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  • 标题:Development of a new Balanced Evaluation Framework for Service Improvement
  • 本地全文:下载
  • 作者:Susannah Cook ; Gordon Weller
  • 期刊名称:Work Based Learning e-Journal
  • 电子版ISSN:2044-7868
  • 出版年度:2013
  • 卷号:3
  • 期号:1
  • 页码:122-155
  • 出版社:Middlesex University
  • 摘要:Thedrivetoimproveservicesandproductsandtoachieve"improvement"inorganisationsthatdeliverthemisrelentlessandpermeatesallwalksoflife.Sincethemid1990s,bothintheUnitedStatesofAmerica(USA)andtheUnitedKingdom(UK)therehasbeenincreasinginterestinserviceimprovementwithinthehealthcaresector.Followingitsintroduction,theiterativecomponentsofimprovementtheory(Deming,1994)havebeenadaptedforuseinhealthcare.Earlyimprovementframeworksweredevelopedfrommanufacturing,forexample,EuropeanFoundationQualityManagement(EFQM,1999)andProcessRedesign(HammerandChampey,1993),whichfocuseduponmechanisticprocessesmoresuitedtoindustrialsettings.Theadaptationofsuchframeworksexcludedthehumanisticaspectofchange,therefore,lackedevaluation.Thishighlightsthedeficiencyof"fit -for -purpose"evaluationframeworksthatmaynotfullyrecognisethehumanelementsofimprovement.Thisresearchaddressesthesedeficienciesthroughtheinclusionofamorehumanrelationsorientedcorecomponenttothepracticeofserviceevaluation.Thestudyinvolvedexpertparticipantsaswellaspractitionerclinicianswhowereinvolvedinchangeprojects.Thefindingshavebeenusedtodevelopabalancedevaluationframeworkwhichhasapplicabilitytoawiderangeofhealthandsocialcaresettings
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