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Related Experiment Videos

The Norwegian approach to integrated quality development.

J Ovretveit1

  • 1Bergen University School of Medicine, Norway.

Journal of Management in Medicine
|September 8, 2001
PubMed
Summary

An integrated approach to quality in healthcare is essential for avoiding duplication and conflict. This study explores how healthcare organizations can develop integrated quality development strategies, finding pure total quality management unsuitable for public healthcare integration.

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Area of Science:

  • Healthcare Management
  • Quality Improvement
  • Organizational Development

Background:

  • Healthcare organizations face challenges integrating diverse quality initiatives.
  • UK NHS quality proposals mandate an integrated approach to quality.
  • International healthcare settings also seek to harmonize quality systems.

Purpose of the Study:

  • To define the characteristics of an integrated approach to quality in healthcare.
  • To explore how managers and clinicians can develop such an approach within their organizations.
  • To analyze the findings from a Norwegian total quality management experiment in public healthcare.

Main Methods:

  • Analysis of a Norwegian total quality management (TQM) experiment in six public hospitals.
  • Examination of how hospitals integrated various quality projects and systems.

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  • Description of the "integrated quality development" approach adopted by these hospitals.

    • Main Results:

    • Total Quality Management (TQM) in its pure form is not directly applicable for integration in public healthcare.
    • Hospitals developed specific strategies to integrate diverse quality initiatives.
    • An "integrated quality development" approach emerged as a characterizing feature.

    Conclusions:

    • Pure TQM is insufficient for achieving integration in public healthcare settings.
    • Healthcare organizations need tailored approaches to integrate quality efforts.
    • "Integrated quality development" offers a framework for harmonizing quality initiatives in healthcare.