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Facilitating system-wide organizational change in health care
Umeå universitet, Umeå university.
Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Industriell Ekonomi.ORCID-id: 0000-0001-7106-9644
Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, Umeå universitet, Karolinska Institutet.
Karolinska Institutet, Medical Management Centre, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet.
2015 (Engelska)Ingår i: International Journal of Quality and Service Sciences, ISSN 1756-669X, E-ISSN 1756-6703, Vol. 7, nr 1, s. 72-89Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The purpose was to investigate the role of an intra-organizational change facilitating function (CFF) in relation to a multi-level development initiative in a health care organization. Involved actors’ views on factors in need of attention and how the CFF related to these factors were studied. A longitudinal case study design was used, combining data from questionnaires, process diaries and interviews with employees at the CFF, managers and clinic staff. Factors on micro, meso and macro levels, crucial to attend to, were highlighted by respondents at staff and managerial levels. The CFF related to some of these factors by acting upon them, or by developing plans to handle them, while other factors were unattended to. The CFF activities also had indirect influence on other factors. The CFF role and responsibilities were not clearly defined beforehand and a need to clarify a division of roles and responsibilities is highlighted. Our study contributes to current knowledge on facilitation of change by relating it to an organizational dimension of implementation. The description of important factors to handle during a large organizational change process and issues a CFF can encounter may aid others involved in designing and managing large organizational development initiatives. The study elaborates on less studied functions and roles of an intra-organizational change facilitating function in relation to factors of vital importance for organizational change and development in health care organizations.

Ort, förlag, år, upplaga, sidor
2015. Vol. 7, nr 1, s. 72-89
Nationell ämneskategori
Tillförlitlighets- och kvalitetsteknik
Forskningsämne
Kvalitetsteknik
Identifikatorer
URN: urn:nbn:se:ltu:diva-10240DOI: 10.1108/IJQSS-01-2015-0004Scopus ID: 2-s2.0-84933051599Lokalt ID: 903cf8eb-da81-4b63-87e2-27b13e9341a4OAI: oai:DiVA.org:ltu-10240DiVA, id: diva2:983180
Anmärkning
Validerad; 2015; Nivå 1; 20150202 (rickg)Tillgänglig från: 2016-09-29 Skapad: 2016-09-29 Senast uppdaterad: 2018-07-10Bibliografiskt granskad

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