Why Does the Quality of Health Care Continue to Lag? Insights from Management Research

Nembhard, Ingrid M.; Alexander, Jeffrey A.; Hoff, Timothy J.; Ramanujam, Rangaraj
February 2009
Academy of Management Perspectives;Feb2009, Vol. 23 Issue 1, p24
Academic Journal
The United States health care system is plagued with quality problems. We draw on management research to explain why it has been so difficult to improve quality of care, despite a burgeoning body of scientific evidence on practices that result in better outcomes and the widespread adoption of quality-improving innovations based on those practices. Our analysis points to the prevalence of innovation implementation failure—organizational members' inconsistent or improper use of innovations—as a primary cause. In our review, we identify the organizational sources of this failure and offer six strategies for avoiding innovation implementation failure in health care.


Related Articles

  • Hospitals get 'Lean' in pursuit of excellence. MAYFIELD, STEPHEN R. // AHA News;4/27/2009, Vol. 45 Issue 9, p4 

    The article looks at the efforts of hospitals to improve health care delivery in terms of safety, timing, effectiveness and efficiency through the implementation of "Lean" techniques and tools. Lean principles include visual control of the things that might influence any outcome. The author...

  • Large Employers Are Key to Reforming Health Care. Mecklenburg, Robert S.; Martin, Lindsay A. // Harvard Business Review Digital Articles;7/27/2016, p2 

    The article suggests approaches how major corporations can influence U.S. healthcare reform following the Affordable Care Act implementation, and mentions topics including multi-sector cooperation for development of quality standards, and promotion of competition among care providers in...

  • Developing your competitive edge. Friend, Charles // Medical Economics;9/10/2010, Vol. 87 Issue 17, p84 

    The article offers information on the assessment of one's competitive advantages in the field of medical practice in the U.S. According to the author, the use of cost strategies and management models are significant elements of success in one's career. Also included are the assessment tools in...

  • Achieving Quality Care and Patient Satisfaction: Driven by Lean Initiatives.  // HealthLeaders Magazine;Dec2015, Vol. 18 Issue 10, pMFS-6 

    The article discusses lean initiatives implemented by nonprofit NorthCrest Medical Center in the U.S. to provide quality care and patient satisfaction as of December 2015. Topics covered include engaging a nonclinical leader for team management to enhance objectivity, strategic staffing to...

  • Health care reform likely to penalize hospitals for readmissions.  // Hospital Case Management;Sep2009, Vol. 17 Issue 9, p129 

    The article reports that health care reform within the U.S. is likely to penalize hospitals when patients are readmitted following an initial assessment. A reduced number of readmissions implies that more adequate medical care has been provided while reducing health care costs. U.S. Health and...

  • Fighting Fire With Fire to Improve Outcomes. Ridgway, Caroline // Clinician Reviews;Sep2010 Convenient Care, Vol. 3 Issue 3, p10 

    The article offers insights on improving the quality of health care in the U.S. It tells the story of a foreman who set a so-called escape fire to save himself from a fire in the Mann Gulch in a national forest in Montana on August 5, 1949. The connection of this story to health care reform is...

  • Grading Health Reform. Serafini, Marilyn Werber // National Journal;3/27/2010, p15 

    The article discusses how 20 health care experts across the political spectrum rated the health care reform bill signed into law by U.S. President Barack Obama. It notes the experts' general agreement that the law is close to providing insurance to all Americans and does a fairly good job of...

  • Minor Impact On Quality Of Care. Serafini, Marilyn Werber // National Journal;3/27/2010, p23 

    The article cites the disappointments of many health care experts of this journal about the limitation of the U.S. health care reform law to improve the quality of health care. An expert notes the law's main focus on coverage expansion rather than on improving quality or consumer decision...

  • OBAMACARE: Seven Bad Ideas for Health Care Reform. Tanner, Michael // USA Today Magazine;Jul2009, Vol. 138 Issue 2770, p14 

    The article focuses on several possible proposals for health care reform by the administration of U.S. President Barack Obama which are perceived to produce unfavorable results. Such proposals include requiring employers to provide employees with health insurance, requiring each citizen to...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics