Large-system transformation in health care: a realist review.

PubWeight™: 2.64‹?› | Rank: Top 1%

🔗 View Article (PMC 3479379)

Published in Milbank Q on September 01, 2012

Authors

Allan Best1, Trisha Greenhalgh, Steven Lewis, Jessie E Saul, Simon Carroll, Jennifer Bitz

Author Affiliations

1: InSource Research Group, West Vancouver, BC, Canada. allan.best@in-source.ca

Associated clinical trials:

Patient-Centred Innovations for Persons With Multimorbidity - Quebec (PACEinMM-QC) | NCT02789800

Patient-Centred Innovations for Persons With Multimorbidity - Ontario (PACEinMM-ON) | NCT02742597

Articles citing this

Rethinking the patient: using Burden of Treatment Theory to understand the changing dynamics of illness. BMC Health Serv Res (2014) 1.81

A taxonomy of behaviour change methods: an Intervention Mapping approach. Health Psychol Rev (2015) 1.63

A scoping review of rapid review methods. BMC Med (2015) 1.26

Barriers, facilitators and views about next steps to implementing supports for evidence-informed decision-making in health systems: a qualitative study. Implement Sci (2014) 1.23

Integrated care pilot in north-west London: a mixed methods evaluation. Int J Integr Care (2013) 1.14

Innovations in major system reconfiguration in England: a study of the effectiveness, acceptability and processes of implementation of two models of stroke care. Implement Sci (2013) 1.14

Better together? a naturalistic qualitative study of inter-professional working in collaborative care for co-morbid depression and physical health problems. Implement Sci (2013) 1.13

Advancing the application of systems thinking in health: managing rural China health system development in complex and dynamic contexts. Health Res Policy Syst (2014) 1.10

A cognitive perspective on health systems integration: results of a Canadian Delphi study. BMC Health Serv Res (2014) 1.09

The Program Sustainability Assessment Tool: a new instrument for public health programs. Prev Chronic Dis (2014) 1.06

Lean and leadership practices: development of an initial realist program theory. BMC Health Serv Res (2015) 0.98

Collective action for implementation: a realist evaluation of organisational collaboration in healthcare. Implement Sci (2016) 0.93

"If we build it, will it stay?" A case study of the sustainability of whole-system change in London. Milbank Q (2012) 0.91

Implementing a continuum of evidence-based psychosocial interventions for people with severe mental illness: part 1-review of major initiatives and implementation strategies. Can J Psychiatry (2014) 0.91

Promoting good policy for leadership and governance of health related rehabilitation: a realist synthesis. Global Health (2016) 0.87

Lessons for major system change: centralization of stroke services in two metropolitan areas of England. J Health Serv Res Policy (2016) 0.86

Explaining outcomes in major system change: a qualitative study of implementing centralised acute stroke services in two large metropolitan regions in England. Implement Sci (2016) 0.84

Networks to strengthen health systems for chronic disease prevention. Am J Public Health (2013) 0.84

INFRASTRUCTURAL MECHANISMS LEADING TOWARD PRO-ACCOUNTABLE CARE ORGANISATION ORIENTATION: A SURVEY OF HOSPITAL MANAGERS. Int J Public Pol (2014) 0.84

Mixed methods evaluation of the Getting it Right First Time programme - improvements to NHS orthopaedic care in England: study protocol. BMC Health Serv Res (2017) 0.83

What makes Health Demand-Side Financing Schemes Work in Low-and Middle-Income Countries? A Realist Review. J Public Health Res (2014) 0.82

Research protocol: a realist synthesis of cross-border patient mobility from low-income and middle-income countries. BMJ Open (2014) 0.81

Big data in global health: improving health in low- and middle-income countries. Bull World Health Organ (2015) 0.81

Research protocol: a realist synthesis of contestability in community-based mental health markets. Syst Rev (2015) 0.81

The interplay of contextual elements in implementation: an ethnographic case study. BMC Health Serv Res (2015) 0.81

SCALS: a fourth-generation study of assisted living technologies in their organisational, social, political and policy context. BMJ Open (2016) 0.81

A Decade Lost: Primary Healthcare Performance Reporting across Canada under the Action Plan for Health System Renewal. Healthc Policy (2016) 0.79

Strategies to facilitate implementation and sustainability of large system transformations: a case study of a national program for improving quality of care for elderly people. BMC Health Serv Res (2014) 0.79

