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 …

In this short article we comment upon the recent article by Perry et al" Attending to History" in
Major System Change in Healthcare in England: Specialist Cancer Surgery Service …

Background: The reconfiguration of specialist hospital services, with service provision
concentrated in a reduced number of sites, is one example of major system change (MSC) …

Perry and colleagues' study of a programme to reconfigure cancer surgery provision in
Greater Manchester highlights the importance of accounting for history in making successful …

Recent events–on both a global scale and within individual countries–including the
lockdowns associated with COVID-19 pandemic, inflation concerns, and political tensions …

Historically healthcare services have largely developed on an incremental basis, with
various piecemeal changes and some notable policy leaps that illustrate a punctuated …

Health care systems are both highly institutionalized and highly professionalized. We
suggest that both characteristics should be considered to understand the underlying power …

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 …

Objective Major system change (MSC) has multiple, sometimes conflicting, goals and
involves implementing change across a number of organizations. This study sought to …

At the time of publication, Andrew Pettigrew and colleagues' book received wide acclaim as
a balanced and rich contribution to the study of strategic change. Eighteen years since …