CPD Articles

Improving service provision through change management

Mergan Naidoo
South African Family Practice | Vol 65, No 1 : Part 1| a5602 | DOI: https://doi.org/10.4102/safp.v65i1.5602 | © 2023 Mergan Naidoo | This work is licensed under CC Attribution 4.0
Submitted: 29 June 2022 | Published: 12 January 2023

About the author(s)

Mergan Naidoo, Discipline of Family Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa


The change agent role of the family physician is often a daunting task with very little guidance on how to approach change leadership in the current fellowship curriculum. This continuing medical education resource will utilise the theory of change and provide some guidance to taking on this task in the workplace. The approach can be used in healthcare, the community, academia, and research projects. The resource will outline a systematic approach to developing a logic-based strategy for outcomes. The process will be unpacked, the evaluation method outlined, and strategies for ensuring the sustainability of the changing culture will be discussed.


change management; theory of change; leadership; management; clinical service


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