An attempt is made in this article to identify the success and failure factors in organizational change and learning process. The empirical study was made by following an organization-wide project that aims at changing pricing practices in highly decentralized sub-units through the efforts of corporate head office. The results show that the highly decentralized organizational structure and the ...

We conducted a qualitative content analysis of barriers to nursing home admission for rural residents. Data came from semi-structured interviews with 23 rural hospital discharge planners across five states (Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin). From those, we identified four themes around nonmedical barriers to rural nursing home placement with particular salience in rural ar...

That costs are barriers to medical care in Australia has been reported by 8% of people who needed to see amedical specialist and by 19%of those needing to see a general practitioner. International studies have also found that cost is a barrier for those needing medical specialist or general practice care; Australian prices generally fall in themiddle range of the countries surveyed, but are amo...

Although pregnancy and childbirth have significant identity and health implications for all women, perinatal research has focused primarily on nondisabled women. In this article, I provide a review of literature regarding the perinatal care experiences of women with physical disabilities. I found that many women with physical disabilities encounter attitudinal, informational, physical, and fina...

BACKGROUND The cesarean section (CS) rate has increased over recent decades with poor guideline adherence as a possible cause. The objective of this study was to explore barriers and facilitators for delivering optimal care as described in clinical practice guidelines. METHODS Key recommendations from evidence-based guidelines were used as a base to explore barriers and facilitators for deliv...

Over 90% of children with chronic conditions survive into adulthood necessitating primary care teams to care for adults with pediatric-onset chronic conditions. This study explores practice supports and barriers to care for this population via qualitative techniques. Using in depth interviews with twenty-two healthcare providers practice supports identified include: formalizing intake processes...