Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice?
Keith E. Mandel, Steven H. Cady
Abstract
Total quality management activities have produced undeniable positive results. However, I predict that the way these activities are implemented will lead to the programs becoming self-limitingseeds for the deterioration of total quality management lie in the very practices that today produce successful outcomes.
Topics & Concepts
MedicineLimitingQuality (philosophy)Primary careQuality managementPrimary health careHealth careNursingOperations managementFamily medicineEnvironmental healthEngineeringLawEpistemologyPhilosophyPolitical sciencePopulationMechanical engineeringManagement systemHealthcare Quality and ManagementPrimary Care and Health OutcomesHealth Systems, Economic Evaluations, Quality of Life