Already a member or subscriber? Sign in now

Why a top-down approach to change doesn't work

FPM Editors
January 26, 2018

The exact standard created in one clinic rarely works in another. The patient demographics are different, the doctors have different interests and practice styles, and so on. Instead of applying a top-down, cookie-cutter approach, leaders should give clinics a playbook not to simply copy but to "copy-improve." When physicians and staff have the freedom to determine what is applicable in their individual setting and adapt the standard to their own environment and needs, the desired change is more likely to take root.

Adapted from "Why Best Practices Fail to Spread."

Posted on Jan 26, 2018 by FPM Editors

Copyright © 2026 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. See permissions for copyright questions and/or permission requests.