Abstract
In the last decades the economy saw two significant changes in the way value has been
conceived and created: the introduction of the value-constellation model and the advent of
the open innovation movement. This paper will report on how these paradigmatic changes
are mirrored in public services reform, with a focus on healthcare services, and on how
Design practice and research are contributing to this shift. The authors will use four case
studies of healthcare design-driven service innovation as a way to reflect on which models
and approaches designers have been using and to evaluate the actual results and impacts that
have been achieved so far.