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A Physician-Led, Le...
A Physician-Led, Learning-Driven Approach to Regional Development of 23 Cancer Pathways in Sweden
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- Hellström, Andreas, 1972 (författare)
- Chalmers University of Technology
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- Lifvergren, Svante, 1961 (författare)
- Chalmers University of Technology,Skaraborg Hospital
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- Huzzard, Tony, 1957 (författare)
- Lund University,Lunds universitet,Malmö University,Chalmers University of Technology,Företagsekonomiska institutionen,Ekonomihögskolan,Department of Business Administration,Lund University School of Economics and Management, LUSEM
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- Conradi, Nils, 1950 (författare)
- Sahlgrenska universitetssjukhuset,Sahlgrenska University Hospital
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(creator_code:org_t)
- ISBN 9781784410353
- 2014
- 2014
- Engelska.
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Ingår i: Organizing for Sustainable Effectiveness. - 2045-0613 .- 2045-0605. - 9781784410353 - 9781784410346 ; 4, s. 101-131
- Relaterad länk:
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http://dx.doi.org/10...
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https://research.cha...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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Abstract
Ämnesord
Stäng
- Purpose This chapter presents a framework for an action research based intervention to develop and transform sustainable healthcare in a regional context. The framework is illustrated by the case of the Regional Cancer Centre (RCC) West in western Sweden.Design/methodology/approach The framework draws upon and develops Pettigrew’s context–content–process model of strategic change and applies it to the unfolding narrative of the change effort. The empirical focus is the activities of a learning platform consisting of the RCC leadership, senior cancer physicians designated as process owners and an action research team. Data were collected from documents, observations of the learning platform, notes from meetings and interviews. Outcome data were obtained via the self-reporting of the physicians.Findings The learning platform established the capability for wide ranging development and quality improvement on the 23 cancer pathways as well as some support activities around principles of patient-centred care. A clear result is greater inter-organisational collaboration between care professionals as well as the introduction of new medicines, clinical methods, joint learning activities and new forms of measurement and monitoring of care practices. All of the improved measures are sustained.Originality/value Whilst there is no shortage of rhetoric on patient-centred care, the reality is that in complex healthcare systems solutions such as process-oriented approaches often fail. This case presents a model and an approach that eschews clear visions for change and instead places an emphasis on dialogue, participation, professional autonomy and collaborative communities as means for achieving the patient-centred ideal. The case also shows the value of seeing sustainable health systems as being grounded on practitioner–scholar collaboration that combines practical knowing with scientific knowledge.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- collaborative communities
- cancer care
- Action research
- regional health systems
- care pathways
- Action research
- Cancer care
- Care pathways
- Collaborative communities
- Regional health systems
Publikations- och innehållstyp
- kap (ämneskategori)
- vet (ämneskategori)
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