Whole-system change: case study of factors facilitating early implementation of a primary health care reform in a South African province. BMC Health Serv Res (2014) 0.78

Implementing large-scale workforce change: learning from 55 pilot sites of allied health workforce redesign in Queensland, Australia. Hum Resour Health (2013) 0.78

Development and psychometric testing of the clinical networks engagement tool. PLoS One (2017) 0.77

Measures of Quality of Care for People with HIV: A Scoping Review of Performance Indicators for Primary Care. PLoS One (2015) 0.77

Advancing a research agenda for bridging ageing and disability. Int J Integr Care (2012) 0.77

The Participative Design of an Endoscopy Facility using Lean 3P. BMJ Qual Improv Rep (2016) 0.77

Meeting the Challenge of a More Person-centered Future for US Healthcare. Glob Adv Health Med (2016) 0.76

How stakeholder participation can contribute to systematic reviews of complex interventions. J Epidemiol Community Health (2015) 0.76

Simulation modelling as a tool for knowledge mobilisation in health policy settings: a case study protocol. Health Res Policy Syst (2016) 0.75

Teaching commentary on "A primary care-based multidisciplinary readmission prevention program": essential aspects of comparability and context in practice-based program evaluation. J Gen Intern Med (2014) 0.75

Scaling up complex interventions: insights from a realist synthesis. Health Res Policy Syst (2016) 0.75

Role of institutional entrepreneurship in building adaptive capacity in community-based healthcare organisations: realist review protocol. BMJ Open (2016) 0.75

eHealth in the future of medications management: personalisation, monitoring and adherence. BMC Med (2017) 0.75

Reorganising specialist cancer surgery for the twenty-first century: a mixed methods evaluation (RESPECT-21). Implement Sci (2016) 0.75

Impact Evaluation of a System-Wide Chronic Disease Management Program on Health Service Utilisation: A Propensity-Matched Cohort Study. PLoS Med (2016) 0.75

Examining the use of process evaluations of randomised controlled trials of complex interventions addressing chronic disease in primary health care-a systematic review protocol. Syst Rev (2016) 0.75

Governance Must Dive Into Organizations to Make a Real Difference Comment on "Governance, Government, and the Search for New Provider Models". Int J Health Policy Manag (2016) 0.75

Do complexity-informed health interventions work? A scoping review. Implement Sci (2016) 0.75

Towards the implementation of large scale innovations in complex health care systems: views of managers and frontline personnel. BMC Res Notes (2016) 0.75

Embedding research in health systems: lessons from complexity theory. Health Res Policy Syst (2016) 0.75

Understanding for whom, under what conditions, and how group-based physical activity interventions are successful: a realist review. BMC Public Health (2015) 0.75

Study protocol: DEcisions in health Care to Introduce or Diffuse innovations using Evidence (DECIDE). Implement Sci (2016) 0.75

Capturing the experiences of patients across multiple complex interventions: a meta-qualitative approach. BMJ Open (2015) 0.75

Knowledge mobilisation for policy development: implementing systems approaches through participatory dynamic simulation modelling. Health Res Policy Syst (2017) 0.75

Articles cited by this

Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q (2004) 34.12

Complexity science: The challenge of complexity in health care. BMJ (2001) 12.95

Realist review--a new method of systematic review designed for complex policy interventions. J Health Serv Res Policy (2005) 12.61

The science of improvement. JAMA (2008) 8.06

Complexity, leadership, and management in healthcare organisations. BMJ (2001) 8.06

Learning from evidence in a complex world. Am J Public Health (2006) 5.87

A 2020 vision of patient-centered primary care. J Gen Intern Med (2005) 5.58

What do patients and the public want from primary care? BMJ (2005) 4.56

An agenda for research on the sustainability of public health programs. Am J Public Health (2011) 3.41

Transformational change in health care systems: an organizational model. Health Care Manage Rev (2007) 3.27

How do you modernize a health service? A realist evaluation of whole-scale transformation in london. Milbank Q (2009) 3.13

Advancing the science of community-level interventions. Am J Public Health (2011) 2.86

How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. Jt Comm J Qual Patient Saf (2009) 2.64

Public participation in health care priority setting: A scoping review. Health Policy (2009) 2.52

Protocol--realist and meta-narrative evidence synthesis: evolving standards (RAMESES). BMC Med Res Methodol (2011) 2.41

