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. 2021 Nov 5;9(11):1508. doi: 10.3390/healthcare9111508

Table 1.

Comparing basic characteristics of selected CHM methods.

Field Lewin Kotter SSM
External expert maybe maybe no
Pre-defined problem yes yes no
Feedback yes yes yes
Sociological approach positivism combination interpretivism
Support tools field theory, action research, group dynamics “see-feel-change” CATWOE, PQR, “root definitions”
Dismantling existing situation in step 1 in step 1 during the process
Cyclical process (constant problem solving) yes yes yes
Management/leading coalition yes yes no
Recommended step sequence yes yes steps overlap in reality
Building awareness why the change is necessary yes yes not necessary, awareness arises spontaneously
Adaptability to changing environment no partly yes
Suitable application smaller changes bigger changes complex problems
CHM approach top-down top-down, partly bottom-up combination of bottom-up and top-down