Going beyond the identification of change facilitators to effectively implement a new model of services: Lessons learned from a case example in paediatric rehabilitation
| Autor: | Bonnie Swaine, Sylvie Tétreault, Chantal Camden, Monique Carrière |
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| Rok vydání: | 2011 |
| Předmět: |
Medical education
Service (systems architecture) Rehabilitation Attitude of Health Personnel Management science Service delivery framework medicine.medical_treatment Child Health Services Change management General Medicine Focus Groups Focus group Organizational Innovation State Medicine Test (assessment) Interviews as Topic Identification (information) Developmental Neuroscience Pediatrics Perinatology and Child Health medicine Humans Child Psychology SWOT analysis |
| Zdroj: | Developmental Neurorehabilitation. 14:247-260 |
| ISSN: | 1751-8431 1751-8423 |
| Popis: | Purpose: To identify facilitators and barriers to service reorganization, how they evolved and interacted to influence change during the implementation of a new service delivery model of paediatric rehabilitation. Methods: Over 3 years, different stakeholders responded to SWOT questionnaires (n ¼ 139) and participated in focus groups (n ¼ 19) and telephone interviews (n ¼ 13). A framework based on socio constructivist theories made sense of the data. Results: Facilitators related to the programme’s structure (e.g. funding), the actors (e.g. willingness to test the new service model) and the change management process (e.g. participative approach). Some initial facilitators became barriers (e.g. leadership lacked at the end), while other barriers emerged (e.g. lack of tools). Understanding factor interactions requires examining the multiple actors’ intentions, actions and consequences and their relations with structural elements. Conclusions: Analysing facilitators and barriers helped better understand the change processes, but this must be followed by concrete actions to successfully implement new paediatric rehabilitation models. |
| Databáze: | OpenAIRE |
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