Is health care a special challenge to quality management? Insights from the Danderyd Hospital case.

Jörgen Striem*, John Øvretveit, Mats Brommels

*Corresponding author for this work

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

A 10-year quality journey of a Swedish university hospital is described in this case study based on a variety of data sources. A series of quality initiatives were implemented according to total quality management (TQM) "best practice." Many projects were successful, but still a majority of those did not meet the staff's requirement of practical relevance, and they provoked scepticism toward instruments introduced and resistance to service-related quality definitions. The hospital's incentive structures did not reward an engagement in improvement activities. The findings are interpreted as demonstrating that the programs were viewed upon as part of a "management" rather than "professional" agenda, despite the underlying philosophy of TQM. It is suggested that applying professional practice development approaches to improvement initiatives might help to overcome the barrier thus created.

Original languageEnglish
Pages (from-to)250-258
Number of pages9
JournalQuality management in health care
Volume12
Issue number4
Publication statusPublished - Oct 2003
Externally publishedYes

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