Navigering av hållbar omställning i sjukvården: Direktionalitet, djup systemförändring och dockning

Important results from the project

The project has resulted in a scientific article on deep system change, where the traditional iceberg model has been supplemented with a tension wheel. This model has proven useful for unlocking, seeing and managing lock-ins in healthcare transformation. The project has also produced an article on backcasting expeditions for sustainable transformation, including docking where learning from expeditions is scaled up, as well as a method book for finding direction towards sustainability.

Expected long term effects

Concepts, methods and frameworks from the project are currently used within Sahlgrenska Universitetssjukhuset, within some other hospitals in the Västragötaland region, and within the region´s administration. They have gained some national and international dissemination. We also see that concepts, methods and frameworks developed within the project gain dissemination outside the health care system. The hope is that they will also inspire continued knowledge and method development.

Approach and implementation

The project was carried out through close colaboration between researchers with a background in systems theory and researchers with a background in philosophy. This meeting provided new concepts, methods and frameworks that were continuously tested in the ongoing transformation in collaboration with practice at different levels of the healthcare system. By reflecting on the tests together with practice, a new foundation could be continuously laid for continued interdisciplinary work.