[Implementation barriers--commentaries from organisational sociology]

Abstract

During the last two decades numerous technologies for improving the quality of care have been introduced in the healthcare sector. The various problems encountered by such endeavours have given rise to a large number of studies attempting to identify the most effective techniques for implementation and the most important barriers to change. However, the barrier-centred approach to change has not yet fulfilled the expectations of its promoters and has recently come under criticism from research in organisational change. The article explores the contents and implications of this critique.