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Quality in the interorganizational setting

C A Fargason1, C S Ashworth, C C Haddock

  • 1Division of General Pediatrics, University of Alabama at Birmingham, Children's Hospital of Alabama 35233, USA.

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|January 1, 1995
PubMed
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Improving healthcare quality requires addressing challenges in care spanning multiple organizations. This study identifies interorganizational issues affecting children with spina bifida, lead poisoning, and abuse, proposing solutions for better patient outcomes.

Area of Science:

  • Healthcare Management
  • Pediatric Health Services
  • Organizational Behavior

Background:

  • Healthcare delivery often involves multiple organizations, complicating care coordination.
  • Quality improvement literature infrequently addresses interorganizational care challenges.
  • Vulnerable pediatric populations face significant risks due to fragmented care.

Purpose of the Study:

  • To identify interorganizational quality problems impacting children with spina bifida, lead poisoning, and sexual abuse.
  • To explore structural and group process approaches from organizational behavior to improve care.
  • To advocate for a broader conceptualization of care delivery for inter-institutional patient benefit.

Main Methods:

  • Literature review focusing on healthcare quality and organizational behavior.

Related Experiment Videos

  • Identification of specific interorganizational quality issues in pediatric care.
  • Application of organizational behavior concepts to propose solutions.

    • Main Results:

    • Key interorganizational quality problems were identified for specific pediatric conditions.
    • Structural and group process strategies were discussed as potential solutions.
    • The need for a holistic view of care delivery across institutions was highlighted.

    Conclusions:

    • Addressing interorganizational quality issues is crucial for vulnerable children.
    • Organizational behavior offers valuable frameworks for improving cross-institutional care.
    • A redefined approach to care delivery is necessary for effective quality improvement.