Process and cultural impediments to health care innovation.
This article examines a failed attempt to institute wholistic health care, which promotes prevention and patient control of the medical process, at an existing community health clinic. Cultural (organizational, professional, and societal) and change-process-related sources of this failure are analyzed using a theory of organizational culture and a model of participative decision making as frameworks.
James
K
K
Department of Psychology, Colorado State University, Fort Collins 80523.
D003151:Community Health Centers / Q000458:organization & administration*; D003625:Data Collection; D003659:Decision Making, Organizational; D005069:Evaluation Studies as Topic; D006293:Health Promotion / Q000458:organization & administration*; D006694:Holistic Health; D006801:Humans; D009042:Motivation; D009740:Nursing Staff / Q000523:psychology*; D009936:Organizational Innovation; D010558:Personnel Loyalty; D010934:Planning Techniques; D014481:United States