The health care systems in
the western democracies face today problems that relate to the
implementation systems in the field of health policies. Knowledge
management is important since it is the prerequisite for planning and
implementing more intelligent health policies and practices. Updated
conceptualization of knowledge management theory is a precondition for
successful health care reform in modern welfare states.

This
paper is conceptual and theoretically oriented paper. The purpose of
this article is to define key drivers of new knowledge management theory
and use the health care service system as a case example. Nonaka's
classical spiral of knowledge (and SECI model with knowledge dimensions)
is a foundation for thinking on the future developments of knowledge
management. What Nonaka's "dynamic ba" actually includes, is a key
question and a big challenge. In this paper, we have outlined a concrete
proposal for this critical concept. Key issues of "dynamic ba" will be
Big Data management (and associated skills), new crowdsourcing
techniques, new forms of customer behaviour, systemic KM integration
(service needs, service design and orchestration, service architecture,
and service science) and the on-going 3rd wave of digitalization
(Internet of Things and robotics).