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Guiding Healthcare Organizations in Strategic Pathways: Assessing a Dynamic Adaptive Model.

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Τίτλος: Guiding Healthcare Organizations in Strategic Pathways: Assessing a Dynamic Adaptive Model.
Συγγραφείς: Aarninkhof-Kamphuis A; Universiteit Twente Faculteit Engineering Technology, Enschede, the Netherlands., Voordijk H; Universiteit Twente Faculteit Engineering Technology, Enschede, the Netherlands., Dewulf G; Universiteit Twente Faculteit Engineering Technology, Enschede, the Netherlands.
Πηγή: The International journal of health planning and management [Int J Health Plann Manage] 2026 Jul; Vol. 41 (4), pp. 559-571. Date of Electronic Publication: 2026 Mar 17.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Wiley Country of Publication: England NLM ID: 8605825 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1099-1751 (Electronic) Linking ISSN: 07496753 NLM ISO Abbreviation: Int J Health Plann Manage Subsets: MEDLINE
Imprint Name(s): Original Publication: Chichester, Sussex, England : Wiley, c1985-
Ιατρικοί όροι (MeSH): Strategic Planning* , Decision Support Techniques* , Models, Organizational*, Humans ; Longitudinal Studies
Περίληψη: In an era of increasing uncertainty and complexity, healthcare decision makers must navigate dynamic environments with greater awareness and adaptability. This study assesses what the impact is of the Dynamic Adaptive Decision Support model (DADS) on stewarding capacity by fostering adaptability, resilience, and strategic foresight. Using the concept of stewarding capacity, operationalised from the context of public policy to the context of organizations, the study assesses the extent to which DADS enables healthcare leaders to anticipate and deal with long-term uncertainties, risks, and changes. A longitudinal quasi-experimental study was conducted and embedded in an ongoing strategic management process, namely the strategic real estate plan, within a healthcare organization-a context strongly influenced by fluctuating demands and unpredictable external factors. The DADS intervention was applied through structured group and individual sessions, after which participants were interviewed using open-ended questions to evaluate its impact on stewarding capacity. Findings reveal that DADS significantly enhances stewarding capacity by facilitating a collaborative knowledge-generation process, strengthening self-organization across multiple levels, and fostering continuous monitoring and learning. However, the study also uncovers challenges, particularly in leveraging partnerships for knowledge-sharing and reinforcing self-organization through cross-sectoral networks. These insights suggest that while DADS holds promise as an innovative decision-support tool, its operationalisation requires further refinement. Ultimately, this study demonstrates that DADS has the potential to evolve into a transformative approach for strategic planning and management in healthcare. As organizations face an era of increasing complexity, integrating adaptive decision-making frameworks like DADS may prove essential in ensuring sustainable, forward-thinking strategies.
(© 2026 The Author(s). The International Journal of Health Planning and Management published by John Wiley & Sons Ltd.)
References: Int J Health Plann Manage. 2006 Jul-Sep;21(3):173-91. (PMID: 17044545)
Health Policy Plan. 2014 Dec;29(8):1075-85. (PMID: 24277736)
Int J Health Plann Manage. 2017 Jan;32(1):4-18. (PMID: 26153388)
Value Health. 2023 May;26(5):694-703. (PMID: 36253242)
Annu Rev Public Health. 2018 Apr 1;39:5-25. (PMID: 29328873)
J Intellect Disabil Res. 2018 Jun;62(6):496-520. (PMID: 29696724)
BMC Public Health. 2018 Dec 29;18(1):1412. (PMID: 30594155)
Int J Health Plann Manage. 2012 Jan-Mar;27(1):34-49. (PMID: 20603842)
Learn Health Syst. 2017 Jul 12;1(4):e10034. (PMID: 31245569)
Science. 2003 Dec 12;302(5652):1907-12. (PMID: 14671286)
Sociol Health Illn. 2020 Aug;42 Suppl 1:1-20. (PMID: 32757281)
Trends Ecol Evol. 2010 Apr;25(4):241-9. (PMID: 19923035)
J Health Organ Manag. 2024 Jul 16;38(5):638-661. (PMID: 39008092)
Int J Health Plann Manage. 2020 Nov;35(6):1611-1613. (PMID: 32441405)
Contributed Indexing: Keywords: deep uncertainty; future pathways; quasi‐experiment; stewarding capacity; strategic decision making
Entry Date(s): Date Created: 20260318 Date Completed: 20260707 Latest Revision: 20260813
Update Code: 20260813
PubMed Central ID: PMC13339746
DOI: 10.1002/hpm.70069
PMID: 41846277
Βάση Δεδομένων: MEDLINE
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  Data: Guiding Healthcare Organizations in Strategic Pathways: Assessing a Dynamic Adaptive Model.
