Why Is It So Hard to Change Behaviour and How Can We Influence It?
Journal Title
In: Kool, T., Patey, A.M., van Dulmen, S., Grimshaw, J.M. (eds) How to Reduce Overuse in Healthcare: A Practical Guide
Publication Type
Book section
Abstract
Summary In Chapters 1 and 2, we have seen that overuse is a serious problem in healthcare and that there are many reasons why it occurs. In this chapter, we discuss why changing behaviours of clinicians and patients is difficult in preparation for future chapters where we discuss how to develop interventions to change behaviours. This chapter draws on the knowledge from behavioural sciences, which identifies key factors that might sustain existing practice and make it difficult to change. We explain why reducing or stopping existing practices from the clinical workflow (de-implementation) may be more difficult and require a different approach, compared with adding new practices to the existing workflow (implementation). As we know, clinical practice is complex, demanding, and often requires teamwork. Habits and routines help by increasing the efficiency of healthcare work, but this patterning of behaviour also makes it challenging to change. Based on these principles, we explain what is important while designing change programmes and interventions to change behaviour.
Department(s)
Health Services Research
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Creation Date: 2024-08-20 06:08:13
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