Change is thus both essential and constant in healthcare settings. Demographic shifts (especially aging populations) and the growing burden of chronic diseases have dramatically increased demand on health services. For instance, chronic conditions already dominate healthcare expenditures in U. S. , wherein 90% of the roughly 4. 5 trillion annual healthcare budget is attributed to chronic and mental health conditions. 6The prevalence of multiple chronic diseases is also rising in India, with reports indicating that nearly 30% of the Indian population suffers from one or more chronic conditions, such as hypertension, diabetes, and cardiovascular diseases. 7The demographic shifts necessitate healthcare systems to adapt to changing patient needs and expectations. 8These trends IntroductIonChange is a continuous phenomenon that is essential for improving oneself, an organization, or a program. When an organization undergoes a transformation in its goals, operations, or technologies, the process can be complex and demands coordinated efforts across multiple departments or stakeholders. Establishing a wellstructured approach to manage this change is essential to ensure a smooth transition, minimize disruption, and maximize the intended benefits. 1imilarly, the healthcare sector is one of the most critical and fast-changing sectors of the global economy. The effective implementation of change is indispensable for its stable functioning. Barrow and Annamaraju observe that "change is inevitable in healthcare, " yet nearly two-thirds of change initiatives fail without proper planning and management. 2 For several decades, small incremental systemic changes or reforms have been introduced across different geographies and domains, which have increased the quality, accessibility, availability, efficiency, affordability, and effectiveness of health services. 3Change management in healthcare refers to a structured approach to transitioning individuals, teams, and organizations from a current state to a desired future state while minimizing resistance and maximizing engagement. It maximizes adoption and ensures a smooth transition to the new working method. Change management involves systematic planning, communication, and implementation to achieve sustainable change within healthcare settings. 4It also includes the adoption of new practices (e. g. , clinical protocols or technologies) or process redesigns aimed at improving patient outcomes, safety, and efficiency.
Sharma et al. (Tue,) studied this question.