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...

background:patient concerns represent opportunities for improvement in orthopaedic care. thisstudy’s objectiveis to identify the nature and prevalence of unsolicited patient complaints regarding orthopaedic care ata tertiary referral hospital. the primary null hypothesis that there are no demographic factors associatedwith complaint types was tested. secondarily we determined if the overall com...

background: business process management systems (bpm) can automate all processes in an organization. these systems provide the possibility of identifying, modeling, deploying, implementing, function managing, integrating with other information systems, monitoring and improving an organization's business processes in a standard form. as far as the authors know, no related research has been ...

The Swedish healthcare system, although being one of the more efficient care systems in the world with good medical outcomes at a moderate cost, faces tremendous future challenges. An ageing population with more patients suffering from multiple diseases together with accelerating medicotechnical developments is putting increasing pressure on the system. The quality and safety of the system has ...

this commentary reviews a recent piece by burton and rycroft-malone on the use of resource based view (rbv) in healthcare organizations. it first outlines the core content of their piece. it then discusses their attempts to extend rbv to the analysis of large scale quality improvement efforts in healthcare. some critique is elaborated. the broader question of why rbv seems to be migrating into ...

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...

BACKGROUND Numerous international policy drivers espouse the need to improve healthcare. The application of Improvement Science has the potential to restore the balance of healthcare and transform it to a more person-centred and quality improvement focussed system. However there is currently no accredited Improvement Science education offered routinely to healthcare students. This means that th...