University of New South Wales, Sydney, NSW, Australia.
Western Sydney Local Health District, Sydney, NSW, Australia.
Int J Health Policy Manag. 2023;12:7681. doi: 10.34172/ijhpm.2023.7681. Epub 2023 Mar 12.
Recent events - on both a global scale and within individual countries - including the lockdowns associated with COVID-19 pandemic, inflation concerns, and political tensions, have increased pressure to reconfigure social services for ongoing sustainability. Healthcare services across the world are undergoing major system change (MSC). Given the complexity and different contextual drivers across healthcare systems, there is a need to use a variety of perspectives to improve our understanding of the processes for MSC. To expand the knowledge base and develop strategies for MSC requires analysing change projects from different perspectives to distil the elements that drove the success. We offer the Gateway Framework as a collaborative transformational system tool to assess and reorganise operations, services, and systems of healthcare organisations. This framework and guiding questions, accounts for past events whilst being proactive, future orientated, and derived from externally defined and a standardised requirements to promote safe, high-quality care.
近期事件——无论是在全球范围内还是在个别国家内——包括与 COVID-19 大流行相关的封锁、通胀问题和政治紧张局势，都加大了为持续可持续性重新配置社会服务的压力。全球各地的医疗保健服务正在进行重大系统变革 (MSC)。鉴于医疗保健系统之间的复杂性和不同的背景驱动因素，需要使用多种观点来加深我们对 MSC 过程的理解。要扩展知识库并制定 MSC 策略，需要从不同角度分析变革项目，以提取推动成功的要素。我们提供网关框架作为协作转型系统工具，以评估和重组医疗保健组织的运营、服务和系统。该框架和指导问题考虑到了过去的事件，同时具有前瞻性，面向未来，并源自外部定义和标准化的要求，以促进安全、高质量的护理。
