Improving patient care : the implementation of change in health care

Grol, Richard

Improving patient care : the implementation of change in health care [E-Book] - 2nd ed. - Chichester : John Wiley & Sons, 2013 - 1 online resource (xviii, 374 pages)

Cover; Title page; Copyright page; Contents; List of Contributors; Introduction; PART I: Principles of Implementation of Change; CHAPTER 1: Implementation of change in healthcare: a complex problem; 1.1. Introduction; 1.2. The implementation problem; Effective care; Efficient care; Safe care; Efficient and timely care; Patient-centered care; Variation in the provision of care; 1.3. Various approaches to the implementation of improvements in patient care; 1.4. What is implementation?; 1.5. Which improvements are advisable?; New insights, methods, and collaborations.;Problems in care and ""best practices""1.6. A systematic approach to ""sustainable change""; References; CHAPTER 2: Theories on implementation of change in healthcare; 2.1. Introduction; 2.2. Theories on factors related to individual professionals; Cognitive theories; Educational theories; Motivational theories; 2.3. Theories on factors related to social interaction and context; Theories on communication; Social learning theory; Social network and influence theories; Theories on teamwork; Theories on professionalization; Theories on leadership.;2.4. Theories on factors related to the organizational contextTheories of innovative organizations; Theory of quality management; Process re-engineering theory; Complexity theory; Theory of organizational learning; Theories on organizational culture; 2.5. Theories on the influence of economic factors; Economic theories; Theories on contracting; 2.6. Conclusions; References; CHAPTER 3: Effective implementation of change in healthcare: a systematic approach; 3.1. Elements of effective implementation; 3.2. The ""Implementation of Change Model""; 3.3. Developing a proposal and targets for change.;3.4. Assessment of performance3.5. Analysis of the target group and setting; Aims and settings of the implementation; Segments within the target group and stages of change; Phases in a process of change: a summary of the literature; Barriers and facilitators to changing practice; 3.6. Development or selection of improvement strategies; 3.7. Development, testing, and execution of an implementation plan; 3.8. Sustainable change: integration of change into practice routines; 3.9. Evaluation and (possible) adaptations to the plan; 3.10. Planning of the implementation process; 3.11. Conclusions."

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