Chapter

Organizational and health system change through participatory research

Katharina Heimerl and Klaus Wegleitner

in Participatory Research in Palliative Care

Published in print December 2012 | ISBN: 9780199644155
Published online January 2013 | e-ISBN: 9780191749094 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199644155.003.0003
Organizational and health system change through participatory research

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Modern societies have created organisations to deal with the challenges they are confronted with. Frail and vulnerable individuals, as in palliative care, need and deserve dignified and respectful organisations. Therefore chapter 3 focuses on organisation rather than on individuals. It considers the place of organisations in palliative care provision, organisations as complex social systems, and the place of action research as an approach to change the palliative care culture in and between organisations. Finally, it presents a case study that shows how social integration and communication of palliative care in and between organisations as well as on community level can be performed. It is argued that the goal of organizational participatory research is to establish ‘reflective loops’ that help organisations to observe and describe themselves and to generate decisions.

Keywords: organisational development; organisational culture; palliative care culture; systemic action research; system theory; democracy; empowerment; organisational diagnosis

Chapter.  5299 words.  Illustrated.

Subjects: Palliative Medicine

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