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Total quality management and the silent patient
Summary
Total Quality Management in healthcare may shift focus from patients. Organizational ethics may offer a solution to prevent ethically problematic outcomes in healthcare delivery.
Area of Science:
- Healthcare Management
- Business Administration
- Medical Ethics
Background:
- The healthcare delivery system involves complex relationships between payers, providers, and patients.
- Business techniques, such as Total Quality Management (TQM), are increasingly applied to healthcare.
- Potential impacts of these business techniques on patient-centered care require examination.
Purpose of the Study:
- To analyze the effect of business techniques, specifically TQM, on healthcare system component relationships.
- To investigate structural anomalies within the healthcare delivery system.
- To explore the role of organizational ethics in mitigating negative impacts on patient care.
Main Methods:
- Conceptual analysis of business technique implementation in healthcare.
- Examination of structural factors within the healthcare delivery system.
- Literature review on Total Quality Management and healthcare ethics.
Main Results:
- TQM implementation in healthcare does not prevent, and may exacerbate, a shift in focus away from the enrollee and patient.
- Structural anomalies within the healthcare system contribute to this shift.
- Existing relationships between healthcare components are significantly impacted by TQM.
Conclusions:
- TQM in healthcare may inadvertently deprioritize patient and enrollee needs.
- Organizational ethics processes show potential as a quality control mechanism.
- Ethics may help prevent ethically problematic processes and outcomes in healthcare delivery.
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