Value co-creation for service innovations involves integrating inputs from multiple actors within service ecosystems. Traditionally, value co-creation has been considered in light of business-to-consumer (B2C) interactions. The emergence of digital information platforms allowing consumer-to-consumer (C2C) communications is changing how service ecosystems establish and create value for service innovations. In this paper, we develop a Digital Information Flow Continuum that includes B2C, external provider and consumer co-created (B2C/C2C combined) and C2C digital communications. Using Service-Dominant Logic (SDL), we assess the impact digital information flow elements have on the perceptions and usage likelihood for telemedicine (TM) services. We use structural equation modeling to analyze online survey results from 827 health consumers collected as part of a healthcare organization’s TM launch. The results demonstrate that the Digital Information Flow Continuum impacts the acceptance of the TM innovation directly, and indirectly through value perceptions of comparable service quality relative to alternatives and ease of access to care.

服务创新的价值共创涉及将来自多个参与者的投入整合到服务生态系统中。传统上，已经根据企业对消费者（B2C）的互动考虑了价值共创。允许消费者对消费者（C2C）通信的数字信息平台的出现正在改变服务生态系统为服务创新建立和创造价值的方式。在本文中，我们开发了一个数字信息流连续体，其中包括B2C，外部提供商和消费者共同创建（B2C / C2C合并）和C2C数字通信。使用服务主导逻辑（SDL），我们评估了数字信息流元素对远程医疗（TM）服务的感知和使用可能性的影响。我们使用结构方程模型分析了作为医疗保健组织推出TM的一部分而收集的827名健康消费者的在线调查结果。结果表明，数字信息流连续体直接或间接地通过相对于替代方案的可比服务质量和易于获得医疗服务的价值感知，间接影响TM创新的接受。