
P.O.
Box
616,
6200
MD
Maastricht,
The
Netherlands
eCarlson
School
of
Management,
University
of
Minnesota,
Minneapolis,
MN,
United
States
a
r
t
i
c
l
e
i
n
f
o
Article
history:
Received
18
June
2013
Received
in
revised
form
18
February
2014
Accepted
3
March
2014
Available
online
18
March
2014
Keywords:
Service
modularity
Interfaces
Elderly
care
Case
study
Typology
a
b
s
t
r
a
c
t
We
conduct
case
research
in
a
particular
service
context,
i.e.
the
sector
for
elderly
care,
in
order
to
explore
characteristics
of
interfaces
and
the
role
they
play
in
service
customization.
Even
though
the
study
of
modularity
in
areas
other
than
goods
production
is
increasing,
little
is
known
about
interfaces
outside
the
context
of
modular
goods.
From
our
case
research,
it
follows
that
interfaces
can
be
distin-
guished
at
the
component
level
(linkages
between
components’
contents)
and
at
the
service
package
level
(linkages
between
service
providers
involved).
The
contribution
of
the
paper
is
a
first
typology
on
interfaces
in
modular
services.
Four
interface
categories
are
distinguished,
which
offer
a
specification
of
the
interfaces’
function
in
creating
variety
and
coherence,
when
linking
content
components
as
well
as
service
providers.
In
addition,
we
provide
a
new
definition
of
interfaces
for
services
that
differs
from
the
accepted
manufacturing
definition.
©
2014
Elsevier
B.V.
All
rights
reserved.
1.
Introduction
Modularization,
in
general,
is
an
approach
to
organize
complex-
ity
in
an
efficient
manner
(Baldwin
and
Clark,
1997)
and
from
a
systems
point
of
view
refers
to
the
degree
to
which
a
system’s
components
can
be
separated
and
recombined
(Schilling,
2000).
In
the
field
of
Operations
Management,
modularity
is
mainly
under-
stood
from
the
perspective
of
component
combinability;
by
mixing
and
matching
components
taken
from
a
given
set,
different
product
configurations
can
be
obtained
(Salvador,
2007).
As
such,
heteroge-
neous
customer
needs
can
be
addressed
(Hsuan
and
Skjøtt-Larsen,
2004;
Muffato,
1999;
Starr,
1965)
while
at
the
same
time
standard-
ization
is
allowed
as
a
few
components
are
available
in
a
limited
number
of
variations
(Sanchez,
1999).
Modularity,
thus,
provides
a
basis
for
product
customization
at
reasonable
costs.
An
important
aspect
of
modularity,
both
in
products
and
ser-
vices,
is
the
notion
of
interface
(e.g.
Baldwin
and
Clark,
1997;
Van
Corresponding
author.
E-mail
addresses:
c.de.blok@rug.nl
(C.
de
Blok),
b.r.meijboom@tilburguniversity.edu
(B.
Meijboom),
k.g.luijkx@tilburguniversity.edu
(K.
Luijkx),
j.m.g.a.schols@tilburguniversity.edu
(J.
Schols),
rschroed@umn.edu
(R.
Schroeder).
der
Aa
and
Elfring,
2002;
Voss
and
Hsuan,
2009;
Vahatalo,
2012).
Interfaces,
in
general,
prescribe
how
two
components
or
service
providers
in
a
modular
system
mutually
interact
(Salvador,
2007).
In
modular
products,
interfaces
manage
the
connections
and
inter-
dependencies
across
various
types
of
physical
components
that
comprise
the
final
product
and
are
typically
standardized.
Fur-
thermore,
interfaces
enable
the
substitution
and
exchange
of
these
components
(Sanchez
and
Mahoney,
1996).
In
modular
services,
interfaces
also
enable
the
substitution
and
exchange
of
compo-
nents,
but
it
is
suggested
that
interfaces
include
people,
information
and
rules
governing
the
flow
of
information
(e.g.
Pekkarinen
and
Ulkuniemi,
2008;
Voss
and
Hsuan,
2009).
In
health
care
settings,
for
example,
standards
of
care
are
used
to
describe
the
package
of
care
components
to
be
provided
by
mul-
tiple
care
providers
to
patients
suffering
from
a
particular
chronic
disease,
such
as
diabetes
or
COPD.
Good
quality
of
care
should
result
from
this
if
proper
interfaces
are
also
present.
Problems
can
occur
among
health
care
providers
(e.g.
doctors,
nurses,
GP,
staff)
as
they
handoff
the
patient
from
one
provider
to
another
without
having
defined
rules
or
guidelines
on
what
information
to
provide
and
to
whom
(i.e.
lack
of
interfaces,
Manser
et
al.,
2010).
Likewise,
the
order
of
delivery
of
components
may
be
crucial
and
problems
can
occur
when
no
coordination
is
provided
in
the
delivery
of
several
services
such
as
medication
management,
special
meals,
wound
http://dx.doi.org/10.1016/j.jom.2014.03.001
0272-6963/©
2014
Elsevier
B.V.
All
rights
reserved.

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