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Role of institutional entrepreneurship in building adaptive capacity in community-based healthcare organisations: realist review protocol
- Source :
- BMJ Open
- Publication Year :
- 2016
-
Abstract
- Introduction Over the past 3 decades, there has been a substantial shift to the marketisation of government-funded health services. For organisations traditionally buffered from the competitive pressures of for-profit enterprises, such as community-based organisations, this means developing the capacity to adapt to competitive tendering processes, shifting client expectations, and increasing demands for greater accountability. Drawing on ideas of institutional entrepreneurship, we believe that attempts to build adaptive capacity require the transformation of existing institutional arrangements. Key in this may be identifying and fostering institutional entrepreneurs—actors who take the lead in being the impetus for, and giving direction to, structural change. This study focuses on the strategies used by institutional entrepreneurs to build adaptive capacity in the community-based healthcare sector. Methods and analysis The research will use an adapted rapid realist review. The review will find underlying theories that explain the circumstances surrounding the implementation of capacity-building strategies that shape organisational response and generate outcomes by activating causal mechanisms. An early scoping of the literature, and consultations with key stakeholders, will be undertaken to identify an initial programme theory. We will search for relevant journal articles and grey literature. Data will be extracted based on contextual factors, mechanisms and outcomes, and their configurations. The analysis will seek patterns and regularities in these configurations and will focus on confirming, refuting or refining our programme theory. Ethics and dissemination The study does not involve primary research and, therefore, does not require formal ethical approval. However, ethical standards of utility, usefulness, feasibility, propriety, accuracy and accountability will be followed. The results will be written up according to the Realist and Meta-Review Evidence Synthesis: Evolving Standards guidelines. Once completed, findings will be published in a peer-reviewed journal. Trial registration number CRD42015026487.
- Subjects :
- Entrepreneurship
Capacity Building
non-profit
03 medical and health sciences
0302 clinical medicine
Procurement
Protocol
institutional entrepreneurship
Medicine
030212 general & internal medicine
Community Health Services
realist review
community-based organisation
Adaptive capacity
business.industry
030503 health policy & services
Capacity building
General Medicine
Grey literature
Public relations
adaptive capacity
Review Literature as Topic
Research Design
Accountability
Public Health
0305 other medical science
business
Qualitative research
Primary research
Subjects
Details
- ISSN :
- 20446055
- Volume :
- 6
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- BMJ open
- Accession number :
- edsair.doi.dedup.....8eb1e27b3cfa74231d9422878ee7ac81