Organizational change and everyday health system resilience: Lessons from Cape Town, South Africa
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier
Abstract
This paper reports a study from Cape Town, South Africa, that tested an existing framework of everyday health system resilience (EHSR) in examining how a local health system responded to the chronic stress of large-scale organizational change. Over two years (2017–18), through cycles of action-learning involving local managers and researchers, the authorial team tracked the stress experienced, the response strategies implemented and their consequences. The paper considers how a set of micro-governance interventions and mid-level leadership practices supported responses to stress whilst nurturing organizational resilience capacities. Data collection involved observation, in-depth interviews and analysis of meeting minutes and secondary data. Data analysis included iterative synthesis and validation processes.
Description
Keywords
South Africa, Health system, Organizational framework, Chronic stress, Organizational resilience
Citation
Lehmann, U. et al. (2020). Organizational change and everyday health system resilience: Lessons from Cape Town, South Africa. Social Science and Medicine ,266,113407