English

This article outlines a framework that health-care agencies can use to evaluate the different impacts of restructuring activities. The framework recommends that changes in the following dimensions be monitored: (1) patients' and families' perspectives on their health care encounter, (2) staff and physicians' perspectives. as organization members, including their views on the quality of their working life; (3) roles and relationships of team members and work redesign; (4) efficiency, including measures of financial viability; (5) adverse occurrences; (6) community and board perspectives on relationships with the community; and (7) for teaching facilities, the health-care agency's commitment to teaching and research activities.

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Pages
139-152
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