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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...

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Detalles Bibliográficos
Autores principales: Eljiz, Kathy, Greenfield, David, Derrett, Alison
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kerman University of Medical Sciences 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461867/
https://www.ncbi.nlm.nih.gov/pubmed/37579415
http://dx.doi.org/10.34172/ijhpm.2023.7681
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author Eljiz, Kathy
Greenfield, David
Derrett, Alison
author_facet Eljiz, Kathy
Greenfield, David
Derrett, Alison
author_sort Eljiz, Kathy
collection PubMed
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.
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spelling pubmed-104618672023-08-29 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" Eljiz, Kathy Greenfield, David Derrett, Alison Int J Health Policy Manag Commentary 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. Kerman University of Medical Sciences 2023-03-12 /pmc/articles/PMC10461867/ /pubmed/37579415 http://dx.doi.org/10.34172/ijhpm.2023.7681 Text en © 2023 The Author(s); Published by Kerman University of Medical Sciences https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Commentary
Eljiz, Kathy
Greenfield, David
Derrett, Alison
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 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 Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461867/
https://www.ncbi.nlm.nih.gov/pubmed/37579415
http://dx.doi.org/10.34172/ijhpm.2023.7681
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