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Improving complex systems with improve-mentation: challenges and solutions.

John Ovretveit1

  • 1Department of Learning, Informatics, Management and Ethics, Karolinska Institutet Medical University, Stockholm, Sweden.

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Summary
This summary is machine-generated.

Improve-mentation combines implementation and improvement sciences for healthcare change. This iterative approach adapts to evolving global healthcare contexts, addressing complexity and generalisability challenges.

Keywords:
adaptive implementationcomplexitycontextimplementationimplementation strategiesimplementation toolsimprovementquality methods

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Area of Science:

  • Healthcare Management
  • Implementation Science
  • Change Management

Background:

  • The global healthcare landscape is rapidly evolving, necessitating innovative strategies for improvement.
  • Existing approaches may not adequately address the increasing complexity of healthcare systems worldwide.

Purpose of the Study:

  • To introduce and define 'improve-mentation' as a novel approach for driving change in healthcare.
  • To explore how improve-mentation integrates implementation science, improvement science, and practical experience.

Main Methods:

  • The article proposes the iterative nature of improve-mentation, emphasizing adaptation to changing contexts.
  • It details four distinct improve-mentation frameworks.
  • Case examples are used to illustrate the application and outcomes of these frameworks.

Main Results:

  • Improve-mentation offers a synergistic approach to healthcare change by combining multiple disciplines.
  • The iterative process allows for adaptation to diverse and evolving healthcare settings (public and private).
  • Frameworks and case studies demonstrate resolutions to issues of generalisability and complexity.

Conclusions:

  • Improve-mentation provides a robust, adaptable framework for achieving sustainable healthcare improvements globally.
  • This approach is particularly valuable for navigating the complexities of modern healthcare systems.
  • Further research into specific improve-mentation strategies can enhance its applicability across different countries.