Managing quality in cancer services: why improvement isn't easy.

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Show simple item record Sorensen, R Lloyd, AJ Van Kemenade, C Harnett, PR 2009-12-21T02:34:04Z 2005-11
dc.identifier.citation Australian health review : a publication of the Australian Hospital Association, 2005, 29 (4), pp. 406 - 415
dc.identifier.issn 0156-5788
dc.identifier.other C1 en_US
dc.description.abstract Optimising the quality of care is an imperative for health services worldwide, including in Australia. Recognition that poor quality often has its roots in system failures is beginning to shift strategies for improvement to the systems of care, although the tendency remains to focus on eliminating the practice variations of individual clinicians. In those instances where systems improvement is addressed, strategies tend to be generic and technical, and often unrelated to the context in which they are applied. This paper reports an interim evaluation of a quality management program in cancer services implemented in a Sydney metropolitan teaching hospital dispersed across multiple campuses. The paper aims to inform the debate on quality improvement by reporting not only on what was achieved, but why change seems to be so hard. We found that organisational and social factors that influence the quality of health services were not sufficiently addressed, compared with technical factors. We conclude that service quality needs to be repositioned as an organisational goal, and implemented via a structured process that addresses organisational and social factors, as well as technical factors.
dc.format Print
dc.language eng
dc.title Managing quality in cancer services: why improvement isn't easy.
dc.type Journal Article
dc.parent Australian health review : a publication of the Australian Hospital Association
dc.journal.volume 4
dc.journal.volume 29
dc.journal.number 4 en_US
dc.publocation Pyrmont, NSW en_US
dc.identifier.startpage 406 en_US
dc.identifier.endpage 415 en_US FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1605 Policy and Administration
dc.personcode 040083
dc.percentage 100 en_US Policy and Administration en_US
dc.classification.type FOR-08 en_US
dc.description.keywords organisational change, quality improvement, clinical governance, systems improvement, cancer services en_US
dc.description.keywords Humans
dc.description.keywords Hospitals, Teaching
dc.description.keywords Neoplasms
dc.description.keywords New South Wales
dc.description.keywords Total Quality Management
dc.description.keywords Quality of Health Care
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Arts and Social Sciences
utslib.copyright.status Closed Access 2015-04-15 12:17:09.805752+10
utslib.collection.history Closed (ID: 3)
utslib.collection.history Uncategorised (ID: 363)

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