Purpose – The purpose of this paper is to evaluate the claims made for the clinical microsystems approach of healthcare improvement within an English NHS context. Design/methodology/approach – The research adopted a Realistic Evaluation approach to examine a series of pilot clinical...

Purpose – The aims of this paper are to explore the experiences of budget holders within the English National Health Service (NHS), in their attempts to implement programmes of disinvestment, and to consider factors which influence the success (or otherwise) of this activity....

Purpose – The purpose of this paper is to set the context for this special issue and provide an introduction to the individual contributions. Design/methodology/approach – This paper uses a literature survey and analysis. Findings – Integration remains both a central goal and a field of...

Purpose: As a discipline, health organisation and management is focused on health-specific, collective behaviours and activities, whose empirical and theoretical scholarship remains under-utilised in the field of implementation science. This under-engagement between fields potentially...

Purpose – As Australia struggles to meet increased demand for healthcare and contain expenditure there has been a focus on primary care and its role in demand management and keeping people out of expensive secondary care. However, with domestic policy struggling to find a suitable approach...

Purpose Worldwide, there is significant growth in the cost of (and demand for) healthcare, which often clashes with a requirement to contain expenditure. This duality leads to an increasing need for a systematic approach to disinvestment in health technologies. The purpose of this paper is to...