Determinants of change

Michel Wensing, Marije Caroline Bosch, Richard Grol

Research output: Chapter in Book/Report/Conference proceedingChapter (Book)Other

Abstract

A wide range of factors can influence the process of the implementation of innovations in healthcare practice. These factors are related to the innovation that is implemented, the individuals who are expected to adopt it, the social setting in which they act, the healthcare organization, and health systems. The ?determinants of change? can strengthen or weaken the impact of implementation strategies. This chapter describes factors to be considered in a diagnostic analysis preceding a program for improving healthcare. A diagnostic analysis of determinants of implementation is an important component of planned implementation programs. A comprehensive diagnostic analysis comprises an analysis of stakeholders, identification of determinants related to specific goals for improvement, and identification of relevant subgroups among adopters of the innovation. Research evidence supporting the actual impact of specific determinants on process of implementation is limited. This chapter focuses on the impact of team processes on the uptake of innovations.
Original languageEnglish
Title of host publicationImproving Patient Care: The Implementation of Change in Health Care, Second Edition
EditorsRichard Grol, Michel Wensing, Martin Eccles, David Davis
Place of PublicationOxford, United Kingdom
PublisherJohn Wiley & Sons
Pages139 - 150
Number of pages12
Edition2nd
ISBN (Print)9780470673386
DOIs
Publication statusPublished - 2013

Cite this

Wensing, M., Bosch, M. C., & Grol, R. (2013). Determinants of change. In R. Grol, M. Wensing, M. Eccles, & D. Davis (Eds.), Improving Patient Care: The Implementation of Change in Health Care, Second Edition (2nd ed., pp. 139 - 150). Oxford, United Kingdom: John Wiley & Sons. https://doi.org/10.1002/9781118525975.ch8
Wensing, Michel ; Bosch, Marije Caroline ; Grol, Richard. / Determinants of change. Improving Patient Care: The Implementation of Change in Health Care, Second Edition. editor / Richard Grol ; Michel Wensing ; Martin Eccles ; David Davis. 2nd. ed. Oxford, United Kingdom : John Wiley & Sons, 2013. pp. 139 - 150
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Wensing, M, Bosch, MC & Grol, R 2013, Determinants of change. in R Grol, M Wensing, M Eccles & D Davis (eds), Improving Patient Care: The Implementation of Change in Health Care, Second Edition. 2nd edn, John Wiley & Sons, Oxford, United Kingdom, pp. 139 - 150. https://doi.org/10.1002/9781118525975.ch8

Determinants of change. / Wensing, Michel; Bosch, Marije Caroline; Grol, Richard.

Improving Patient Care: The Implementation of Change in Health Care, Second Edition. ed. / Richard Grol; Michel Wensing; Martin Eccles; David Davis. 2nd. ed. Oxford, United Kingdom : John Wiley & Sons, 2013. p. 139 - 150.

Research output: Chapter in Book/Report/Conference proceedingChapter (Book)Other

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AB - A wide range of factors can influence the process of the implementation of innovations in healthcare practice. These factors are related to the innovation that is implemented, the individuals who are expected to adopt it, the social setting in which they act, the healthcare organization, and health systems. The ?determinants of change? can strengthen or weaken the impact of implementation strategies. This chapter describes factors to be considered in a diagnostic analysis preceding a program for improving healthcare. A diagnostic analysis of determinants of implementation is an important component of planned implementation programs. A comprehensive diagnostic analysis comprises an analysis of stakeholders, identification of determinants related to specific goals for improvement, and identification of relevant subgroups among adopters of the innovation. Research evidence supporting the actual impact of specific determinants on process of implementation is limited. This chapter focuses on the impact of team processes on the uptake of innovations.

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Wensing M, Bosch MC, Grol R. Determinants of change. In Grol R, Wensing M, Eccles M, Davis D, editors, Improving Patient Care: The Implementation of Change in Health Care, Second Edition. 2nd ed. Oxford, United Kingdom: John Wiley & Sons. 2013. p. 139 - 150 https://doi.org/10.1002/9781118525975.ch8