What is 'good' care and how to manage it
13 important questions on What is 'good' care and how to manage it
How was quality of care from 1960/1970?
> still domain of professionals
What happend around 1990?
>quality and safety increasingly on the radar of 'external' (non-professional) actors
> critique against 'paternalistic' professionals and ineffective services
> introduction of New Public management and make principles
Why rankings in quality of care?
> makes quality transparant > incentive for improvement
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Why use quantified quality frameworks?
> 'break' professional dominance by challenging their claim for exclusive knowledge
> 'demystifies' professional practice by making it visible: enabling 'outsiders' to evaluate performance
>> information makes management possible, shifting the power balance away from professionals
What are the practical critiques of qualification?
> rankings give an 'average' performance: concealing diversity in performance
What are the fundamental critiques on quantification?
> selective: what is being measured?
> different perspectives on what matters for 'quality'
What are the two key assumptions for 'management by measurement?
> normative: the standards for evaluating 'good' practices are uncontested
What is the basic assumption from the mainstream approach?
What does the mainstream approach?
> identifying risk factors and potential problems in the work place
> intervene: implement new work procedures, introduce safety tools, etc. (technical solutions)
Why is the mainstream approach also seen as limited?
> too superficial on social/cultural/political context of care
What is the alternative 'sociological' approach?
What happend after 1960 in effort?
What does quantitative measurement frameworks?
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- Never study anything twice again
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