Getting it right: why bother with patient-centred care? Med J Aust (2003) 2.11

Leading organisational learning in health care. Qual Saf Health Care (2002) 1.94

What are the essential elements to enable patient participation in medical decision making? J Gen Intern Med (2007) 1.75

Adoption of patient-centered care practices by physicians: results from a national survey. Arch Intern Med (2006) 1.61

Medicine and management in a comparative perspective: the case of Denmark and England. Sociol Health Illn (2009) 1.26

Change agency in a primary health care context: the case of distributed leadership. Health Care Manage Rev (2010) 1.24

Implementing strategic change in a health care system: the importance of leadership and change readiness. Health Care Manage Rev (2008) 1.19

Redesigning care processes using an electronic health record: a system's experience. Jt Comm J Qual Patient Saf (2009) 1.18

Building capacity for a transformation initiative: system redesign at Denver Health. Health Care Manage Rev (2008) 1.09

The use of performance improvement methods to enhance emergency department patient satisfaction in the United States: a critical review of the literature and suggestions for future research. Acad Emerg Med (2006) 1.03

Market-oriented, demand-driven health care reforms and equity in health and health care utilization in Sweden. Int J Health Serv (2009) 0.96

Implementing and sustaining transformational change in health care: lessons learnt about clinical process redesign. Med J Aust (2008) 0.96

A case for government ownership of primary care services in New Zealand: weighing the arguments. Int J Health Serv (2004) 0.92

Health system regionalization in Canada's provincial and territorial health systems: do citizen governance boards represent, engage, and empower? Int J Health Serv (2009) 0.88

Patient safety and health policy: a history and review. Hematol Oncol Clin North Am (2002) 0.87

Incentives and control in primary health care: findings from English pay-for-performance case studies. J Health Organ Manag (2008) 0.84

Getting 'Lean': hardwiring process excellence into Northeast Health. J Healthc Inf Manag (2009) 0.83

Theory and practice of waiting time data as a performance indicator in health care. A case study from The Netherlands. Health Policy (2004) 0.82

Articles by these authors

Realist review--a new method of systematic review designed for complex policy interventions. J Health Serv Res Policy (2005) 12.61

An open letter to The BMJ editors on qualitative research. BMJ (2016) 7.49

Effect on smoking quit rate of telling patients their lung age: the Step2quit randomised controlled trial. BMJ (2008) 5.75

Selecting, designing, and developing your questionnaire. BMJ (2004) 4.10

Uncovering the benefits of participatory research: implications of a realist review for health research and practice. Milbank Q (2012) 3.71

The standardised admission ratio for measuring widening participation in medical schools: analysis of UK medical school admissions by ethnicity, socioeconomic status, and sex. BMJ (2004) 3.55

Internet-based medical education: a realist review of what works, for whom and in what circumstances. BMC Med Educ (2010) 3.37

Ethnic stereotypes and the underachievement of UK medical students from ethnic minorities: qualitative study. BMJ (2008) 3.05

Risk models and scores for type 2 diabetes: systematic review. BMJ (2011) 3.02

Advancing the science of patient safety. Ann Intern Med (2011) 2.45

Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case study. BMJ (2011) 2.42

Rapid E2-E3 assembly and disassembly enable processive ubiquitylation of cullin-RING ubiquitin ligase substrates. Cell (2009) 2.40

Soft networks for bridging the gap between research and practice: illuminative evaluation of CHAIN. BMJ (2004) 2.31

Online advertising as a public health and recruitment tool: comparison of different media campaigns to increase demand for smoking cessation interventions. J Med Internet Res (2008) 2.30

Revalidation: a critical perspective. Br J Gen Pract (2011) 2.22

Dances with the pharmaceutical industry. CMAJ (2002) 2.21

Prevention of type 2 diabetes in British Bangladeshis: qualitative study of community, religious, and professional perspectives. BMJ (2008) 2.14

England's national programme for IT. BMJ (2013) 2.07

Realist methods in medical education research: what are they and what can they contribute? Med Educ (2012) 2.02

Overview of a formal scoping review on health system report cards. Implement Sci (2010) 1.95

Essential role for ubiquitin-ubiquitin-conjugating enzyme interaction in ubiquitin discharge from Cdc34 to substrate. Mol Cell (2011) 1.92

The top patient safety strategies that can be encouraged for adoption now. Ann Intern Med (2013) 1.87

Computer templates in chronic disease management: ethnographic case study in general practice. BMJ Open (2012) 1.86

Evidence into action: changing practice in primary care. Occas Pap R Coll Gen Pract (2002) 1.71

