Centre for Policy on Ageing



Improving the quality of health care in the United Kingdom and the United States: a framework for change — [brief summary]
Author(s)	Ewan B Ferlie, Stephen M Shortell
Corporate Author	Commonwealth Fund
Publisher	The Commonwealth Fund, New York, NY, February 2002
Pages	2 pp (In the Literature)
Source	http://www.cmwf.org
Keywords	Health services ; Quality ; Policy ; United States of America ; United Kingdom.
Annotation	The quality improvement strategies that have been adopted in the US and the UK are doomed to fail, mainly because of too much reliance on relatively narrow, "single-level" changes that the authors say have proved largely unsuccessful. Their summary of an article in Milbank Quarterly (vol 79, no 2, June 2001) recommends four levels of change: individual (health care professional), the team, the overall organisation, and the larger system or environment. This multilevel approach must recognise the importance of: leadership at all levels; an organisational culture that supports learning throughout the care process; emphasis on the development of effective teams; and greater use of information technologies for continuous improvement work and external accountability. (RH).
Accession Number	CPA-020423211 P
Classmark	L: 59: QAD: 7T: 8 *
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...from the Ageinfo database published by Centre for Policy on Ageing.