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Table 1 Relationship between complexity of change, internal capacity for change, and external adoption supports

From: Standardising costs or standardising care? Qualitative evaluation of the implementation and impact of a hospital funding reform in Ontario, Canada

  Internal capacity for change
High Low
Complexity of change High Less external support Most external support
Low Least external support Least external support
  1. Implementation of quality-based procedures was affected by the interaction between complexity of change required, internal capacity for change and external adoption support available to facilitate change. In general, greater external supports were needed when the complexity of the required changes was high and/or when the hospital’s internal capacity for change management was low