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Large-System Transformation in Health Care: A Realist Review

Abstract:

Context: An evidence base that addresses issues of complexity and context is urgently needed for large-system transformation (LST) and health care reform. Fundamental conceptual and methodological challenges also must be addressed. The Saskatchewan Ministry of Health in Canada requested a six-month synthesis project to guide four major policy development and strategy initiatives focused on patient- and family-centered care, primary health care renewal, quality improvement, and surgical wait l...

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Publication status:
Published
Peer review status:
Peer reviewed
Version:
Accepted manuscript

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Authors


Best, Allan More by this author
More by this author
Institution:
University of Oxford
Department:
Oxford, MSD, Primary Care Health Sciences
Lewis, Stephen More by this author
Saul, Jessie E. More by this author
Carroll, Simon More by this author
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Publisher:
Wiley Publisher's website
Journal:
Milbank Quarterly Journal website
Volume:
90
Issue:
3
Pages:
421-456
Publication date:
2012-09-17
DOI:
EISSN:
1468-0009
ISSN:
0887-378X
URN:
uuid:a22c3611-0f0a-4f74-a9ee-b6247cad19e2
Source identifiers:
505544
Local pid:
pubs:505544

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