Alsaqqa Hatem H
Al-Quds University, Deanship of Scientific Research, Al-Quds University, Jerusalem, Palestine.
Palestinian Ministry of Health, Gaza, Palestine.
J Multidiscip Healthc. 2025 Jun 14;18:3433-3446. doi: 10.2147/JMDH.S514080. eCollection 2025.
This review is intended to scrutinize different articles' types and determine a suitable process, model or framework for successful change in healthcare organizations. An integrative review of the literature was conducted. The search strategy began with three electronic databases (EBSCOhost, Google Scholar and PubMed). Considering the inclusion criteria, published articles that examined the change process within the healthcare organizations in the timeframe between 2000 and 2023 were chosen. Results extraction and analysis were completed on all the included articles. The final sample for this review comprised 19 studies. Based on common meanings and vital issues, 8 main themes contributing to change in healthcare organizations were integrated and grouped into four main categories (process dimensions), two adjunct factors (strategic dimensions) and one mediating tool and a result category. The four main categories are readiness to change, team-building, tangible and intangible variables' characteristics and the two adjunct factors are the metaphor design and time perspective. In addition to technology as a mediating role for change and the scale of the change as a resulted outcome. In general, collections that emerged in this study could be useful for framing initiatives to arouse organizational change in healthcare. However, little is known about the relative significance of each acknowledged factor within the change process in healthcare organizations. Various methodological research is recommended for narrowing this gap. Before beginning the change process, ongoing studies should focus on the psychological features of organizational scales for healthcare contexts.
本综述旨在审视不同类型的文章，并确定医疗保健组织成功变革的合适流程、模型或框架。我们对文献进行了综合综述。搜索策略始于三个电子数据库（EBSCOhost、谷歌学术和PubMed）。根据纳入标准，选取了2000年至2023年期间研究医疗保健组织变革过程的已发表文章。对所有纳入文章完成了结果提取和分析。本综述的最终样本包括19项研究。基于共同含义和关键问题，整合了促成医疗保健组织变革的8个主要主题，并将其分为四个主要类别（流程维度）、两个辅助因素（战略维度）、一个中介工具和一个结果类别。四个主要类别是变革准备、团队建设、有形和无形变量的特征，两个辅助因素是隐喻设计和时间视角。此外，技术作为变革的中介作用以及变革的规模作为结果。总体而言，本研究中出现的汇总内容可能有助于构建激发医疗保健组织变革的举措。然而，对于医疗保健组织变革过程中每个公认因素的相对重要性知之甚少。建议进行各种方法学研究以缩小这一差距。在开始变革过程之前，正在进行的研究应关注医疗保健背景下组织规模的心理特征。