Courting trouble: the Supreme Court's embrace of private health insurance: use and misuse of social science evidence by the Supreme Court--how should Canadian governments respond? Healthc Policy (2005) 1.68

Reaching beyond the white middle classes. BMJ (2004) 1.67

Realist RCTs of complex interventions - an oxymoron. Soc Sci Med (2013) 1.66

Recognizing rhetoric in health care policy analysis. J Health Serv Res Policy (2008) 1.58

"You have to cover up the words of the doctor": the mediation of trust in interpreted consultations in primary care. J Health Organ Manag (2006) 1.53

Utilization of smoking cessation informational, interactive, and online community resources as predictors of abstinence: cohort study. J Med Internet Res (2008) 1.53

Neoliberalism, conflict of interest, and the governance of health research in Canada. Open Med (2010) 1.49

Community based yoga classes for type 2 diabetes: an exploratory randomised controlled trial. BMC Health Serv Res (2009) 1.47

"No decisions about us without us"? Individual healthcare rationing in a fiscal ice age. BMJ (2011) 1.46

Respiratory health professionals call on MPs to vote to ban smoking in cars with children. BMJ (2014) 1.45

"Smart boys" and "sweet girls"--sex education needs in Thai teenagers: a mixed-method study. Lancet (2006) 1.45

Moving beyond the cathedral model for IT development. BMJ (2011) 1.39

RCP should make an urgent statement against Health and Social Care Bill. Lancet (2012) 1.39

Adopting and assimilating new non-pharmaceutical technologies into health care: a systematic review. J Health Serv Res Policy (2010) 1.39

"This does my head in". Ethnographic study of self-management by people with diabetes. BMC Health Serv Res (2012) 1.38

Why do we always end up here? Evidence-based medicine's conceptual cul-de-sacs and some off-road alternative routes. J Prim Health Care (2012) 1.38

Technology as system innovation: a key informant interview study of the application of the diffusion of innovation model to telecare. Disabil Rehabil Assist Technol (2013) 1.18

Research governance: where did it come from, what does it mean? J R Soc Med (2005) 1.15

An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Health Serv Res (2005) 1.11

Assessing the benefits of participatory research: a rationale for a realist review. Glob Health Promot (2011) 1.11

Looking for a better future: identity construction in socio-economically deprived 16-year olds considering a career in medicine. Soc Sci Med (2007) 1.11

Improving population health one person at a time? Accountable care organisations: perceptions of population health--a qualitative interview study. BMJ Open (2014) 1.10

A biosensor generated via high-throughput screening quantifies cell edge Src dynamics. Nat Chem Biol (2011) 1.09

Revisiting interaction in knowledge translation. Implement Sci (2007) 1.08

The comparative effectiveness of clinic, work-site, phone, and Web-based tobacco treatment programs. Nicotine Tob Res (2010) 1.07

'Never heard of it'- understanding the public's lack of awareness of a new electronic patient record. Health Expect (2010) 1.07

Feasibility study of geospatial mapping of chronic disease risk to inform public health commissioning. BMJ Open (2012) 1.04

Best research--for what? Best health--for whom? A critical exploration of primary care research using discourse analysis. Soc Sci Med (2008) 1.03

Determinants of knowledge gain in evidence-based medicine short courses: an international assessment. Open Med (2010) 0.98

Pay for performance: the wrong time, the wrong place? Healthc Q (2009) 0.97

Designing assisted living technologies 'in the wild': preliminary experiences with cultural probe methodology. BMC Med Res Methodol (2012) 0.97

Sampling 'hard-to-reach' populations in health research: yield from a study targeting Americans living in Canada. BMC Med Res Methodol (2008) 0.97

Ethnographic study of ICT-supported collaborative work routines in general practice. BMC Health Serv Res (2010) 0.96

Performance measurement in healthcare: part II--state of the science findings by stage of the performance measurement process. Healthc Policy (2006) 0.96

Naturally occurring triggers that induce apoptosis-like programmed cell death in Plasmodium berghei ookinetes. PLoS One (2010) 0.96

Opening up the 'black box' of the electronic patient record: a linguistic ethnographic study in general practice. Commun Med (2011) 0.95

Identifying potentially avoidable hospital admissions from canadian long-term care facilities. Med Care (2009) 0.95

A time-responsive tool for informing policy making: rapid realist review. Implement Sci (2013) 0.95

