Background Health system transformations are influenced by dynamic relationships within
and between individuals and institutions, as well as political, educational and legislative …

Incremental approaches to introducing change in Canada's health systems have not
sufficiently improved the quality of services and outcomes. Further progress requires 'large …

Purpose The British Columbia Ministry of Health's Clinical Care Management initiative was
used as a case study to better understand large-scale change (LSC) within BC's health …

Objectives Healthcare organisations are increasingly required to undertake transformational
change in response to epidemiological and demographic changes, and rapid healthcare …

While reaching consensus on future plans to address current global health challenges is far
from easy, there is broad agreement that reductionist approaches that suggest a limited set …

Objectives. To review some of the key debates relating to the nature of organizational culture
and culture change in health care organizations and systems. Methods. A literature review …

Objectives Healthcare leaders around the world are calling for radical, transformational
change of our health and care systems. This will be a difficult and complex task. In this …

General practices are making greater use of indicators to help shape and develop
organisational arrangements supporting the delivery of health care. Debate continues …

Executive Summary The attention for Health Systems (HS) and Health System
Strengthening (HSS) has re-emerged at the forefront of the global debate on health since …

Many in healthcare today are inter-ested in defining ''quality improvement''. We propose
defining it as the combined and unceasing efforts of everyone—healthcare professionals …