Total quality management issues in managed care.

摘要: The implementation of total quality management (TQM) in health care has gone on parallel with the growth managed care. What is interaction between two? Key issues are ascendance cost control over many areas, erosion employee commitment and loyalty, a short-run orientation. Associated this an emphasis organizational learning rather than by autonomous professionals. Both TQM acknowledge dynamic nature clinical processes ability responsibility both institutions clinicians to improve their processes. consistent efforts identify implement best practices. However, these similarities should not mask fundamental differences. Continuous improvement must shift its focus from avoiding unnecessary variation facilitating rapid institutionalizing mass customization into delivery services.