Val 2021: Transforming the health research system

Question 1

Constellation perspective

Answer 1

Culture
Structure
Practice

Question 2

Culture, constellation perspective

Answer 2

Set of values, norms and perceptions that are shared by most of the actors involved, influencing the behaviour of actors in practice

Question 3

Structure, constellation perspective

Answer 3

how the system is organised in terms of the physical structures and resources, regulations and legal rights, and other material elements or aspects structuring the behaviour of actors in practices

Question 4

Practice, constellation perspective

Answer 4

actors’ routines and actions in their context, which is influenced or inhibited by the structure and culture.

Question 5

Three drivers to change innovation

Answer 5

1. tension
2. stress
3. innovation

Question 6

Multi-Level Perspective theory

Answer 6

insights into the mechanisms that drive system change and relate constellation perspective
- explains interaction between three levels: landscape, regime, dominant constellation

Question 7

Pathways to achieve system change

Answer 7

Top-down path (re-constellation)
self-change path (adaptation)
bottom-up change (empowerment)

Question 8

Implementation strategies to influence different groups

Answer 8

Frontrunners: instrinsic, seeing the benefits, cognition
Followers: want to be part of a group, relationship, attitude
Stragglers: extrinsic, pressure, economic drivers, behaviour