| Is health care a special challenge to quality management? Insights from the Danderyd Hospital case. | |
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MedLine Citation:
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PMID: 14603787 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 10-year quality journey of a Swedish university hospital is described in this case study based on a variety of data sources. A series of quality initiatives were implemented according to total quality management (TQM) "best practice." Many projects were successful, but still a majority of those did not meet the staff's requirement of practical relevance, and they provoked scepticism toward instruments introduced and resistance to service-related quality definitions. The hospital's incentive structures did not reward an engagement in improvement activities. The findings are interpreted as demonstrating that the programs were viewed upon as part of a "management" rather than "professional" agenda, despite the underlying philosophy of TQM. It is suggested that applying professional practice development approaches to improvement initiatives might help to overcome the barrier thus created. |
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Authors:
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Jörgen Striem; John Øvretveit; Mats Brommels |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Quality management in health care Volume: 12 ISSN: 1063-8628 ISO Abbreviation: Qual Manag Health Care Publication Date: 2003 Oct-Dec |
Date Detail:
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Created Date: 2003-11-07 Completed Date: 2003-12-23 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9306156 Medline TA: Qual Manag Health Care Country: United States |
Other Details:
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Languages: eng Pagination: 250-8 Citation Subset: H |
Affiliation:
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Danderyd University Hospital, SE-182 88, Stockholm, Sweden. Jorgen.Striem@sjl.ds.sll.se |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel Employee Incentive Plans Hospitals, University / standards* Humans Organizational Case Studies Organizational Objectives Process Assessment (Health Care) Staff Development Sweden Total Quality Management / methods, organization & administration* |
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