Abstract:To the Editor: In 1993 Valparaíso San Antonio Health Service initiated an Organizational Development Programme that included all facilities, extending from the six major hospitals to the 26 primary care clinics of the region. The programme adopted Quality Management as its model, without discarding other concepts and methods of proven effectiveness (see Walton 1992; Al‐Asaf 1993; Ishikawa 1993). In 1994 the Health Service Council identified the emergency care system as a model in need of great improvement and … Show more
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