Planning and Studying Improvement in Patient Care: The Use of Theoretical Perspectives
A consistent finding in articles on quality improvement in health care is that change is difficult to achieve. According to the research literature, the majority of interventions are targeted at health care professionals. But success in achieving change may be influenced by factors other than those...
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| Veröffentlicht in: | The Milbank quarterly 2007-01, Vol.85 (1), p.93-138 |
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| container_title | The Milbank quarterly |
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| creator | GROL, RICHARD P.T.M. BOSCH, MARIJE C. HULSCHER, MARLIES E.J.L. ECCLES, MARTIN P. WENSING, MICHEL |
| description | A consistent finding in articles on quality improvement in health care is that change is difficult to achieve. According to the research literature, the majority of interventions are targeted at health care professionals. But success in achieving change may be influenced by factors other than those relating to individual professionals, and theories may help explain whether change is possible. This article argues for a more systematic use of theories in planning and evaluating quality-improvement interventions in clinical practice. It demonstrates how different theories can be used to generate testable hypotheses regarding factors that influence the implementation of change, and it shows how different theoretical assumptions lead to different quality-improvement strategies. |
| doi_str_mv | 10.1111/j.1468-0009.2007.00478.x |
| format | Article |
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According to the research literature, the majority of interventions are targeted at health care professionals. But success in achieving change may be influenced by factors other than those relating to individual professionals, and theories may help explain whether change is possible. This article argues for a more systematic use of theories in planning and evaluating quality-improvement interventions in clinical practice. 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| source | MEDLINE; Business Source Complete (EB_SDU_P3); PAIS Index; Wiley-Blackwell Full Collection; Applied Social Sciences Index & Abstracts (ASSIA); Free E-Journal (出版社公開部分のみ）; PubMed Central; JSTOR |
| subjects | Changes Clinical medicine Decision Making, Organizational Diabetes Discriminant analysis Evaluation General practice General theories Health care Health care organizations Health Plan Implementation - organization & administration Humans Improvement Infections Interinstitutional Relations Interprofessional Relations Learning Medical personnel Medical practice Models, Organizational Motivation Organizational change Organizational Culture Organizational Innovation Original Patient care Patients Physicians Planning quality improvement Quality of care Quality of service Reforms Sociology Sociology of health and medicine Strategic planning Systems Analysis Technological innovation Theories Total Quality Management Welfare reform |
| title | Planning and Studying Improvement in Patient Care: The Use of Theoretical Perspectives |
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