Towards the health care system of the future: The role of institutional entrepreneurship in service redesign and innovation

医疗体系的改革是澳大利亚等国家面临的最紧迫和最根本的挑战之一。迄今为止，医院的重新设计和创新举措在系统层面的影响和成果有限，改进仅限于离散领域。这一跨学科研究的目的是促进扩大这些举措的规模，以产生全系统的成果。该研究旨在解决体制制约因素和组织因素，并将开发实用的框架，流程和资源。这些计划旨在使医院能够发展组织和领导能力，以确保对重新设计和创新的投资具有“整个系统”的经济和医疗保健效益。

The reform of healthcare systems presents one of the most pressing and fundamental challenges for nations such as Australia. To date, hospital redesign and innovation initiatives have had limited impacts and outcomes at a system level with improvements limited to discrete areas. The aim of this inter-disciplinary research is to promote the scaling up of such initiatives to have systems-wide outcomes. The research aims to address institutional constraints and organisational factors and will develop practical frameworks, processes and resources. These intend to enable hospitals to develop organisational and leadership capacities to ensure investments in redesign and innovation have ‘whole system’ economic and healthcare benefits.