Quality assurance in health care. From a traditional towards a modern approach

Harteloh, Peter; Verheggen, Frank W.S.M.

doi:10.1016/0168-8510(94)90120-1

Cited by 13 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As argued by Øvretveit [25], people may not be satisfied with access in comparison to what they want from the health system, and they may feel that the system should provide more. People's expectations play a role in forming their satisfaction with health services, and the gap between their expectations and present experience may have an effect on the level of satisfaction [25,26].…”

Section: Discussionmentioning

confidence: 99%

Satisfaction with the access to the health services of the people with chronic conditions in Estonia

2007

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Satisfaction with the access to the health services of the people with chronic conditions in Estonia

2007

View full text Add to dashboard Cite

“…Modern quality techniques developed in industry have already been suggested as important to healthcare. 35,36 The concept of measurement and an appreciation of a system are essential to achieve optimal quality. Measures of improvement should be created together with a focus on specific projects that are critical to a department's success.…”

Section: How Do We Get There?mentioning

confidence: 99%

Quality in radiation oncology

Pawlicki

Mundt

2007

Medical Physics

View full text Add to dashboard Cite

A modern approach to quality was developed in the United States at Bell Telephone Laboratories during the first part of the 20th century. Over the years, those quality techniques have been adopted and extended by almost every industry. Medicine in general and radiation oncology in particular have been slow to adopt modern quality techniques. This work contains a brief description of the history of research on quality that led to the development of organization-wide quality programs such as Six Sigma. The aim is to discuss the current approach to quality in radiation oncology as well as where quality should be in the future. A strategy is suggested with the goal to provide a threshold improvement in quality over the next 10 years.

show abstract

“…So, the meaning of quality in health care can be found by studying the use of the word 'quality' in the debate on the quality of care. Nowadays, this debate shows an increasing influence of industrial ideas about quality management [8]. Quality is no longer considered a (static) property of the health care system (effectiveness, efficiency), but more and more a (dynamic) capacity of medical work [9], e.g.…”

Section: The Meaning Of Quality Systems In Health Carementioning

confidence: 99%

Quality systems in health care: a sociotechnical approach

Harteloh

2003

Health Policy

View full text Add to dashboard Cite

In this paper, we explore a sociotechnical approach to construct quality systems as an alternative to the traditional, ISO orientated approach. A sociotechnical approach is characterised as bottom-up, incremental, information technology facilitated and indicator driven. Its purpose is to ground quality assurance in medical practice and to provide meaning to those directly involved (patients, health care providers and medical professionals). Meaning depends on information. According to contemporary theory of meaning, facts become information on quality if the structure of data represents the structure of the quality concept. The structure of the quality concept is exemplified by definitions of the quality of care, most of them comparing actual properties of care with requirements, expectations, standards or guidelines. So, raw data or measurements have to be compared with a normative frame of reference in order to become information on the quality of care. Quality indicators conceptualise this theory of meaning. Therefore, constructing quality systems by developing quality indicators is important for the meaning of quality assurance in health care. It makes a system to a quality system and suits a sociotechnical approach by grounding the formal structure of the system in a social reality.

show abstract

Quality assurance in health care. From a traditional towards a modern approach

Cited by 13 publications

References 20 publications

Satisfaction with the access to the health services of the people with chronic conditions in Estonia

Satisfaction with the access to the health services of the people with chronic conditions in Estonia

Quality in radiation oncology

Quality systems in health care: a sociotechnical approach

Contact Info

Product

Resources

About