THE IMPLEMENTATION OF TOTAL QUALITY MANAGEMENT IN HOSPITALS - HOW GOOD IS THE FIT

Authors
ARNDT M BIGELOW B
Citation
M. Arndt et B. Bigelow, THE IMPLEMENTATION OF TOTAL QUALITY MANAGEMENT IN HOSPITALS - HOW GOOD IS THE FIT, Health care management review, 20(4), 1995, pp. 7-14
Citations number
39
Categorie Soggetti
Heath Policy & Services
Journal title
Health care management review → ACNP
ISSN journal
03616274
Volume
20
Issue
4
Year of publication
1995
Pages
7 - 14
Database
ISI
SICI code
0361-6274(1995)20:4<7:TIOTQM>2.0.ZU;2-H
Abstract
Total quality management has become popular among hospitals because of its promise to reconcile trade-offs between cost and quality. However , assumptions inherent in TQM may not translate to the hospital enviro nment: hierarchical management control over the technical core and the dominance of rational decision making. This article considers these t wo assumptions and suggests that the application of TQM to hospitals t ake them into account be cause they may compromise its success.