Performance measurement in healthcare: part I--concepts and trends from a State of the Science Review. Healthc Policy (2006) 0.94

Act now against new NHS competition regulations: an open letter to the BMA and the Academy of Medical Royal Colleges calls on them to make a joint public statement of opposition to the amended section 75 regulations. BMJ (2013) 0.91

Quantifying the risk of type 2 diabetes in East London using the QDScore: a cross-sectional analysis. Br J Gen Pract (2012) 0.91

Assisted dying debate: Try another approach, BMJ. BMJ (2011) 0.91

Affordability as a discursive accomplishment in a changing National Health Service. Soc Sci Med (2012) 0.90

General practices as emergent research organizations: a qualitative study into organizational development. Fam Pract (2005) 0.90

Community-based participatory action research: transforming multidisciplinary practice in primary health care. Rev Panam Salud Publica (2007) 0.89

Extreme makeover: can we achieve rapid improvement in Canada's healthcare system? Healthc Pap (2005) 0.87

What prosperous, highly educated Americans living in Canada think of the Canadian and US health care systems. Open Med (2007) 0.86

The role of primary care physicians in advanced cancer care: perspectives of older patients and their oncologists. J Am Geriatr Soc (2009) 0.86

Polymerization development of "low-shrink" resin composites: Reaction kinetics, polymerization stress and quality of network. Dent Mater (2013) 0.86

The importance of using the correct bounds on the Bland-Altman limits of agreement when multiple measurements are recorded per patient. J Clin Monit Comput (2010) 0.85

Assessing the preconditions for communication influence on decision making: the North American Quitline Consortium. Health Commun (2012) 0.85

The BMJ and the Big Society. BMJ (2011) 0.85

[Towards a framework to assess the effectiveness of community-based health promotion initiatives: recent North-American developments]. Promot Educ (2004) 0.85

Recommendations from the International Union of Radioecology to improve guidance on radiation protection. Integr Environ Assess Manag (2011) 0.84

What is evidence? Reflections on the AMEE symposium, Vienna, August 2011. Med Teach (2012) 0.83

Exploring the relationship between acculturation and smoking behavior within four Southeast Asian communities of Minnesota. Nicotine Tob Res (2010) 0.83

Effectiveness and safety of patient activation interventions for adults with type 2 diabetes: systematic review, meta-analysis, and meta-regression. J Gen Intern Med (2014) 0.83

Why did the Lancet take so long? BMJ (2010) 0.82

Why many hands make IT work. Health Serv J (2010) 0.82

Disentangling Multiple Sclerosis and depression: an adjusted depression screening score for patient-centered care. J Behav Med (2014) 0.82

Thoughts on the day: strategic purchasing and equity. Healthc Pap (2007) 0.82

Experience of smokers and recent quitters with smokefree regulations and quitting. Am J Prev Med (2012) 0.80

Strengthening context-dependent anticancer effects on non-small cell lung carcinoma by inhibition of both MET and EGFR. Mol Cancer Ther (2013) 0.80

First aid kits for recreational dive boats, what should they contain? Travel Med Infect Dis (2010) 0.80

Whole System Demonstrator trial: policy, politics, and publication ethics. BMJ (2012) 0.80

Obesity in Hong Kong Chinese preschool children: where are all the nurses? J Pediatr Nurs (2009) 0.79

Addressing the 'postcode lottery' in local resource allocation decisions: a framework for clinical commissioning groups. J R Soc Med (2013) 0.79

Doctors' views of clinical practice guidelines: a qualitative exploration using innovation theory. J Eval Clin Pract (2007) 0.79

Achieving and sustaining profound institutional change in healthcare: case study using neo-institutional theory. Soc Sci Med (2013) 0.79

The relationship between acculturation and knowledge of health harms and benefits associated with smoking in the Latino population of Minnesota. Addict Behav (2009) 0.79

'Cosmetic boob jobs' or evidence-based breast surgery: an interpretive policy analysis of the rationing of 'low value' treatments in the English National Health Service. BMC Health Serv Res (2014) 0.78

Sustaining organizational culture change in health systems. J Health Organ Manag (2016) 0.78

Time to compare impact and feasibility of prediction models in real life. BMJ (2012) 0.78

Culture, acculturation and smoking use in Hmong, Khmer, Laotians, and Vietnamese communities in Minnesota. BMC Public Health (2014) 0.77

Early life risk factors for obesity in childhood: the hand that rocks the cradle rules the world. BMJ (2005) 0.77