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

journal contribution
posted on 2023-05-20, 03:56 authored by Kathy Eljiz, Greenfield, D, Derrett, A, Radmore, S

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.

History

Publication title

International Journal of Health Planning and Management

Volume

34

Issue

4

Pagination

1477-1484

ISSN

1099-1751

Department/School

College Office - College of Business and Economics

Publisher

John Wiley & Sons Ltd

Place of publication

United Kingdom

Rights statement

Copyright 2019 John Wiley & Sons, Ltd.

Repository Status

  • Restricted

Socio-economic Objectives

Evaluation of health and support services not elsewhere classified

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