G. Westlander, MEANS, GOALS, AND OUTCOMES OF A COMPREHENSIVE OCCUPATIONAL-HEALTH PROGRAM FOR TELEPHONE OPERATORS, International journal of health services, 25(2), 1995, pp. 313-332
A means-goals analysis requires a plan with some degree of distinctnes
s, which is worked out beforehand and specifies reasonably clear goals
and intended means. This article draws its material from a broadly de
signed strategy for organizational change that meets these criteria. A
service division of Swedish Telecom underwent a program of comprehens
ive organizational change; major efforts were made to improve the occu
pational health of 300 telephone operators in manual service operation
s. Over a full three-year period, a number of specific problems were t
o be resolved. An independent research team evaluated the implementati
on of the program prospectively. The team followed an evaluation model
in which stringent distinction was made between: (1) action areas, (2
) intended specific means, (3) intended immediate goals, and (4) the l
onger-term favorable effects of achieving these immediate goals. In ad
dition, an attempt was made to interpret and understand the findings o
f the means-goals evaluation by paying systematic attention to the imp
lementation process and factors that might permit an understanding of
the final outcomes of the program. Compared with other efforts to impr
ove telephone operators' work conditions as reported in the research l
iterature, this strategy for the promotion of change is broad and ambi
tious.