Feb 27, 2007

Planning and studying improvement in patient care: the use of theoretical perspectives

The Milbank Quarterly
R P T M GrolMichel Wensing

Abstract

A consistent finding in articles on quality improvement in health care is that change is difficult to achieve. According to the research literature, the majority of interventions are targeted at health care professionals. But success in achieving change may be influenced by factors other than those relating to individual professionals, and theories may help explain whether change is possible. This article argues for a more systematic use of theories in planning and evaluating quality-improvement interventions in clinical practice. It demonstrates how different theories can be used to generate testable hypotheses regarding factors that influence the implementation of change, and it shows how different theoretical assumptions lead to different quality-improvement strategies.

  • References92
  • Citations352

Mentioned in this Paper

Memory Training
Health Plan Implementation
Systems Analysis
Interinstitutional Relations
Etiquette, Medical
Total Quality Management
Decision Making, Organizational
Organizational Innovation
Motivation
Organizational Culture

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