"The findings suggest that large scale redesign projects are difficult to sustain because of changing circumstances, staff turnover, and the challenge of maintaining momentum. A more realistic approach centres on building teams, with local leadership, focussed on clinical/patient concerns and engagement with services provided outside hospital."
Theme 1: Health service redesign: from structure to function: the impact of change
A Hewison
Collaborations for Leadership in Applied Health Research and Care: Birmingham and Black Country
University of Birmingham, National Institute for Health Research
2014
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