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


Eljiz, K and Greenfield, D and Derrett, A and Radmore, S, Health system redesign: changing thoughts, values, and behaviours for the co‐production of a safety culture, International Journal of Health Planning and Management, 34, (4) pp. 1477-1484. ISSN 1099-1751 (2019) [Refereed Article]

Copyright Statement

Copyright 2019 John Wiley & Sons, Ltd.

DOI: doi:10.1002/hpm.2798


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.

Item Details

Item Type:Refereed Article
Keywords:change, co‐production, health care, redesign, safety culture
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Eljiz, K (Dr Kathy Eljiz)
UTAS Author:Greenfield, D (Professor David Greenfield)
ID Code:132893
Year Published:2019
Web of Science® Times Cited:1
Deposited By:Australian Institute of Health Service Management
Deposited On:2019-05-24
Last Modified:2020-05-05

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