Background Over the last century, the invitation to improve health-care service quality has
taken many different forms: questions, observations, methods, tools and actions have …

Eighteen months ago the Audit Commission was catapulted into the NHS by the 1990 Act,
armed with a duty to promote economy, efficiency, and effectiveness. But the statute was …

288 British Journal of General Practice, June 2013 particularly in the face of a challenging
deprived patient population. They were poorly performing in both quantitative measures and …

It has become conventional wisdom for the evaluation of quality of health care to be divided
up in to structure, process and outcome (Donobedian, 1980). This is a systems approach to …

There'sa danger that I could resurrect a stalemated debate about whether health and social
care professionals work with quality assurance models or theories. In short, models define …

ABSTRACT'Quality'is a widely invoked concept in healthcare, which broadly captures how
good or bad a healthcare service is. While quality has long been thought to be …

This work adopts a modern approach to quality assurance and quality improvement in
general practice. It provides an introduction to the subject, enabling readers to see how best …

Explores the notion that the introduction of total quality management (TQM) in the public
health care sector indicates a conceptual break with a tradition in which the authority to …

Total quality management is both an aspirational and an inspirational concept with elements
of the philosophical, quasi religious and qualitative juxtaposed with the empirical and …

On April 1, 2004, the UK Commission for Health Improvement (CHI) became the
Commission for Health Care Audit and Inspection (CHAI)(now known colloquially as the …