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    Social practice theory offers a new lens for hospital improvement, moving beyond systems or individual behaviors. This approach analyzes existing practices to identify effective interventions for better healthcare delivery.

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    Area of Science:

    • Health Services Research
    • Sociology of Health
    • Organizational Studies

    Background:

    • Improving hospital healthcare delivery is a key challenge for policymakers, managers, and clinicians.
    • Conventional improvement strategies often focus narrowly on either systems or individual behaviors.
    • Social practice theory presents an alternative framework for understanding complex hospital operations.

    Purpose of the Study:

    • To explore how social practice theory can offer novel insights into hospital improvement.
    • To move beyond binary understandings of healthcare delivery by examining underlying practices.
    • To identify specific elements supporting or hindering effective healthcare practices within hospitals.

    Main Methods:

    • Analysis of two distinct hospital case studies.
    • Application of social practice theory principles to understand healthcare delivery.
    • Examination of practices, competencies, meanings, and infrastructure.

    Main Results:

    • Practice theory reveals how specific practices influence healthcare outcomes.
    • Identified how competencies, meanings, and infrastructure enable or constrain practices.
    • Demonstrated how modifying linkages supporting practices can alter outcomes.

    Conclusions:

    • Social practice theory provides a more nuanced understanding of hospital functioning.
    • This theoretical approach facilitates the development of targeted interventions for healthcare improvement.
    • Understanding and strengthening supportive linkages for key practices is crucial for enhancing hospital care.