Preventive health care: how compatible are clinicians' identity and practice with transition to the new roles that health reform requires?

该项目旨在评估卫生保健工作者如何应对卫生改革的各种影响，并探索如何加强他们对这些改革的准备和承诺，特别是在这些改革预示着新的角色、责任和期望的情况下。该项目的意义在于它将改革与临床实践的现场实施和通过录像和从业者自动审查进行反思的方式联系起来。该项目的成果包括加深对以下问题的理解：情景实践和改革之间的紧张关系；员工对改革的互动影响的承诺；以及作为个人和组织变革方法的基于视频的研究。

This project is designed to assess how health care workers cope with the various impacts of health reform and to explore ways of enhancing their preparedness for and commitment to these reforms, particularly as these reforms herald new roles, responsibilities and expectations. The significance of the project lies in the way it links reform to the in situ enactment of clinical practice and reflection through video-recording and practitioner auto-review. The project's outcomes include increased understanding of: the tension between situated practice and reform; employee commitment to the interactive implications of reform, and video-based research as individual and organizational change methodology.