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Characteristics of health care organizations associated with learning and development: lessons from a pilot study
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0003-2281-4622
2009 (English)In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 18, no 4, 285-294 p.Article in journal (Refereed) Published
Abstract [en]

Characteristics of health care organizations associated with an ability to learn from experiences and to develop and manage change were explored in this study. Understanding of these characteristics is necessary to identify factors influencing success in learning from the past and achieving future health care quality objectives. A literature review of the quality improvement, strategic organizational development and change management, organizational learning, and microsystems fields identified 20 organizational characteristics, grouped under (a) organizational systems, (b) key actors, and (c) change management processes. Qualitative methods, using interviews, focus group reports, and archival records, were applied to find associations between identified characteristics and 6 Swedish health care units externally evaluated as delivering high-quality care. Strong support for a characteristic was defined as units having more than 4 sources describing the characteristic as an important success factor. Eighteen characteristics had strong support from at least 2 units. The strongest evidence was found for the following: (i) key actors have long-term commitment, provide support, and make sense of ambiguous situations; (ii) organizational systems encourage employee commitment, participation, and involvement; and (iii) change management processes are employed systematically. Based on the results, a new model of "characteristics associated with learning and development in health care organizations" is proposed.

Place, publisher, year, edition, pages
2009. Vol. 18, no 4, 285-294 p.
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:umu:diva-64086DOI: 10.1097/QMH.0b013e3181bee19ePubMedID: 19851236OAI: oai:DiVA.org:umu-64086DiVA: diva2:587768
Available from: 2013-01-15 Created: 2013-01-15 Last updated: 2017-12-06Bibliographically approved

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CiteExportLink to record
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  • apa
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  • Other style
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  • de-DE
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  • en-US
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  • nn-NO
  • nn-NB
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More languages
Output format
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  • asciidoc
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