The exceptional potential for quality improvement methods in the design and modelling of complex interventions

Siriwardena, A. Niroshan (2008) The exceptional potential for quality improvement methods in the design and modelling of complex interventions. Quality in Primary Care, 16 (6). pp. 387-389. ISSN 1479-1064

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Abstract

Although the actions of a particular clinician with an individual patient in the consultation are important for a successful outcome for that service user, quality improvement is rarely due to individual efforts. Instead, it is usually the sum of actions of individuals linked through their professional roles, the teams and organisations in which they work as well as the wider context of health care. These together constitute the system of care; the focus therefore has to be to develop the system in order to support individual clinical decisions at the front line of health care. The series of editorial and discussion papers in this themed issue on ‘Organisational and Educational Interventions for Quality Improvement’ tackle how this might be best achieved. They address which organisational interventions improve care, why education underpins their effectiveness, how the organisational context provides the glue to link these and the contribution of the wider policy context to fuel change.

Item Type: Article
Additional Information: Although the actions of a particular clinician with an individual patient in the consultation are important for a successful outcome for that service user, quality improvement is rarely due to individual efforts. Instead, it is usually the sum of actions of individuals linked through their professional roles, the teams and organisations in which they work as well as the wider context of health care. These together constitute the system of care; the focus therefore has to be to develop the system in order to support individual clinical decisions at the front line of health care. The series of editorial and discussion papers in this themed issue on ‘Organisational and Educational Interventions for Quality Improvement’ tackle how this might be best achieved. They address which organisational interventions improve care, why education underpins their effectiveness, how the organisational context provides the glue to link these and the contribution of the wider policy context to fuel change.
Keywords: Quality Improvement, complex interventions, organisational change, primary care
Subjects: B Subjects allied to Medicine > B990 Subjects Allied to Medicine not elsewhere classified
A Medicine and Dentistry > A300 Clinical Medicine
Divisions: College of Social Sciences > Faculty of Health & Social Sciences > Lincoln School of Health & Social Care
Depositing User: Alison Wilson
Date Deposited: 28 Sep 2010 15:22
Last Modified: 13 Mar 2013 08:47
URI: http://eprints.lincoln.ac.uk/id/eprint/3377

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