Published: 2008-12-09
ISBN:
ISSN: 1650-3686 (print), 1650-3740 (online)
Purpose: The purpose of the present study is to develop practical knowledge about the management of strategic improvement and increased effectiveness in health care systems.
Design/methodology/approach: In the study; we use an interactive research design. This means that researchers and practitioners collaborate on the various issues of the research project (problem analysis; discussions of empirical material; analysis and writing). Four main sub-projects concentrating on studying management and improvement of health care systems has been used in order to compile the findings.
Findings: In the study; we develop nine questions that are essential. These questions embrace important aspects that organizations should work with in order to succeed with improvement initiatives: These are: 1. How do we create awareness of the need for change? 2. What results do we expect from the improvement work? 3. What resources do we need in order to succeed in the improvement work? 4. How and where do we start the improvement work? 5. How do we work with the logistics of health care from a patient perspective? 6. How can we increase our organizational learning? 7. How do we create long-term thinking and commitment? 8. How do we design IT systems which support new and better work procedures? 9. What do we need to cease doing in our work?
Bar-Yam; Y. (1997). Dynamics of Complex Systems. Reading Massachusetts; Perseus Books
Bar-Yam; Y. (2006). ”Improving the Effectiveness of Health Care and Public Health: A Multiscale Complex Systems Analysis.” American Journal of Public Health 96(3): 459-466
Batalden P; Davidoff F: Whats is “quality improvement” and how can it transform healthcare? Qual. and Saf. Health Care 2007;16:2-3
Beer; M.; & Nohria M.; (2000) Breaking the Code of Change; Harvard Business School Press
Berwick; D. M. (1996). «A Primer on Leading the Improvement of Systems.» British Medical Journal 312(7031): 619-622
Cederqvist; J. and E. Hjortendal-Hellman (Ds 2005:7). Iakttagelser om landsting. Finansdepartementet
Collier; J. United States Indian Administration as a Laboratory of Ethnic Relations; Social Research; 12; 275-276.
Collins; J. C.; and Collins J. (2001) Good to Great: Why Some Companies Make the Leap...and Others Don’t; Harper Business
Deming; E. (1986). Out of the crisis. Boston; Massachusetts Institute of Technology
Greenhalgh; T.; R. Glenn; et al. (2004). ”Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations.” The Milbank Quarterly 82(4): 581-629
Horbrook; M.; Hurtardo; A.; & Johnson; R. (1985). Health care episodes: definition; measurement and use. Medical care review; 42 (2); 163-218
Kazandijan; V. A.; & Lied; T. (1999). Healthcare Performance Measurement: Systems Design and Evaluation. Milwaukee: ASQ
Lewin; K. (1946) Action Research and Minority Problems; Journal of Social Issues; 2(4); 34-46.
Lindmark; J.; & Elg; M. (2005). Den medicinska beslutsprocessen som grund för beskrivning och analys av hälso- och sjukvård - Flödesmodellen som verktyg. Stockholm: Sveriges Kommuner och Landsting
NATIONAL STRATEGI for kvalitetsudvikling i sundhedsvæsenet. Danmark (2002)
Nielsen; K.A.; & Svensson ; L.; (2006) Action and Interactive Research Beyond Practice and Research. Maastricht: Shaker Publishing.
Nolan; T. and M. Schall (1996). Reducing Delays and Waiting Times Throughout the Healthcare System. Boston; MA; Institute for Healthcare Improvement
OECD (2004). Towards high-performing health systems. T. O. H. Project
Olsson; J. (2002). Factors of Importance for Understanding Successful Improvement Initiatives in Swedish Health Care. Chalmers University of Technology; Göteborg
Olsson; J.; Kammerlind; P.; Thor; J.; & Elg; M. (2003). Surveying Improvement Activities in Health
Care on a National Level - The Swedish Internal Collaborative Strategy and its Challenges. Quality Management in Health Care; 12(4); 202-216
Sachs; M. A. (2004). Fokusrapport Kvalitetskostnader. S. l. landsting
Sorian; R. (2006). Measuring; Reporting; and Rewarding Performance in Healthcare. Comission on a high performance health system; The Commonwealthfound
Strategier för effektivisering (2007) Sveriges Kommuner och Landsting
Universitetssamverkan för Förbättringskunskap; Sveriges Kommuner och Landsting; www.skl.se/usf
Transformera System – från öar till helhet. Sveriges Kommuner och Landsting; www.skl.se
Van de Ven; A.; Scott Poole; M. &Angle; H. (2000) Research on the management of innovations; Oxford University Press
Øvretveit; J. (2006). Ledarens roll i kvalitetsförbättrings och säkerhetsarbetet; Sveriges Kommuner och Landsting.
tp://www.skl.se/artikel.asp?A=17111&C=1150&ArticleVersion ...og bedre skal det bli! Norska strategin for kvalitetsforbedring i sosial – og helsetjenesten
tp://shdir.no/publikasjoner/veiledere/nasjonal_strategi_for_kvalitetsforbedring_i_sosial__og_ helsetjenesten__og_bedre_skal_det_bli___2005_2015__2913__123 0.
