Healthcare organisations are looking at strategies and activities to improve patient outcomes, beyond clinical interventions. Increasingly, health organisations are investing significant resources in leadership, management and team work training to optimise professional collaboration, shared decision-making and, by extension, high quality services. Embedded clinical aca...

results the results showed that the means of patients' expectations were more than their perceptions of the quality of provided services in all dimensions, which indicated that there were gaps in all dimensions. the highest and lowest means of negative gaps were related to empathy (-0.52 ± 0.48) and tangibility (-0.29 ± 0.51). in addition, among the studied patients' demographic characteristics...

aligning financial incentives (fis) to health policy goals is becoming increasingly popular. in many cases, such initiatives have failed to deliver anticipated benefits. attributing this to the actions of self-interested and resistant professionals is not an entirely helpful approach. it is important to avoid simplistic assumptions to build knowledge of how and why schemes are implemented in pr...

abstract background: client satisfaction is an important indicator for assessment of the quality of care provided. detecting patients dissatisfaction and trying to find the most effective and costly services is the basic way for improvement of service quality. the purpose of this study was to determine the satisfaction level of women in the maternity care centers (hospitals) of lorestan univers...

responding to ruth mcdonald’s editorial on the rise of leadership and leadership development programmes in healthcare, this paper offers three arguments. firstly, care is needed in evaluating impact of leadership development, since achievement of organisational goals is not necessarily an appropriate measure of good leadership. secondly, the proliferation of styles of leadership might be unders...

background and objectives: angiography remains as the gold standard for the diagnosis of cardiovascular diseases (cvd). the aim of this study was to assess the quality of angiography services in shahid madani hospital, tabriz, iran.   methods: a cross-sectional study was conducted in 2013 in shahid madani hospital. a sample of 203 cvd patients who had received angiography services was surveyed....

BACKGROUND Nearly four decades after the Alma-Ata declaration of 1978 on the need for active client/community participation in healthcare, not much has been achieved in this regard particularly in resource constrained countries like Ghana, where over 70 % of communities in rural areas access basic healthcare from primary health facilities. Systematic Community Engagement (SCE) in healthcare qua...

Improvement of health care requires making changes in processes of care and service delivery. Although process performance is measured to determine if these changes are having the desired beneficial effects, this analysis is complicated by the existence of natural variation—that is, repeated measurements naturally yield different values and, even if nothing was done, a subsequent measurement mi...

The Institute of Medicine reports a growing demand in recent years for quality improvement within the healthcare industry. In response, numerous organizations have been involved in the development and reporting of quality measurement metrics. However, disparate data models from such organizations shift the burden of accurate and reliable metrics extraction and reporting to healthcare providers....

Introduction Our conference on advancing the methods of healthcare quality improvement research provided an opportunity to reflect on the progress of the quality improvement movement over the past two decades and to assess the current status of this field. In this paper, we highlight some meaningful themes that emerged across presenters and echo those voiced by attendees during roundtable discu...