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Published on: February 16, 2011
What is quality and how is it achieved? Practitioners' views versus quality models
P Hudelson1, A Cléopas, V Kolly
1Département de Médecine Communautaire, Geneva University Hospitals, 24 rue Micheli du Crest, 1211 Genève 24, Switzerland. Patricia.Hudelson@hcuge.ch
Healthcare professionals view quality improvement as an individual responsibility, contrasting with expert models. Systemic issues, like resource shortages, are seen as primary barriers to delivering high-quality patient care.
Area of Science:
- Healthcare Management
- Medical Sociology
- Quality Improvement Research
Background:
- Organizational culture is crucial for healthcare quality improvement.
- Expert-defined quality attributes include systems thinking, error acceptance, continuous improvement, and patient focus.
Purpose of the Study:
- To investigate healthcare professionals' perceptions of quality in Geneva, Switzerland.
- To explore definitions, barriers, facilitators, and responsibility for healthcare quality.
Main Methods:
- Semi-structured interviews conducted with 21 doctors and nurses.
- Explored perceptions across five hospital departments.
Main Results:
- Healthcare professionals' quality concepts differ from expert models.
- Quality is perceived as the responsibility of individual practitioners.
- Technical and interpersonal skills are key to perceived quality.
- Healthcare systems are viewed as barriers due to resource and administrative issues.
Conclusions:
- Discrepancy between professional and expert views on healthcare quality.
- Individual practitioner responsibility is emphasized over systemic approaches.
- Findings have implications for implementing quality management initiatives in healthcare organizations.
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