Deusto Business School, Bilbo, Spain.
Int J Health Policy Manag. 2018 Dec 1;7(12):1158-1160. doi: 10.15171/ijhpm.2018.95.
Worldwide most health systems are facing a series of common challenges characterized by the increasing burden of chronic diseases and multimorbidity, and the accelerated pace of biomedical and technological innovations, on the other side. There is a growing recognition that many changes are needed at the macro, meso and micro management levels to tackle these challenges. Therefore, knowing if healthcare organizations are ready for change is a key issue, as high organizational readiness for change (ORC) has been positively related with higher organizational effort and staff motivation for overcoming barriers and setbacks in change endeavours. In practice, readiness for change is not commonly measured and there is a need of adequate metrics for it. In this commentary, a new tool for measuring readiness change is reviewed, the OR4KT. It has been developed based on a solid theoretical background and with the involvement of experts and potential users in the design and it has been tested and validated in three languages and in different organizational settings. Although its generalizability needs to be further tested, it seems to be a promising and useful tool to diagnose if organizations are ready to implement evidence-informed changes. A broader recognition of the key role that the science of implementation can play in the success of much needed transformations in healthcare provides a good opportunity for the dissemination of the OR4KT.
目前，全球大多数卫生系统都面临着一系列共同的挑战，这些挑战的特点是慢性病和多种疾病负担不断增加，以及生物医学和技术创新步伐加快。人们越来越认识到，需要在宏观、中观和微观管理层面进行许多变革，以应对这些挑战。因此，了解医疗保健组织是否为变革做好准备是一个关键问题，因为高组织变革准备度（ORC）与更高的组织努力和员工克服变革努力中的障碍和挫折的动机呈正相关。在实践中，变革准备度通常未被测量，并且需要有适当的衡量标准。在这篇评论中，回顾了一种新的变革准备度衡量工具，即 OR4KT。它是基于坚实的理论基础开发的，设计过程中涉及了专家和潜在用户，并且已经在三种语言和不同的组织环境中进行了测试和验证。尽管其普遍性还需要进一步测试，但它似乎是一种有前途且有用的工具，可以诊断组织是否准备好实施基于证据的变革。更广泛地认识到实施科学在医疗保健急需转型成功中所发挥的关键作用，为 OR4KT 的传播提供了良好的机会。
