In their 2016 article, Saltman and Duran provide a thoughtful examination of the governance challenges involved in different care delivery models adopted in primary care and hospitals in two European countries. This commentary examines the limited potential of structural changes to achieve real reform and considers that, unless governance arrangements actually succeed in penetrating organizatio...

As healthcare organisations seek to enhance safety and quality in a changing environment, organisational learning practices can help to improve existing skills and knowledge and provide opportunities to discover better ways of working together. Leadership at executive, middle management, and local levels is needed to create a sense of shared purpose. This shared vision should help to build effe...

2 Acknowledgements About HSMC HSMC has been one of the leading UK centres for research, personal and organisational development in health care for nearly 40 years. Commissioning of healthcare and provision of healthcare outside hospitals have become specific areas of expertise in recent years, underpinned by a continuing commitment to issues of quality improvement and public and patient engagem...

The aim of this thesis work was to develop a management information system model for process-oriented healthcare organisations. The study explores two questions: “What kinds of requirements do healthcare managers place on information systems?” and “How can the work and information systems of healthcare managers and care providers be incorporated into process-oriented healthcare organisations?” ...

As healthcare organisations seek to enhance safety and quality in a changing environment, organisational learning practices can help to improve existing skills and knowledge and provide opportunities to discover better ways of working together. Leadership at executive, middle management, and local levels is needed to create a sense of shared purpose. This shared vision should help to build effe...

Is quality improvement a parochial activity, focused on local problems, determined by local context, and generally lacking lessons for people or organisations not involved? Or is it an activity with various key features that apply wherever and whenever improvement in quality is attempted? We would argue that quality improvement is indeed an activity or discipline that has a common core. Its pri...

BACKGROUND Aboriginal people in Australia experience the highest prevalence of diabetes in the country, an excess of preventable complications and early death. There is increasing evidence demonstrating the importance of healthcare systems for improvement of chronic illness care. The aims of this study were to assess the status of systems for chronic illness care in Aboriginal community health ...