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Kopelow, M., Regnier, K. - Performance ... - Royal College

Kopelow, M., Regnier, K. - Performance ... - Royal College

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Ability to Change…Factors affectingchange…• Administration• Professionalenvironment• Educationalenvironment• Public pressure• Economic incentivesEve et al,J Management in Medicine10(1)16-25 1996Change in practicealso dependent onsocial and culturalforces• Group norms• Professionalregulation• Environment factors( location, demographicssetting)Oxman et alCMAJ, 153, 1423, 1995© 2008 ACCME

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