Department of Medicine, University of Toronto, Toronto, ON, Canada.
Li Ka Shing Knowledge Institute, St. Michaels Hospital, University of Toronto, Toronto, ON, Canada.
Int J Health Policy Manag. 2019 Jan 1;8(1):55-57. doi: 10.15171/ijhpm.2018.101.
This commentary provides an overview of the organizational readiness for change (ORC) literature over the last decade, with respect to prevailing definitions, theories, and tools to guide assessment of ORC in preparation for implementation. The development of the OR4KT by Gagnon et al is an important contribution to this body of work. This commentary highlights the strengths of the OR4KT including development based on two systematic reviews conducted by the authors to synthesize OR theory and measurement tools, and applicability to a wider range of high-income country healthcare settings through inclusion of input from a diverse group of international experts and transcultural adaptation of the tool, in the context of the literature to date. Limitations and future directions for further development of the tool are also discussed and include application of quantitative psychometric approaches and evaluation of the tool in a broader range of healthcare settings.
这篇评论概述了过去十年中组织变革准备度（ORC）文献，涉及到流行的定义、理论和工具，以指导 ORC 的评估，为实施做准备。Gagnon 等人开发的 OR4KT 是这一领域的重要贡献。这篇评论强调了 OR4KT 的优势，包括基于作者进行的两项系统评价开发，以综合 OR 理论和测量工具，以及通过纳入来自不同国际专家的意见和工具的跨文化适应性，使该工具更适用于更广泛的高收入国家医疗保健环境，这些都是基于现有文献的。还讨论了该工具进一步发展的局限性和未来方向，包括定量心理计量学方法的应用以及该工具在更广泛的医疗保健环境中的评估。
