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Scotland ‘Bold and Brave’? Conditions for creating a coherent national healthcare quality strategy

McDermott, Aoife, Steel, D. R, McKee, L., Hamel, L. and Flood, P. C. 2015. Scotland ‘Bold and Brave’? Conditions for creating a coherent national healthcare quality strategy. In: Boch Waldorff, Susanne, Pedersen, Anne Reff., Fitzgerald, Louise and Ferlie, Ewan eds. Managing Change: From Health Policy to Practice, Organizational Behaviour in Health Care, Basingstoke: Palgrave MacMillan, pp. 189-205.

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Abstract

Healthcare quality is an enduring and global concern, evidenced via supranational responses, such as those of the United Nation’s World Health Organization (Ovreveit, 2003; 2005; 2013), the OECD (Arah et al., 2003) and the European Union (Vollaard et al., 2013), as well as the policy responses of individual countries (Arah et al., 2003) and devolved regions (such as the Scottish example considered in this chapter ). The Institute of Medicine’s seminal report (Kohn et al., IOM, 2001) led to increasing recognition of the need for a systems focus in managing healthcare quality. However, an EU oriented analysis, (Vollaard et al., 2013, p. 229) notes ‘there is much variation [in national quality and safety strategies] between and within Member States and that therefore there is a large potential to learn from each other’. In this paper we follow Ovreveit and Staines (2007) in purposively analysing an established system-wide approach to quality improvement. We consider the evolution of the policy process in Scotland – rather than evaluating its impact - and ensuing lessons for other contexts.

Item Type: Book Section
Date Type: Publication
Status: Published
Schools: Business (Including Economics)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Publisher: Palgrave MacMillan
ISBN: 9781137518156
Last Modified: 04 Jun 2017 08:34
URI: http://orca.cf.ac.uk/id/eprint/80527

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