Going beyond the identification of change facilitators to effectively implement a new model of services: Lessons learned from a case example in paediatric rehabilitation
Going beyond the identification of change facilitators to effectively implement a new model of services: Lessons learned from a case example in paediatric rehabilitation
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DOI：
10.3109/17518423.2011.577049
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发表时间：
2011-01-01
影响因子：
1.3
通讯作者：
Carriere, Monique
中科院分区：
文献类型：
--
作者：
Camden, Chantal;Swaine, Bonnie;Carriere, Monique
目的：确定服务重组的促进因素和障碍，以及它们如何演变和相互作用，以在实施新的儿科康复服务提供模式期间影响变革。方法：3年多来，不同的利益相关者回答了SWOT问卷（n = 139）并参加了焦点小组（n = 19）和电话采访（n = 13）。一个基于社会建构主义理论的框架使数据变得有意义。G.资金），演员（e。G.愿意测试新的服务模式）和变更管理流程（e. G.参与式方法）。一些最初的促进者变成了障碍（e。G.最后缺乏领导力），而其他障碍出现了（e。G.缺少工具）。了解因素的相互作用，需要检查多个演员的意图，行动和后果及其与结构elements.Conclusions的关系：分析促进者和障碍有助于更好地了解变化过程，但这必须遵循的具体行动，成功地实施新的儿科康复模式。
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 = 139) and participated in focus groups (n = 19) and telephone interviews (n = 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.