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Innovation sustainability in challenging health-care contexts : embedding clinically led change in routine practice
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Martin, Graham P., Weaver, Simon, Currie, Graeme, Finn, Rachael and McDonald, Ruth (2012) Innovation sustainability in challenging health-care contexts : embedding clinically led change in routine practice. Health Services Management Research, Volume 25 (Number 4). pp. 190-199. doi:10.1177/0951484812474246 ISSN 0951-4848.
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WRAP_Currie_10.1177_0951484812474246.pdf - Published Version Available under License Creative Commons Attribution Non-commercial. Download (679Kb) | Preview |
Official URL: http://dx.doi.org/10.1177/0951484812474246
Abstract
The need for organizational innovation as a means of improving health-care quality and containing costs is widely recognized, but while a growing body of research has improved knowledge of implementation, very little has considered the challenges involved in sustaining change – especially organizational change led ‘bottom-up’ by frontline clinicians. This study addresses this lacuna, taking a longitudinal, qualitative case-study approach to understanding the paths to sustainability of four organizational innovations. It highlights the importance of the interaction between organizational context, nature of the innovation and strategies deployed in achieving sustainability. It discusses how positional influence of service leads, complexity of innovation, networks of support, embedding in existing systems, and proactive responses to changing circumstances can interact to sustain change. In the absence of cast-iron evidence of effectiveness, wider notions of value may be successfully invoked to sustain innovation. Sustainability requires continuing effort through time, rather than representing a final state to be achieved. Our study offers new insights into the process of sustainability of organizational change, and elucidates the complement of strategies needed to make bottom-up change last in challenging contexts replete with competing priorities.
Item Type: | Journal Article | ||||
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Subjects: | H Social Sciences > HB Economic Theory R Medicine > R Medicine (General) |
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Divisions: | Faculty of Social Sciences > Warwick Business School > Entrepreneurship, Innovation & Management Faculty of Social Sciences > Warwick Business School |
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Library of Congress Subject Headings (LCSH): | Medical economics, Great Britain. National Health Service (NHS), Organizational change -- Great Britain, Management, Hospitals -- Administration | ||||
Journal or Publication Title: | Health Services Management Research | ||||
Publisher: | Sage | ||||
ISSN: | 0951-4848 | ||||
Official Date: | November 2012 | ||||
Dates: |
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Volume: | Volume 25 | ||||
Number: | Number 4 | ||||
Page Range: | pp. 190-199 | ||||
DOI: | 10.1177/0951484812474246 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Open Access (Creative Commons) | ||||
Date of first compliant deposit: | 24 December 2015 | ||||
Date of first compliant Open Access: | 24 December 2015 | ||||
Funder: | National Institute for Health Research (Great Britain) (NIHR) | ||||
Grant number: | 09/1001/40 |
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