THE IMPLEMENTATION OF TOTAL QUALITY MANAGEMENT IN HOSPITALS - HOW GOOD IS THE FIT

被引:30
作者
ARNDT, M
BIGELOW, B
机构
[1] Clark University, Worcester, MA
关键词
ORGANIZATIONAL PROCESSES; QUALITY; TOTAL QUALIFY MANAGEMENT;
D O I
10.1097/00004010-199502040-00002
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Total quality management has become popular among hospitals because of its promise to reconcile trade-offs between cost and quality. However, assumptions inherent in TQM may not translate to the hospital environment: hierarchical management control over the technical core and the dominance of rational decision making. This article considers these two assumptions and suggests that the application of TQM to hospitals take them into account be cause they may compromise its success.
引用
收藏
页码:7 / 14
页数:8
相关论文
共 39 条
[1]  
ADLER S, 1992, TOTAL QUALITY MANAGE
[2]  
Akpunonu B E, 1994, Am J Med Qual, V9, P18, DOI 10.1177/0885713X9400900104
[3]  
Berwick DM, 1990, CURING HLTH CARE NEW
[4]   IMPROVEMENT IN STAT LABORATORY TURNAROUND TIME - A MODEL CONTINUOUS QUALITY IMPROVEMENT PROJECT [J].
BLUTH, EI ;
LAMBERT, DJ ;
LOHMANN, TP ;
FRANKLIN, DN ;
BOURGEOIS, M ;
KARDINAL, CG ;
DALOVISIO, JR ;
WILLIAMS, MM ;
BECKER, AS .
ARCHIVES OF INTERNAL MEDICINE, 1992, 152 (04) :837-840
[5]  
BORGER J, 1991, STRATEGIES HEALTHCAR, V4, P1
[6]  
Crosby P.B, 1980, QUALITY IS FREE
[7]  
Crosby PB., 1984, QUALITY TEARS ART HA
[8]  
Deming EW, 1986, OUT CRISIS
[9]  
DUECK R, 1992, TOTAL QUALITY MANAGE
[10]  
Gordon P. J., 1962, The Journal of the Academy of Management, V5, P66