Applying the major system change framework to evaluate implementation of rapid healthcare system change: a case study of COVID-19 remote home monitoring services.

ABSTRACT:

Background

A framework to evaluate implementation of Major System Change (MSC) in healthcare has been developed and applied to implementation of longer-term system changes. This was the first study to apply the five domains of the MSC framework to rapid healthcare system change. We aimed to: i) evaluate implementation of rapid MSC, using England COVID-19 remote home monitoring services as a case study and ii) consider whether and how the MSC framework can be applied to rapid MSC.

Methods

A mixed-methods rapid evaluation in England, across 28 primary and secondary healthcare sites (October 2020-November 2021; data collection: 4 months). We conducted 126 interviews (5 national leads, 59 staff, 62 patients/carers) and surveyed staff (n = 292) and patients/carers (n = 1069). Ser

SUBMITTER: Walton H 

PROVIDER: S-EPMC11877748 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature