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March 13, 2017

The role of organizational structure in readiness for change: A conceptual integration

Region: Global Scientific publication Empowering and engaging people and communities, Reorienting the model of care, Coordinating services within and across sectors Source: Health Services Manage Research

The purpose of this review is to extend extant conceptualizations of readiness for change as an individual-level phenomenon. This review-of-reviews focuses on existing conceptual frameworks from the dissemination, implementation, quality improvement, and organizational trasformation literatures in order to integrate theoretical rationales for how organization structure, a key dimension of the organizational context, may impact readiness for change. They propose that the organization structure dimensions of differentiation and integration impact readiness for change at the indicidual level of analysis by influencing four key concepts of relevance, legitimacy, preceived need for change, and resource allocation.