Beyond resource management: towards total quality.

Suggests that health organizations which have successfully introduced devolved management by involving clinicians are reaching a position where they can move forward beyond "Resource Management" towards managing in a total quality way. This is not an in-depth explanation of TQM (which in itself is rarely understood) but a brief examination of how health organizations can move towards becoming total quality organizations. The trend to decentralize the management of clinical services in hospitals is seen in many countries across the world and where well established, the natural evolution has been towards total quality management.