This project supports the transformation of the healthcare system in West Sweden in response to persistent challenges such as rising costs, demographic shifts, and the ambition to deliver close, equal, and sustainable care.

 

Recognizing the limits of incremental improvements within existing structures, the project explores the shift toward transformative change currently happening in practice, addressing deeper cultural and structural aspects of healthcare systems.

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Building Capacity for Transformative System Change

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The objective is to strengthen capacity to navigate such change by developing, testing, and evaluating conceptual and methodological frameworks. Central to this work are three conceptual tools:

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• A Sustainability Lighthouse – for negotiating direction and purpose

• An Expanded Iceberg Model – for understanding and engaging with deep change

• A Docking Model – to institutionalize and scale learning from innovative, exploratory initiatives into mainstream practice

 

Activities

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The project adopts a transdisciplinary approach, working closely with practitioners—particularly within Sahlgrenska at Home and the MedTech4Health hospital-at-home project. Activities include:

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• Literature reviews

• Co-design workshops

• Practice-based testing of tools

• Continuous monitoring and reflection to generate insights into what works, for whom, and under what conditions

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Stakeholders and Outputs

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Key stakeholders include regional healthcare leaders, innovation advisors, frontline professionals, and national policy actors such as Socialstyrelsen and SKR. The project will deliver:

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• A practical toolbox for governance and transformation

• Academic publications

• Policy recommendations

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Anticipated Impact

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The project will provide immediate value to the transformation underway in West Sweden and offer transferable models and insights for other regions and sectors seeking to enable sustainability transitions through deep systems change and transformative governance.

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Project lead

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John Holmberg, Chalmers

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