"The MANAGED OUTCOMES proposal explores the assumption that healthcare outcomes and costs are affected by the efficiency of service production, the time/location constrained regional structure of healthcare delivery, and the degree to which people are empowered to participate in the co-production of their care. These relationships are insufficiently understood and need to be studied to meet the objectives of the new European health strategy. More optimized health systems should be planned on the grounds of citizens’ expectations for both effective outcomes, and for access and quality of healthcare delivery. The MANAGED OUTCOMES aims to generate the necessary scientific basis to underpin informed policy decisions. The expected impacts of the project on several levels of beneficiaries include the aim to advance the field of health systems research by promoting active dialogue between service research, operations management, health economics, and clinical medicine. This requires two types of actionable knowledge for policy makers: a) the cost impact and interrelationships of improved quality of care, efficiency and accessibility, and b) the cost impact of improved outcomes partly achieved with empowered customers acting as co-producers of their care. Practical impacts are a) methods for comparing and benchmarking healthcare production and distribution practices across Europe, to further the exchange of best practices across cultural contexts, b) demand-based tools for designing healthcare systems, and c) knowledge on the impacts of different service channels on health outcomes and cost-benefits. These results contribute to healthcare reform. This project aims to enhance the cooperation between European healthcare operations scholars to further promote integration and excellence of European healthcare systems research. The principal research method is comparative case studies and the project aims to develop scenarios and models of future healthcare systems."