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Achieving and sustaining profound institutional change in healthcare: Case study using neo-institutional theory

Abstract:

Change efforts in healthcare sometimes have an ambitious, whole-system remit and seek to achieve fundamental changes in norms and organisational culture rather than (or as well as) restructuring the service. Long-term evaluation of such initiatives is rarely undertaken. We report a secondary analysis of data from an evaluation of a profound institutional change effort in London, England, using a mixed-method longitudinal case study design. The service had received £15 million modernisation fu...

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

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Authors


Macfarlane, F More by this author
Barton-Sweeney, C More by this author
Woodard, F More by this author
More by this author
Institution:
University of Oxford
Department:
Oxford, MSD, Primary Care Health Sciences
Guy's and St. Thomas' Charity More from this funder
Publisher:
Elsevier Publisher's website
Journal:
Social Science and Medicine Journal website
Volume:
80
Pages:
10-18
Publication date:
2013-01-12
DOI:
ISSN:
0277-9536
URN:
uuid:fb9573c9-823a-4a91-8456-d40cfc40baaf
Source identifiers:
505549
Local pid:
pubs:505549

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