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- W2072966545 abstract "The National Health Service has been concerned with issues of ‘quality’ since its inception and these concerns have intensified with the requirements of The Patient’s Charter and the various types of audit (medical, clinical) to which staff are subject. The introduction into the NHS of an internal market in which purchasers (either GP’s or commissioning groups) buy services, typically from hospitals, has further raised the salience of the ‘quality’ dimension. Purchasers increasingly are concerned not only with the total quantum of care purchased but also with some measures (usually statistical) which stipulate that the quality of care provided meets certain minimum standards. However, the measurement of what is a quality service is typically left for the purchaser to specify or for the provider to supply. Such measures may include a target for outpatient referral times, for example. A recent initiative is for hospitals to undergo a rigorous process of accreditation which can then be used as evidence to purchasers that block contracts for services should not be placed elsewhere. However, accreditation may be seen more as a public accountability tool than an overall indicator of quality. Evidence from countries such as the US, Canada and Australia which have long had accreditation systems shows that there is no clear linkage to patients defined as consumers achieving redress for service failures (Hunter, 1995)." @default.
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- W2072966545 date "1997-06-01" @default.
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- W2072966545 title "Experiencing quality: The patient's perspective" @default.
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- W2072966545 doi "https://doi.org/10.1080/0954412979956" @default.
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