Implementation of management innovation at primary care health centers: qualitative assessments.
This article describes the implementation of innovations at health centers participating in The Robert Wood Johnson Foundation Program to Strengthen Primary Care Health Centers. Relatively successful approaches to management innovation are described and common obstacles to innovation are considered. Key issues include poor physician retention, inadequate or inappropriate space, the complexities of automation, difficulty in the recruitment of staff and consultants (particularly in rural areas), and disruptions caused by internal promotions.
Health Research Program, New York University, New York City, USA.
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KL
Hanson
D003151:Community Health Centers / Q000458:organization & administration* / Q000706:statistics & numerical data; D003625:Data Collection; D005376:Financial Management; D005381:Financing, Organized; D006302:Health Services Research; D007182:Income; D008330:Management Audit; D009936:Organizational Innovation; D011320:Primary Health Care / Q000458:organization & administration; D015397:Program Evaluation; D014481:United States