Integrated approach to healthcare quality management: a case study

P. Dey, S. Hariharan
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引用次数: 24

Abstract

Purpose - The purpose of the paper is to develop an integrated quality management model, which identifies problems, suggests solutions, develops a framework for implementation and helps evaluate performance of health care services dynamically. Design/methodology/approach - This paper uses logical framework analysis (LFA), a matrix approach to project planning for managing quality. This has been applied to three acute healthcare services (Operating room utilization, Accident and emergency, and Intensive care) in order to demonstrate its effectiveness. Findings - The paper finds that LFA is an effective method of quality management of hospital-based healthcare services. Research limitations/implications - This paper shows LFA application in three service processes in one hospital. However, ideally this is required to be tested in several hospitals and other services as well. Practical implications - In the paper the proposed model can be practised in hospital-based healthcare services for improving performance. Originality/value - The paper shows that quality improvement in healthcare services is a complex and multi-dimensional task. Although various quality management tools are routinely deployed for identifying quality issues in health care delivery and corrective measures are taken for superior performance, there is an absence of an integrated approach, which can identify and analyze issues, provide solutions to resolve those issues, develop a project management framework (planning, monitoring, and evaluating) to implement those solutions in order to improve process performance. This study introduces an integrated and uniform quality management tool. It integrates operations with organizational strategies. © Emerald Group Publishing Limited.
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医疗保健质量管理的综合方法:案例研究
目的——本文的目的是开发一个综合质量管理模型,该模型可识别问题,提出解决方案,制定实施框架,并有助于动态评估卫生保健服务的绩效。设计/方法论/方法-本文使用逻辑框架分析(LFA),一种管理质量的矩阵方法来进行项目规划。这已应用于三种急症医疗服务(手术室利用、事故和紧急情况以及重症监护),以证明其有效性。研究发现:LFA是一种有效的医院医疗服务质量管理方法。研究局限/启示-本文展示了LFA在某医院三个服务流程中的应用。然而,理想情况下,这需要在几家医院和其他服务部门进行测试。实际意义-在本文中,提出的模型可以在以医院为基础的医疗保健服务中实践,以提高绩效。原创性/价值——本文表明,提高医疗保健服务的质量是一项复杂的、多维度的任务。尽管经常部署各种质量管理工具来识别医疗保健服务中的质量问题,并采取纠正措施以提高绩效,但缺乏一种综合方法,可以识别和分析问题,提供解决这些问题的解决方案,制定项目管理框架(计划、监测和评估)来实施这些解决方案,以提高流程绩效。本文介绍了一种集成统一的质量管理工具。它将运营与组织战略相结合。©翡翠集团出版有限公司
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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