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A modest article about brilliant care.

Ann Dadich1

  • 1School of Business, Western Sydney University, Parramatta, Australia.

Health Sociology Review : the Journal of the Health Section of the Australian Sociological Association
|October 2, 2025
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Summary
This summary is machine-generated.

Brilliant care, exceeding expectations, is possible. This study identifies four key domains—relational orientation, attentive engagement, beyond technical skills, and shared responsibility—that enable exceptional healthcare experiences.

Keywords:
Brilliant carecarehealthcarepositive organisational scholarship

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Area of Science:

  • Healthcare Management
  • Patient Care Studies
  • Organizational Behavior in Health

Background:

  • The prevailing narrative in healthcare often focuses on challenges and failures.
  • However, instances of exceptional care, where services exceed patient expectations, do occur.
  • Understanding the factors contributing to this 'brilliant care' is crucial for improving healthcare quality.

Purpose of the Study:

  • To identify and define the core domains that facilitate brilliant care.
  • To provide a framework for enhancing the quality of healthcare services.
  • To stimulate scholarly discussion and practical application of brilliant care principles.

Main Methods:

  • A reflexive analysis was conducted on ten existing publications focused on brilliant care.
  • Key themes and concepts were synthesized to construct a theoretical framework.
  • The identified domains were justified based on the literature review.

Main Results:

  • Four distinct domains enabling brilliant care were identified and defined:
  • 1. A relational orientation to care, emphasizing human connection.
  • 2. Attentive engagement, involving deep focus and presence.
  • 3. Working with and beyond the technical aspects of healthcare, integrating holistic approaches.
  • 4. Shared responsibility among all stakeholders involved in care delivery.

Conclusions:

  • The identified domains offer a foundation for understanding and fostering brilliant care.
  • An invitation is extended to healthcare stakeholders to explore and implement these domains.
  • Systematizing these elements into policy and practice, while preserving their dynamic nature, is recommended for sustained improvement in health service management.