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Is evidence-based organisational innovation in the NHS a chimaera - or just elusive? (Record no. 32335)

000 -LEADER
fixed length control field 01619naa a2200205uu 4500
001 - CONTROL NUMBER
control field 0041510514137
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20190211170905.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 100415s2009 xx ||||gr |0|| 0 eng d
999 ## - SYSTEM CONTROL NUMBERS (KOHA)
Koha Dewey Subclass [OBSOLETE] PHL2MARC21 1.1
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title eng
100 1# - MAIN ENTRY--PERSONAL NAME
Personal name SHEAFF, Rod
9 (RLIN) 9866
245 10 - TITLE STATEMENT
Title Is evidence-based organisational innovation in the NHS a chimaera - or just elusive?
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Oxford :
Name of publisher, distributor, etc. Wiley-Blackwell,
Date of publication, distribution, etc. June 2009
520 3# - SUMMARY, ETC.
Summary, etc. Evidence-based adoption of organizational innovations requires explicit definition of the outcomes the innovations are intended to produce. Implementation theory, however, suggests that organizational innovations are often politicized in the sense that the prospect of implementing them provokes conflicts of interests among the parties affected. Then the intended outcomes of the innovation are liable to be formulated ambiguously, misleadingly or not at all, which makes evidence-based organizational innovation unattainable. Analysis of 61 organizational innovations in nine English NHS primary care trusts suggests that while the majority of innovations were not politicized in this way, a substantial minority were. Innovations whose adoption is motivated by evidence can therefore be differentiated from politicized innovations whose adoption is not so motivated, even when they nevertheless do have evidential support.
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name PICKARD, Susan
9 (RLIN) 19936
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name DOWLING, Bernard
9 (RLIN) 39416
773 08 - HOST ITEM ENTRY
Title Social Policy & Administration
Related parts 43, 3, p. 290-310
Place, publisher, and date of publication Oxford : Wiley-Blackwell, June 2009
International Standard Serial Number ISSN 01445596
Record control number
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Periódico
998 ## - LOCAL CONTROL INFORMATION (RLIN)
-- 20100415
Operator's initials, OID (RLIN) 1051^b
Cataloger's initials, CIN (RLIN) Daiane
998 ## - LOCAL CONTROL INFORMATION (RLIN)
-- 20100420
Operator's initials, OID (RLIN) 1623^b
Cataloger's initials, CIN (RLIN) Carolina

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