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  Data: <searchLink fieldCode="AU" term="%22Aarninkhof-Kamphuis+A%22">Aarninkhof-Kamphuis A</searchLink>; Universiteit Twente Faculteit Engineering Technology, Enschede, the Netherlands.<br /><searchLink fieldCode="AU" term="%22Voordijk+H%22">Voordijk H</searchLink>; Universiteit Twente Faculteit Engineering Technology, Enschede, the Netherlands.<br /><searchLink fieldCode="AU" term="%22Dewulf+G%22">Dewulf G</searchLink>; Universiteit Twente Faculteit Engineering Technology, Enschede, the Netherlands.
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  Data: <searchLink fieldCode="JN" term="%228605825%22">The International journal of health planning and management</searchLink> [Int J Health Plann Manage] 2026 Jul; Vol. 41 (4), pp. 559-571. <i>Date of Electronic Publication: </i>2026 Mar 17.
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  Data: In an era of increasing uncertainty and complexity, healthcare decision makers must navigate dynamic environments with greater awareness and adaptability. This study assesses what the impact is of the Dynamic Adaptive Decision Support model (DADS) on stewarding capacity by fostering adaptability, resilience, and strategic foresight. Using the concept of stewarding capacity, operationalised from the context of public policy to the context of organizations, the study assesses the extent to which DADS enables healthcare leaders to anticipate and deal with long-term uncertainties, risks, and changes. A longitudinal quasi-experimental study was conducted and embedded in an ongoing strategic management process, namely the strategic real estate plan, within a healthcare organization-a context strongly influenced by fluctuating demands and unpredictable external factors. The DADS intervention was applied through structured group and individual sessions, after which participants were interviewed using open-ended questions to evaluate its impact on stewarding capacity. Findings reveal that DADS significantly enhances stewarding capacity by facilitating a collaborative knowledge-generation process, strengthening self-organization across multiple levels, and fostering continuous monitoring and learning. However, the study also uncovers challenges, particularly in leveraging partnerships for knowledge-sharing and reinforcing self-organization through cross-sectoral networks. These insights suggest that while DADS holds promise as an innovative decision-support tool, its operationalisation requires further refinement. Ultimately, this study demonstrates that DADS has the potential to evolve into a transformative approach for strategic planning and management in healthcare. As organizations face an era of increasing complexity, integrating adaptive decision-making frameworks like DADS may prove essential in ensuring sustainable, forward-thinking strategies.<br /> (© 2026 The Author(s). The International Journal of Health Planning and Management published by John Wiley & Sons Ltd.)
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  Data: Int J Health Plann Manage. 2006 Jul-Sep;21(3):173-91. (PMID: <searchLink fieldCode="PM" term="%2217044545%22">17044545)</searchLink><br />Health Policy Plan. 2014 Dec;29(8):1075-85. (PMID: <searchLink fieldCode="PM" term="%2224277736%22">24277736)</searchLink><br />Int J Health Plann Manage. 2017 Jan;32(1):4-18. (PMID: <searchLink fieldCode="PM" term="%2226153388%22">26153388)</searchLink><br />Value Health. 2023 May;26(5):694-703. (PMID: <searchLink fieldCode="PM" term="%2236253242%22">36253242)</searchLink><br />Annu Rev Public Health. 2018 Apr 1;39:5-25. (PMID: <searchLink fieldCode="PM" term="%2229328873%22">29328873)</searchLink><br />J Intellect Disabil Res. 2018 Jun;62(6):496-520. (PMID: <searchLink fieldCode="PM" term="%2229696724%22">29696724)</searchLink><br />BMC Public Health. 2018 Dec 29;18(1):1412. (PMID: <searchLink fieldCode="PM" term="%2230594155%22">30594155)</searchLink><br />Int J Health Plann Manage. 2012 Jan-Mar;27(1):34-49. (PMID: <searchLink fieldCode="PM" term="%2220603842%22">20603842)</searchLink><br />Learn Health Syst. 2017 Jul 12;1(4):e10034. (PMID: <searchLink fieldCode="PM" term="%2231245569%22">31245569)</searchLink><br />Science. 2003 Dec 12;302(5652):1907-12. (PMID: <searchLink fieldCode="PM" term="%2214671286%22">14671286)</searchLink><br />Sociol Health Illn. 2020 Aug;42 Suppl 1:1-20. (PMID: <searchLink fieldCode="PM" term="%2232757281%22">32757281)</searchLink><br />Trends Ecol Evol. 2010 Apr;25(4):241-9. (PMID: <searchLink fieldCode="PM" term="%2219923035%22">19923035)</searchLink><br />J Health Organ Manag. 2024 Jul 16;38(5):638-661. (PMID: <searchLink fieldCode="PM" term="%2239008092%22">39008092)</searchLink><br />Int J Health Plann Manage. 2020 Nov;35(6):1611-1613. (PMID: <searchLink fieldCode="PM" term="%2232441405%22">32441405)</searchLink>
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