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

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

		Internal capacity for change
		High	Low
Complexity of change	High	Less external support	Most external support
Complexity of change	Low	Least external support	Least external support

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

ISSN: 1478-4505