...Chih-Hsuan Huang; Yii-Ching Lee; Hsin-Hung Wu Purpose Medical staff's emotional exhaustion increases cynical attitudes and behaviors about work and patients and leads medical staff to become detached from work. This may decrease patients' trust and satisfaction and even endanger patients' lives...

... Licensed re-use rights only Prospective payment system Medical staff Implementation Context Change management Psychiatry Due to the strong dependency of the implementation of complex innovations on organizational and environmental factors, two contexts were considered...