Engagement-Capable Environments - No Less Challenging than other Large System Changes.

Engagement-Capable Environments - No Less Challenging than other Large System Changes.
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DOI:
10.12927/hcpap.2017.25411
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发表时间:
2017-10-01
期刊:
HealthcarePapers
影响因子:
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通讯作者:
Estabrooks, Carole A
Estabrooks, Carole A
中科院分区:
其他
文献类型:
--
作者:
Estabrooks, Carole A

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Kuluski等人(2017)提出了一种以“护理体验”为中心的更先进形式的卫生系统绩效管理的观点,提出了创造和维持参与能力环境的主要挑战。在这里,我简要地介绍一些可能对应对这一挑战有用的框架——复杂适应系统、创新扩散、整个系统变化。我还从一个成功的公民参与经验中提出了自己的观点,并总结了与参与能力环境的挑战相比,我们面临或正在克服的众多挑战。
Kuluski et al.'s (2017) argument for including a more advanced form of health system performance management centred on "the experience of care," raises the major challenge of creating and sustaining engagement-capable environments. Here I briefly address frameworks that may be useful in meeting this challenge - Complex Adaptive Systems, Innovation Diffusion, Whole System Change. I also offer a personal perspective drawn from a successful citizen engagement experience, concluding with a perspective on the numerous challenges we have or are in the process of overcoming compared to the challenges of engagement-capable environments.