Quality Health Care

* Qual Health Care 2001;10:40-48 doi:10.1136/qhc.10.1.40 * Viewpoint Management matters: the subsume between infirmary organisation and musical note of patient care 1. Elizabeth tungsten, older research fellow + Author Affiliations 1. Royal College of Nursing, Radcliffe Infirmary, Woodstock Road, Oxford OX1 6HE, UK 1. Dr E West elizabeth.west@rcn.org.uk * Accepted 21 December 2000   Next Section Abstract Some hospital trusts and health authorities consistently outperform others on disparate dimensions of performance. Why? There is some evidence that management matters, as well as the combined efforts of individual clinicians and teams. However, studies that have been conducted on the link between the organisation and management of services and quality of patient care can be criticised both theoretically and methodologically. A larger, and arguably more rigorous, body of work exists on the performance of firms in the private sector, often conducted within the disciplines of organisational deportment or human resource management. Studies in these traditions have concentrate on the effects of decentralisation, participation, innovative work practices, and complementarities on endpoint variables such as job satisfaction and performance.

The aim of this paper is to identify a number of reviews and research traditions that might supply new ideas into in store(predicate) work on the determinants of hospital performance. Ideally, future research should be more theoretically informed and should work longitudinal rather than cross sectional research designs. The consumption of statistical methods such as multilevel modelling, which allow for the comprehension of variables at different levels of analysis, would enable estimation of the separate portion that structure and process make to hospital outcomes. * hospital organisation * hospital performance * management * quality of care Key messages * Studies linking the organisation and management of health... If you want to receive a full essay, order it on our website: Ordercustompaper.com

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