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We Have Just One World but Live in Different Parts: A Comparative Study of OCD in Healthcare in the Netherlands and Honduras

We Have Just One World but Live in Different Parts: A Comparative Study of OCD in Healthcare in the Netherlands and Honduras
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Author(s): Gerard Brekelmans (Erasmus MC Academy, The Netherlands), Marcel J. M. H. Boonen (Elisabeth-TweeSteden Ziekenhuis, The Netherlands) and Nancy Y. Jaspers (Humanya, Belgium)
Copyright: 2019
Pages: 8
Source title: Evidence-Based Initiatives for Organizational Change and Development
Source Author(s)/Editor(s): Robert G. Hamlin (University of Wolverhampton, UK), Andrea D. Ellinger (The University of Texas at Tyler, USA) and Jenni Jones (University of Wolverhampton, UK)
DOI: 10.4018/978-1-5225-6155-2.ch044

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Abstract

This chapter describes the differences and similarities between two case histories in the Netherlands and Honduras. Both are situated in the healthcare sector. The organizational change and development in both cases are major but the process and effects differ. The Dutch case describes an organizational change, combining the Toyota production system with a human care program, inspired by the theory of presence. The Honduras case is part of a large optimization and improvement process of one of the main governmental health institutes. Both cases show how people are involved and/or committed to organizational change: Is this built on trust or rather on control? Organizational culture in both cases differs and this is illustrated in the development of the process and the lessons learnt. More attention to the team from the start of the organizational change and trust instead of control is recommended.

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