A Gateway Framework to Guide Major Health System Changes; Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration”
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...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2023-12-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | https://www.ijhpm.com/article_4417_f713429bfc1043fe8c2e5dd1b68db625.pdf |
| _version_ | 1827281637672484864 |
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| author | Kathy Eljiz David Greenfield Alison Derrett |
| author_facet | Kathy Eljiz David Greenfield Alison Derrett |
| author_sort | Kathy Eljiz |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T09:04:36Z |
| format | Article |
| id | doaj.art-07280576c6304b11a2a222fd70ad0a15 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-24T09:04:36Z |
| publishDate | 2023-12-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-07280576c6304b11a2a222fd70ad0a152024-04-15T19:04:26ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392023-12-0112Issue 11410.34172/ijhpm.2023.76814417A Gateway Framework to Guide Major Health System Changes; Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration”Kathy Eljiz0David Greenfield1Alison Derrett2University of New South Wales, Sydney, NSW, AustraliaUniversity of New South Wales, Sydney, NSW, AustraliaWestern Sydney Local Health District, Sydney, NSW, AustraliaRecent 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.https://www.ijhpm.com/article_4417_f713429bfc1043fe8c2e5dd1b68db625.pdfmajor system changerestructuringhealth systemshealthcare safetyhealthcare quality |
| spellingShingle | Kathy Eljiz David Greenfield Alison Derrett A Gateway Framework to Guide Major Health System Changes; Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration” International Journal of Health Policy and Management major system change restructuring health systems healthcare safety healthcare quality |
| title | A Gateway Framework to Guide Major Health System Changes; Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration” |
| title_full | A Gateway Framework to Guide Major Health System Changes; Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration” |
| title_fullStr | A Gateway Framework to Guide Major Health System Changes; Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration” |
| title_full_unstemmed | A Gateway Framework to Guide Major Health System Changes; Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration” |
| title_short | A Gateway Framework to Guide Major Health System Changes; Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration” |
| title_sort | gateway framework to guide major health system changes comment on attending to history in major system change in healthcare in england specialist cancer surgery service reconfiguration |
| topic | major system change restructuring health systems healthcare safety healthcare quality |
| url | https://www.ijhpm.com/article_4417_f713429bfc1043fe8c2e5dd1b68db625.pdf |
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