Managers’ perceptions of organizational readiness for change within disability healthcare: a Swedish national study with an embedded mixed-methods approach
Abstract Background People with disabilities experience significant health inequities compared with the general population. Addressing these inequities requires the development and implementation of tailored interventions, but a gap often exists between recommended best practices and the actual care...
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| Format: | Article |
| Language: | English |
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BMC
2025-05-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-025-12808-4 |
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| author | Anette Granberg Lars-Olov Lundqvist Anna Duberg Marie Matérne |
| author_facet | Anette Granberg Lars-Olov Lundqvist Anna Duberg Marie Matérne |
| author_sort | Anette Granberg |
| collection | DOAJ |
| description | Abstract Background People with disabilities experience significant health inequities compared with the general population. Addressing these inequities requires the development and implementation of tailored interventions, but a gap often exists between recommended best practices and the actual care provided. Successful implementation is complex, involving multiple organizational factors. Assessing organizational readiness for change is crucial to overcome barriers and improve health outcomes for people with disabilities. This study aims to examine managers’ perceptions of their organization’s readiness for change regarding the implementation of interventions within disability healthcare in Sweden. Methods This descriptive cross-sectional study employs an embedded mixed-methods approach. The primary approach for the overall study is based on quantitative data, while qualitative data is analyzed to provide supplementary deepened information. Both types of data were collected simultaneously through a web-based survey. The data analysis involves various statistical techniques for the quantitative data and inductive content analysis for the qualitative data. Results Several key factors influence managers’ perceptions of their organization’s readiness for change, including gender, age, tenure, organizational type, managerial level, and experience. Enabling factors for implementation include trust-based leadership, staff involvement, motivation, and engagement. Barriers include complex processes, lack of support, resistance and fear, and insufficient time and resources. Conclusions This study highlights the complexity of organizational readiness for disability healthcare interventions, shaped by both individual and organizational factors. In particular, managerial characteristics, organizational dynamics, and resource availability play key roles. These findings suggest that a comprehensive strategy can strengthen healthcare organizations’ ability to navigate implementation challenges effectively. |
| format | Article |
| id | doaj-art-a0ddfa6d799b44aea4343307ffd0eb82 |
| institution | OA Journals |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-a0ddfa6d799b44aea4343307ffd0eb822025-08-20T01:49:46ZengBMCBMC Health Services Research1472-69632025-05-0125111510.1186/s12913-025-12808-4Managers’ perceptions of organizational readiness for change within disability healthcare: a Swedish national study with an embedded mixed-methods approachAnette Granberg0Lars-Olov Lundqvist1Anna Duberg2Marie Matérne3University Health Care Research Centre, Faculty of Medicine and Health, Orebro UniversityUniversity Health Care Research Centre, Faculty of Medicine and Health, Orebro UniversityUniversity Health Care Research Centre, Faculty of Medicine and Health, Orebro UniversitySchool of Behavioural, Social and Legal sciences, Orebro UniversityAbstract Background People with disabilities experience significant health inequities compared with the general population. Addressing these inequities requires the development and implementation of tailored interventions, but a gap often exists between recommended best practices and the actual care provided. Successful implementation is complex, involving multiple organizational factors. Assessing organizational readiness for change is crucial to overcome barriers and improve health outcomes for people with disabilities. This study aims to examine managers’ perceptions of their organization’s readiness for change regarding the implementation of interventions within disability healthcare in Sweden. Methods This descriptive cross-sectional study employs an embedded mixed-methods approach. The primary approach for the overall study is based on quantitative data, while qualitative data is analyzed to provide supplementary deepened information. Both types of data were collected simultaneously through a web-based survey. The data analysis involves various statistical techniques for the quantitative data and inductive content analysis for the qualitative data. Results Several key factors influence managers’ perceptions of their organization’s readiness for change, including gender, age, tenure, organizational type, managerial level, and experience. Enabling factors for implementation include trust-based leadership, staff involvement, motivation, and engagement. Barriers include complex processes, lack of support, resistance and fear, and insufficient time and resources. Conclusions This study highlights the complexity of organizational readiness for disability healthcare interventions, shaped by both individual and organizational factors. In particular, managerial characteristics, organizational dynamics, and resource availability play key roles. These findings suggest that a comprehensive strategy can strengthen healthcare organizations’ ability to navigate implementation challenges effectively.https://doi.org/10.1186/s12913-025-12808-4ManagersOrganizational readinessImplementationDisabilityMixed-methods approach |
| spellingShingle | Anette Granberg Lars-Olov Lundqvist Anna Duberg Marie Matérne Managers’ perceptions of organizational readiness for change within disability healthcare: a Swedish national study with an embedded mixed-methods approach BMC Health Services Research Managers Organizational readiness Implementation Disability Mixed-methods approach |
| title | Managers’ perceptions of organizational readiness for change within disability healthcare: a Swedish national study with an embedded mixed-methods approach |
| title_full | Managers’ perceptions of organizational readiness for change within disability healthcare: a Swedish national study with an embedded mixed-methods approach |
| title_fullStr | Managers’ perceptions of organizational readiness for change within disability healthcare: a Swedish national study with an embedded mixed-methods approach |
| title_full_unstemmed | Managers’ perceptions of organizational readiness for change within disability healthcare: a Swedish national study with an embedded mixed-methods approach |
| title_short | Managers’ perceptions of organizational readiness for change within disability healthcare: a Swedish national study with an embedded mixed-methods approach |
| title_sort | managers perceptions of organizational readiness for change within disability healthcare a swedish national study with an embedded mixed methods approach |
| topic | Managers Organizational readiness Implementation Disability Mixed-methods approach |
| url | https://doi.org/10.1186/s12913-025-12808-4 |
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