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管理者认为在医疗保健领域实施创新的重要因素 - 通过六个管理视角进行实践。

What Managers Find Important for Implementation of Innovations in the Healthcare Sector - Practice Through Six Management Perspectives.

机构信息

Department of Civil and Industrial Engineering, Uppsala University, Uppsala, Sweden.

出版信息

Int J Health Policy Manag. 2022 Oct 19;11(10):2261-2271. doi: 10.34172/ijhpm.2021.146. Epub 2021 Oct 25.

Abstract

BACKGROUND

There is a growing expectation that many health organisations will implement innovations. One obstacle for innovative ideas to have an impact on the healthcare system in practice seems to be difficulties in the implementation phase. There is a lack of concretization of theoretical perspectives related to implementation of innovations. The research question answered by this article is: Which enabling factors can facilitate the specific step of moving from idea generation to implementation in a healthcare context?

METHODS

The research was carried out with a qualitative action research methodology where the researchers took part in the innovation implementation project. The authors of this article were part of a collaborative innovation implementation project involving approximately 54 practitioners. The project was run by five stakeholders: (1) the Division of Assistive Technology in the Dalarna County Council Regional Healthcare Administration, (2) the Habilitation Division, (3) the Division for Home Care and Social Services in the municipality of Leksand, (4) Dalarna University, and (5) Uppsala University. Through a 'Pearl growing' technique six implementation management perspectives were, as a framework, identified and presented for the practitioners. The practitioners worked further to concretize these six perspectives. Data was collected through five workshops and collaborations between the researchers and the practitioners. Data was clustered regarding what the managers want to achieve within these six perspectives (ideal situation) and the main means for reaching this situation.

RESULTS

The study underlying this article generated 35 concrete enabling factors for successful innovation implementation, distributed over the initially presented six theoretical perspectives.

CONCLUSION

Concretizing management principles into enabling factors shows, on the one hand, that the theoretical principles have practical value, but on the other that they must be adopted to the specific circumstances of each organization, and that too abstract principles can hardly be operationalized.

摘要

背景

越来越多的人期望许多医疗保健组织能够实施创新。创新理念在实践中对医疗保健系统产生影响的一个障碍似乎是实施阶段的困难。与创新实施相关的理论观点缺乏具体化。本文回答的研究问题是:哪些促进因素可以促进医疗保健背景下从创意生成到实施的具体步骤?

方法

该研究采用定性行动研究方法进行,研究人员参与了创新实施项目。本文的作者是一个涉及大约 54 名从业者的合作创新实施项目的一部分。该项目由五个利益相关者管理:(1)达拉纳郡议会区域医疗保健管理局的辅助技术司;(2)康复司;(3)莱克桑德市的家庭护理和社会服务司;(4)达拉纳大学;和(5)乌普萨拉大学。通过“珍珠生成”技术,以框架的形式确定并向从业者介绍了六个实施管理视角。从业者进一步努力使这六个视角具体化。通过五次研讨会和研究人员与从业者之间的合作收集了数据。数据是根据管理者在这六个视角中想要实现的目标(理想情况)和实现这一情况的主要手段进行聚类的。

结果

本文所依据的研究产生了 35 个成功创新实施的具体促进因素,分布在最初提出的六个理论视角中。

结论

将管理原则具体化为促进因素一方面表明,理论原则具有实际价值,但另一方面,它们必须适应每个组织的具体情况,过于抽象的原则几乎无法付诸实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f789/9808278/38172f047682/ijhpm-11-2261-g001.jpg

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