We believe that a new paradigm of research and practice - that of service-dominant logic and service ecosystems - offers a potentially transformational pathway for speeding up dissemination of innovations in society at ecosystem-scales. As noted in a recent paper (Vargo, S et al, 2017) , this paradigm rests on five axioms which offer new ways to think about many of the most important challenges facing society today:
Services (Not Products) are Fundamental. Service is the fundamental basis of exchange in society
Value is co-created. Value is co-created by multiple actors, always including the beneficiary
Resources are for Everyone. All social and economic actors are resource integrators
Beneficiaries determine value. Value is always uniquely and phenomenologically determined by the beneficiary
Institutions Coordinate. Value co-creation is coordinated through actor-generated institutions and institutional arrangements.
Researchers studying the service dominant-logic (SD-Logic) paradigm are increasingly looking at service ecosystems as a focus of study.
Service Ecosystems Can Be Managed. Service ecosystems - defined a collection of entities, artifacts and institutions organized around shared purposes - can be studied and managed, to create new value.
As shown in Figure 1 , service ecosystems can be defined as a collection of:
Entities (individuals and organizations)
Artifacts (products/services shared among individuals and organizations),
Institutions (rules, laws and oversight groups governing sharing of artifacts among entities)
Purposes (measurable goals that emerge from human interactions that help guide decisions about sharing of artifacts). Health ecosystems are a type of service ecosystem focusing on population health and wellbeing as a primary outcome measure.
Collaboration Science Methods and Virtual Collaboration Tools
We also believe that new collaboration-science based methods and virtual collaboration tools are opening new doors to collaborative action.
Service Ecosystems Research and Innovation
We believe that collaborative research and innovation in the area of health ecosystems has potential to strengthen the capacity of societies to address large-scale systemic challenges that threaten population health and wellbeing. This new framework opens a door to new spaces where leaders, experts and researchers from many different areas of society, and multiple research disciplines, can come together in new ways, to collaborate, and co-create answers to questions such as:
What are health ecosystems and service ecosystems?
What are their generalizable attributes?
What factors affect how they work?
how can health ecosystems be enhanced to improve the health and wellbeing of populations served?
What methods can be used to study, develop and implement solutions?
What actionable steps can individuals, organizations, networks, government and policymakers take to improve health through ecosystem-level interventions?
We are inviting a "coalition of the willing" to join us in an action research study designed to co-create an initial "consensus" design for a society and journal that can help address this problem.