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Health system redesign: Changing thoughts, values, and behaviours for the co‐production of a safety culture

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  • Kathy Eljiz
  • David Greenfield
  • Alison Derrett
  • Simon Radmore

Abstract

Purpose Simultaneous incremental and revolutionary systems change is a norm for many health care organisations. Organisational redesign, incorporating physical redevelopments and technological innovations, drives revolutionary transformations. Redesigning health facilities provides opportunities for improving and sustaining safe, high‐quality patient care. There is a need for the creation of knowledge, based on empirical research, to inform how to effectively plan, implement, and evaluate health organisational redesign, underpinned by co‐production principles. Findings Using an Australian case study, we identify and discuss the opportunities and challenges, aligned with safety and quality requirements, to undertake redesign projects. Through an analysis of redesign and governance accountabilities, we identify five key foci for health leaders, and their communities, to plan, implement and evaluate organisational redesign. Conclusion By rebuilding and engaging with patients and consumers to organise, manage and deliver care, the redesign process allows us to change thoughts, values, and behaviours to achieve better patient outcomes.

Suggested Citation

  • Kathy Eljiz & David Greenfield & Alison Derrett & Simon Radmore, 2019. "Health system redesign: Changing thoughts, values, and behaviours for the co‐production of a safety culture," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1477-1484, October.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:4:p:1477-1484
    DOI: 10.1002/hpm.2798
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    References listed on IDEAS

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    1. Hicks, Chris & McGovern, Tom & Prior, Gary & Smith, Iain, 2015. "Applying lean principles to the design of healthcare facilities," International Journal of Production Economics, Elsevier, vol. 170(PB), pages 677-686.
    2. Karen Carlisle & Jane Farmer & Judy Taylor & Sarah Larkins & Rebecca Evans, 2018. "Evaluating community participation: A comparison of participatory approaches in the planning and implementation of new primary health‐care services in northern Australia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(3), pages 704-722, July.
    3. Foley, Conor & Droog, Elsa & Healy, Orla & McHugh, Sheena & Buckley, Claire & Browne, John Patrick, 2017. "Understanding perspectives on major system change: A comparative case study of public engagement and the implementation of urgent and emergency care system reconfiguration," Health Policy, Elsevier, vol. 121(7), pages 800-808.
    4. Alexandre Sá & Bárbara Peleteiro, 2018. "The effect of chronic disease family history on the adoption of healthier lifestyles," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(4), pages 906-917, October.
    5. Yasar A. Ozcan & Jaya Khushalani, 2017. "Assessing efficiency of public health and medical care provision in OECD countries after a decade of reform," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 25(2), pages 325-343, June.
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