Objective Major system change can be stressful for staff involved and can result in
'subtractive change'–that is, when a part of the work environment is removed or ceases to …

Background: Centralising specialist cancer surgical services is an example of major system
change. High-volume centres are recommended to improve specialist cancer surgery care …

Previous studies of service reconfiguration in healthcare have explored the influence of
power on processes and outcomes. However, in these accounts the moral agency of …

The COVID-19 pandemic has forced governments across the world to consider how to
prioritise the allocation of scarce resources. There are many tools and frameworks that have …

Due to processes of financialisation, financial parties increasingly penetrate the healthcare
domain and determine under which conditions care is delivered. Their influence becomes …

Healthcare systems may run into economic problems that may require 'active'
decommissioning by policy-makers and managers. The aim of this study was to investigate …

To study major system change (MSC) in healthcare, it is crucial to consider the influence of
power. Despite this, dominant perspectives on MSC in healthcare present these as relatively …

Debates over the value and contribution of community hospitals are hampered by a lack of
empirical assessment of the experience of patients using these services. This paper …

Most inpatient rehabilitation services enjoy deep connections with their local communities.
Therefore, decommissioning services often results in resentment and risks, which are …

Background As a response to many years of repetitive budget deficits, Region Dalarna in
Sweden started a restructuring process in 2015, and implemented a decommissioning …