Shifting health care from hospitals to the community will only be justified if patient satisfaction and convenience is valued above costs to the NHS, or if this shift reduces health care costs in the long term.
This report celebrates 100 examples of positive change arising from the National Institute for Health Research (NIHR)'s support of research over the last 10 years, highlighting how it has transformed R&D in and for the NHS and the people it serves.
Q is an initiative, led by the Health Foundation and supported by NHS England, designed to connect people skilled in quality improvement across the UK. We carried out an embedded evaluation of its first phase, co-design with the founding cohort.
An episode-based framework of health care quality measurement could provide a more complete picture of care than current methods. Existing quality measures could be used, but new ones would need to be developed to fill gaps in the framework.
Americans spend billions of dollars out of pocket seeking relief from chronic conditions in alternative schools of health, such as acupuncture or chiropractic. What would it take to more fully integrate such practices into the mainstream?
Clinicians are more likely to prescribe antibiotics inappropriately when they are feeling rushed, don't feel strongly that antibiotics are overused, and don't think patient demand for antibiotics is a problem in their practice.
To support efforts at the recently opened Martin Luther King, Jr. Community Hospital in Los Angeles to develop a culture of quality, a team of scholars identified best practices based on interviews with high-performing hospital systems.
Health system leaders should view regular and detailed assessment of physician professional satisfaction as an invaluable early warning system for potential threats to quality and safety. But simply surveying doctors on their overall levels of job satisfaction isn't enough.
The policy challenges associated with coverage, licensure, scope of practice, institutional privileges, and research may prevent complementary and alternative medicine professionals from practicing to the full extent of their capabilities.
Process improvement stresses the importance of engaging frontline staff in implementing new processes and methods. Yet questions remain on how to incorporate these activities into the workday of hospital staff or how to create and maintain its commitment.