title: Appreciating change in cancer services--an evaluation of service development strategies.
abstract: OBJECTIVE
  The purpose of this paper is to report on an evaluative study which used appreciative inquiry (AI) to explore the processes of change during the Cancer Services Collaborative Improvement programme instituted by the Department of Health in the UK. This was a three-stage programme which expanded from nine pilot projects to a national service change, focussing on improving the patient's experience throughout the journey from diagnosis to treatment.
  
  
  METHODS
  The paper uses AI questions in interviews with a range of CSC staff who had had different roles and length of involvement.
  
  
  RESULTS
  The study identified a range of strategies and skills that participants had developed in order to support and facilitate service change.
  
  
  CONCLUSIONS
  The paper offers a discussion of skills and strategies that can facilitate change in health care across clinical areas, and a discussion of the use of AI as a method of evaluation.
  
  
  CONCLUSIONS
  This study is one of the first to use AI in health care evaluation in the UK, and thus makes a contribution to understanding change from an AI perspective.
authors.affiliation: Centre for Care of Older People/NMAHP, Northumbria University, Newcastle upon Tyne, UK.
authors.forename: Jan
authors.initials: J
authors.lastname: Reed
authors.forename: Jill
authors.initials: J
authors.lastname: Turner
mesh_terms: D003299:Cooperative Behavior; D005069:Evaluation Studies as Topic; D006801:Humans; D009369:Neoplasms / Q000628:therapy*; D016522:Oncology Service, Hospital / Q000458:organization & administration*; D009936:Organizational Innovation; D013222:State Medicine / Q000458:organization & administration; D006113:United Kingdom