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Updated: Aug 11, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
[Quality management in the hospital--methodological comments on quality effects of two aspects of a real case]
1Betriebswirtschafliches Institut, Universität Erlangen-Nürnberg.
Abstract:
In this article two aspects of a clinical case, known in Germany as the Marion P. case, are adapted to fit into Donabedians systematic of factors of influence on health care quality. These aspects, case-related communication between doctors on the one hand and between doctors and directly affected persons on the other, are also viewed as specific problems of decision making. It turns out that in either situation the probability theory based medical decision analysis could have been an important contribution to improve problem transparency, i.e. medical decision analysis could have been used as a tool for quality management in hospitals.
Insights
Medical decision analysis can improve hospital quality management by enhancing transparency in doctor-to-doctor and doctor-to-patient communication, as seen in the Marion P. case study.
Area of Science:
- Healthcare Quality Management
- Clinical Communication
- Medical Decision Making
Context:
- The Marion P. case highlights communication challenges in healthcare.
- Donabedian's framework for healthcare quality is applied.
- Communication between healthcare providers and patients is examined.
Purpose:
- To adapt clinical case aspects into Donabedian's quality framework.
- To analyze communication as a decision-making problem.
- To explore the utility of medical decision analysis in quality management.
Summary:
- Communication between doctors and with patients presents decision-making challenges.
- Probability theory-based medical decision analysis can enhance transparency.
- This approach offers a tool for improving hospital quality management.
Impact:
- Medical decision analysis can serve as a valuable tool for hospital quality management.
- Improved transparency in decision-making can lead to better patient outcomes.
- The study provides insights into optimizing clinical communication strategies.
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