Innovation and transformation in California's safety net health care settings: an inside perspective.
Innovation and transformation in California's safety net health care settings: an inside perspective.
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DOI：
10.1177/1062860613507474
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发表时间：
2014-11
期刊：
影响因子：
--
通讯作者：
Sarkar U
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文献类型：
--
作者：
Lyles CR;Aulakh V;Jameson W;Schillinger D;Yee H;Sarkar U
Health reform requires safety-net settings to transform care delivery, but how they will innovate in order to achieve this transformation is unknown. We conducted two series of key informant interviews (N= 28) in 2012 with leadership from both California’s public hospital systems and community health centers. Interviews focused on how innovation was conceptualized and solicited examples of successful innovations. In contrast to disruptive innovation, interviewees often defined innovation as improving implementation, making incremental changes, and promoting integration. Many leaders gave examples of existing innovative practices such as patient-centered approaches to meeting their diverse patient needs. Participants expressed challenges to adapting quickly, but a desire to partner together. Safety-net systems have already begun implementing innovative practices supporting their key priority areas. However, more support is needed, specifically to accelerate the change needed to succeed under health reform.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
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DOI：
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发表时间：
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期刊：
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影响因子：
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作者：
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