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“If We Build It, Will It Stay?” A Case Study of the Sustainability of Whole-System Change in London

Abstract:

Context: The long-term sustainability of whole-system change programs is rarely studied, and when it is, it is inevitably undertaken in a shifting context, thereby raising epistemological and methodological questions. This article describes a transferable methodology that was developed to guide the evaluation of a three-year follow-up of a large health care change program in London, which took place during a period of economic turbulence and rapid policy change.

Method: Using a mix...

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

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Institution:
University of Oxford
Department:
Oxford, MSD, Primary Care Health Sciences
Macfarlane, Fraser More by this author
Barton-Sweeney, Catherine More by this author
Woodard, Fran More by this author
Guys and St Thomas’ Charity More from this funder
Publisher:
Wiley Publisher's website
Journal:
Milbank Quarterly Journal website
Volume:
90
Issue:
3
Pages:
516-547
Publication date:
2012-09-17
DOI:
EISSN:
1468-0009
ISSN:
0887-378X
URN:
uuid:bf3d56c0-1262-43d6-add4-4bc0e84a4d7f
Source identifiers:
505545
Local pid:
pubs:505545

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