Theories on implementation of change in healthcare

Richard Grol, Michel Wensing, Marije Caroline Bosch, Marlies Hulscher, Martin Eccles

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


This chapter presents a number of current, popular theories from different disciplines in four categories: theories that focus on individual factors, theories about social influence, theories about the influence of organizational factors, and theories about the influence of economic factors on changing healthcare. The theories are divided into impact theories and process theories. The chapter focuses primarily on impact theories which suggest concrete factors that may influence change processes. Many theories can contribute to describing and explaining effective implementation of changes in patient care. For practical purposes, an integrated model is needed that offers direct support for designing and planning implementation activities in normal patient care. Two practical and commonplace examples are used to illustrate the theories. The first example is hand hygiene. The second example concerns the management of patients with diabetes mellitus.
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
Pages18 - 39
Number of pages22
ISBN (Print)9780470673386
Publication statusPublished - 2013

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