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A B S T R AC T Pluralistic organizations characterized by multiple objectives, diffuse power and knowledge-based work processes present a complex challenge both for strategy theorists and for strategy practitioners because the very nature of strategy as usually understood (an explicit and unified direction for the organization) appears to contradict the(More)
CONTEXT This article presents the main results from a large-scale analytical systematic review on knowledge exchange interventions at the organizational and policymaking levels. The review integrated two broad traditions, one roughly focused on the use of social science research results and the other focused on policymaking and lobbying processes. METHODS(More)
Research, for all its claims to objectivity, cannot sit outside the in uence of broader systems of norms and rules. For instance, the rise in popular credibility of opinion polls, deliberative dialogues and other new techniques of consultation to measure public values and beliefs, happened in counterpoint to the decline in both the credibility and(More)
Health technology assessment (HTA) has received increasing support over the past twenty years in both North America and Europe. The justification for this field of policy-oriented research is that evidence about the efficacy, safety, and cost-effectiveness of technology should contribute to decision and policy making. However, concerns about the ability of(More)
BACKGROUND Funding agencies constitute one essential pillar for policy makers, researchers and health service delivery institutions. Such agencies are increasingly providing support for science implementation. In this paper, we investigate health research funding agencies and how they support the integration of science into policy, and of science into(More)
BACKGROUND Interdisciplinary teamwork (ITW) is designed to promote the active participation of several disciplines in delivering comprehensive cancer care to patients. ITW provides mechanisms to support continuous communication among care providers, optimize professionals' participation in clinical decision-making within and across disciplines, and foster(More)
T his paper examines an organizational pathology that we label " escalating indecision " —where people find themselves driven to invest time and energy in activities and decision processes aimed at resolving an issue of common concern, but where closure appears elusive. The phenomenon is illustrated through a case history in which a strategic orientation(More)
Governing boards of healthcare organizations in Canada are accountable for the performance of their organization and provide oversight on their decisions. Traditionally, many healthcare boards have focused on finances and community relations and have deferred responsibility for quality of care to the medical or professional staff. This deferral reflects not(More)
BACKGROUND Many healthcare innovations are not sustained over the long term, wasting costly implementation efforts and often desperately-needed initial improvements. Although there have been advances in knowledge about innovation implementation, there has been considerably less attention focused on understanding what happens following the early stages of(More)