Factors that shape the successful implementation of decommissioning programmes: an interview study with clinic managers.

ABSTRACT:

Background

As a response to many years of repetitive budget deficits, Region Dalarna in Sweden started a restructuring process in 2015, and implemented a decommissioning programme to achieve a balanced budget until 2019. Leading politicians and public servants took the overall decisions about the decommissioning programme, but the clinical decision-making and implementation was largely run by the clinic managers and their staff. As the decommissioning programme improved the finances, met relatively little resistance from the clinical departments, and neither patient safety nor quality of care were perceived to be negatively affected, the initial implementation could be considered successful. The aim of this study was to investigate clinic managers' experience of important factors e

SUBMITTER: Gustafsson IB 

PROVIDER: S-EPMC8361631 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature