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  • Articles  (2,069)
  • Emerald
  • Medicine  (1,077)
  • Sociology  (569)
  • Political Science  (423)
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  • 1
    Electronic Resource
    Electronic Resource
    Are different models of care pathways being developed? (2000)
    Bingley : Emerald
    International journal of health care quality assurance 13 (2000), S. 80-87 
    Details
    ISSN: 0952-6862
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Medicine , Economics
    Notes: Care pathways are becoming increasingly popular within UK healthcare organisations yet very little is known about the tool. Using the results from a survey of healthcare organisations, which are members of the National Pathways Association (NPA), the author suggests that different models of care pathways are being implemented. Four models or different types of care pathways are identified, with different features in each model. The models can be used prospectively by organisations to decide which particular features they may want to include. Alternatively, the models can be used as an assessment tool to identify the type of pathway being developed. This assessment can form the basis for any future evaluations of the effectiveness of the pathways which are developed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1108/09526860010319532
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  • 2
    Electronic Resource
    Electronic Resource
    System negligence is at the root of medical error (2000)
    Bingley : Emerald
    International journal of health care quality assurance 13 (2000), S. 103-105 
    Details
    ISSN: 0952-6862
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Medicine , Economics
    Notes: This article compares the ways in which we think about errors and poor quality in health care to the approach taken by other industries. It proposes a more scientific study of accidents and "near misses" in health care and a systems perspective to understand errors as the logical outcome of a chain of events. The present focus on individuals as the source of quality needs to be balanced with an understanding of the role of systems in preventing error and ensuring high quality.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1108/09526860010327056
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  • 3
    Electronic Resource
    Electronic Resource
    Integrated patient pathways: "mipp" - a tool for quality improvement and cost management in health care. Pilot study on the pathway "Acute Myocardial Infarction" (2000)
    Bingley : Emerald
    International journal of health care quality assurance 13 (2000), S. 87-92 
    Details
    ISSN: 0952-6862
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Medicine , Economics
    Notes: This article describes the fundamentals of the "model of integrated patient pathways" ("mipp") and its mode of action as a tool for quality improvement and cost management in health care. The model is based on three pillars: construction, implementation and benchmarking. Transparency of processes and costs become available from interdisciplinary construction of care pathways via an Access database. The article provides details and lessons learned from applying the model to the pathway "Acute Myocardial Infarction". A robust approach for delivering quality in a cost-conscious world is uncovered, which lends itself to benchmarking and has limitless scope for quality improvements.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1108/09526860010319541
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  • 4
    Electronic Resource
    Electronic Resource
    Costing clinical audit: preparing for clinical governance (2000)
    Bingley : Emerald
    International journal of health care quality assurance 13 (2000), S. 111-117 
    Details
    ISSN: 0952-6862
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Medicine , Economics
    Notes: Clinical audit departments will have to demonstrate more "business-like" procedures such as rigorous project management in order to meet the demands of clinical governance. Addenbrooke's NHS Trust Clinical Audit Department has developed a method of objectively estimating how long a clinical audit will take and therefore its resource implications. This information also allows accurate planning of a rolling programme and will assist in the adjustment of this programme according to organisational requirements.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1108/09526860010327074
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  • 5
    Electronic Resource
    Electronic Resource
    Quality in finance of health care: the unaddressed imperative (2000)
    Bingley : Emerald
    International journal of health care quality assurance 13 (2000), S. 134-139 
    Details
    ISSN: 0952-6862
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Medicine , Economics
    Notes: As the health-care industry undergoes major change, a method of "accounting for quality" has become a key factor in health services delivery and fiscal accountability. This article examines several aspects of health care that inhibit the development of common methods of defining and accounting for quality. Key issues and characteristics of the health-care market are addressed and the article provides a synthesis of these obstacles to the process of deriving common measures and standards of quality that may be utilized by the health-care industry for financial decisions.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1108/09526860010327100
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  • 6
    Electronic Resource
    Electronic Resource
    The Quality Quiz: a tool for Joint Commission on Accreditation of Health Care Organizations survey preparation (2000)
    Bingley : Emerald
    International journal of health care quality assurance 13 (2000), S. 118-123 
    Details
    ISSN: 0952-6862
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Medicine , Economics
    Notes: As part of Joint Commission on Accreditation of Health Care Organizations survey preparation, two prospective, interventional studies were conducted. The first study compared the hospital staff that participated in survey-readiness rounds to staff that did not. The second study compared the scores before and after the educational in-service of the group that had not participated in these rounds. The mean total score of the rounds group was 92 per cent and for the no-rounds study group before in-service education was 85 per cent. The difference was statistically significant. The no-rounds group's mean total score rose 14 per cent after in-service education. In-service education nearly doubled the likelihood of scoring 90 per cent or better. As part of a coordinated survey-readiness program, a contest can be a useful and effective method to assess and improve staff knowledge.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1108/09526860010327083
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  • 7
    Electronic Resource
    Electronic Resource
    Availability and quality of obstetric care services in Nyanza Province, Kenya: a situation analysis (2000)
    Bingley : Emerald
    International journal of health care quality assurance 13 (2000), S. 124-133 
    Details
    ISSN: 0952-6862
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Medicine , Economics
    Notes: Kenya has seen a gradual decline in the quality of health services particularly those in the public sector. This has adversely affected health status of vulnerable groups including the poor, children and pregnant women. This article discusses research findings on the quality of obstetric care offered by both public and private sector facilities in the Nyanza province. It found that public sector health facilities are under staffed, lack essential drugs and equipment and are unable to offer even basic therapeutic and diagnostic services. Local people have lost confidence in the facilities and only use them when in absolute danger. Sometimes this may be late, leading to severe complications. The article recommends more personnel be trained and posted to rural areas, a reliable supply of drugs and the purchase of necessary equipment for public health facilities. Meanwhile, the private sector should be encouraged to charge less for essential services like maternity care.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1108/09526860010327092
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  • 8
    Electronic Resource
    Electronic Resource
    The patient care development programme: organisational development through user and staff involvement (2000)
    Bingley : Emerald
    International journal of health care quality assurance 13 (2000), S. 153-161 
    Details
    ISSN: 0952-6862
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Medicine , Economics
    Notes: A number of approaches have been developed in recent years to try effectively to engage service users in the process of planning and delivering health-care services. The consumerist methodology for the strategy described in this paper was designed to maximise staff involvement in capturing user views, in order to develop services at a district general hospital. This strategy - the Patient Care Development Programme (PCDP) - provides a framework for both staff and patient involvement in shaping and influencing the development of health-care services. Uses the findings from applying the strategy to modify care packages, roles, skills, layouts, protocols and procedures, in response to both the "shortfalls" and the service strengths that the patient's view uncovers. Discusses the results of an evaluation of the programme which has been replicated in another part of the UK. The PCDP now forms part of a clinical governance framework and is being used to develop multi-agency integrated care pathways.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1108/09526860010336957
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  • 9
    Electronic Resource
    Electronic Resource
    Causes of cost inefficiency in HMOs (2000)
    Bingley : Emerald
    International journal of health care quality assurance 13 (2000), S. 162-169 
    Details
    ISSN: 0952-6862
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Medicine , Economics
    Notes: Estimates a total effects cost function using a national 1994 health maintenance organization (HMO) data set to examine and update findings related to HMO efficiency. The cost function controls for ownership characteristics (profit status and ownership), size, enrollment diversity, regional location, product diversity, model type, payment characteristics, and years of operation. While not explicitly controlling for quality or acuity, measures of plan and enrollee diversity help control for acuity and quality. Results show that most of the difference in cost efficiency between HMOs is explained by factors specific to the HMO, including efficiencies of scale and scope, lower levels of Medicare patients, and efficient levels of capital. The study also shows that for-profits are more efficient than non-profits because they rely less on withhold pools to control costs. Limitations of the study include weak controls for quality of care, and limited data related to payment characteristics.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1108/09526860010336984
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  • 10
    Electronic Resource
    Electronic Resource
    Clinical governance is "ACE" - using the EFQM Excellence Model to support baseline assessment (2000)
    Bingley : Emerald
    International journal of health care quality assurance 13 (2000), S. 170-177 
    Details
    ISSN: 0952-6862
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Medicine , Economics
    Notes: The introduction of clinical governance in the "new NHS" means that National Health Service (NHS) organisations are now accountable for the quality of the services they provide to their local communities. As part of the implementation of clinical governance in the NHS, Trusts and health authorities had to complete a baseline assessment of their capability and capacity by September 1999. Describes one Trust's approach to developing and implementing its baseline assessment tool, based upon its existing use of the European Foundation for Quality Management (EFQM) Excellence Model. An initial review of the process suggests that the model provides an adaptable framework for the development of a comprehensive and practical assessment tool and that self-assessment ensures ownership of action plans at service level.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1108/09526860010336993
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