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Implementing a Decommissioning Programme in Swedish Healthcare: Experiences of Healthcare Managers
Inga-Britt Gustafsson1,2,3, Lars Wallin3,4, Ulrika Winblad1
1Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden.
Health Services Insights
|November 21, 2024
Summary
Healthcare decommissioning programs risk failure. Unit managers experienced less leadership support and participation than department managers, highlighting their crucial role in successful change management.
Area of Science:
- Healthcare Management
- Organizational Change
- Health Services Research
Background:
- Decommissioning programs in healthcare are prone to failure, especially when driven by resource scarcity.
- Understanding challenges faced by healthcare managers during such change processes is critical for success.
- This study focuses on the experiences of department and unit managers during a large-scale healthcare decommissioning program.
Purpose of the Study:
- To compare the experiences of department and unit managers during a large-scale healthcare decommissioning program.
- To identify differences in their perceptions of leadership, participation, commitment, and responsibility.
- To provide insights into enhancing the effectiveness of decommissioning initiatives by optimizing the involvement of unit managers.
Main Methods:
- A cross-sectional study was conducted using a survey.
- 172 healthcare managers (50 department, 122 unit managers) participated.
- The survey measured experiences related to regional leadership, personal participation, and commitment/responsibility.
Main Results:
- Significant differences were found between department and unit managers regarding leadership and participation.
- Unit managers reported greater dissatisfaction, lower leadership support, and less utilization of their knowledge and skills.
- Department managers reported more positive experiences compared to unit managers.
Conclusions:
- Unit managers are key actors in healthcare decommissioning programs.
- Involving unit managers more effectively can improve program outcomes.
- Addressing the specific concerns of unit managers is essential for successful healthcare change initiatives.
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