Work

Dynamics of Implementation and Maintenance of Organizational Health Interventions

Year: 2017

Type: article

Abstract: In this study, we present case studies to explore the dynamics of implementation and maintenance of health interventions. We analyze how specific interventions are built and eroded, how the building and erosion mechanisms are interconnected, and why we can see significantly different erosion rates across otherwise similar organizations. We use multiple comparative obesity prevention case studies to provide empirical information on the mechanisms of interest, and use qualitative systems modeling to integrate our evolving understanding into an internally consistent and transparent theory of the phenomenon. Our preliminary results identify reinforcing feedback mechanisms, including design of organizational processes, motivation of stakeholders, and communication among stakeholders, which influence implementation and maintenance of intervention components. Over time, these feedback mechanisms may drive a wedge between otherwise similar organizations, leading to distinct configurations of implementation and maintenance processes.

Source: International Journal of Environmental Research and Public Health

DOI: 10.3390/ijerph14080917

Authors: Mohammad S. Jalali, Hazhir Rahmandad, Sally Lawrence Bullock, Alice Ammerman

Institutions: Massachusetts Institute of Technology, University of North Carolina at Chapel Hill

Language: English

Topic: Health Policy Implementation Science

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,016