Change efforts in healthcare sometimes have an ambitious, whole-system remit and seek to
achieve fundamental changes in norms and organisational culture rather than (or as well as) …

In 2004, the National Health Service (NHS) employed 1.3 million people in England, making
it the third largest organization on the planet. Only the Chinese Army (2.3 million) and the …

This paper explores the early implementation of an organizational innovation in the UK
National Health Service (NHS)–Treatment Centres (TCs)–designed to dramatically reduce …

Context: The long‐term sustainability of whole‐system change programs is rarely studied,
and when it is, it is inevitably undertaken in a shifting context, thereby raising …

Planners, managers and policy makers in modern health services are not without ingenuity–
they will always try, try and try again. They face deep-seated or 'wicked'problems, which …

This paper takes an overview of the organizational and managerial literature on recent large-
scale change efforts within health care organizations. Such literature refers to issues of …

Context: Large‐scale, whole‐systems interventions in health care require imaginative
approaches to evaluation that go beyond assessing progress against predefined goals and …

The study examines change efforts and their consequences in health care in the public
sector. The aim of this study is, by providing a new conceptual framework, to widen our …

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

Public involvement in service change has been identified as a key facilitator of health care
transformation (Foley et al., 2017) but little is known about how health policy influences …