Shortell S M, Levin D Z, O'Brien J L, Hughes E F
J.L. Kellogg Graduate School of Management, Northwestern University, Evanston, IL 60208, USA.
Hosp Health Serv Adm. 1995 Spring;40(1):4-24.
Review of the literature on CQI/TQM in both health care and non-health care settings reveals some evidence of a positive impact for selected dimensions of CQI/TQM. There is little research, however, that examines CQI/TQM as a holistic integrated approach to quality improvement, nor are there many studies that go beyond single or small sample case studies. Using a conceptual framework involving cultural, technical, strategic, and structural dimensions, a number of barriers to CQI implementation are identified along with suggestions for high-priority areas of research.
对医疗保健和非医疗保健环境中持续质量改进/全面质量管理（CQI/TQM）的文献综述揭示了一些证据，表明CQI/TQM的某些维度具有积极影响。然而，很少有研究将CQI/TQM作为一种全面的质量改进综合方法进行考察，也没有很多研究超越单一或小样本案例研究。利用一个涉及文化、技术、战略和结构维度的概念框架，确定了CQI实施的一些障碍，并提出了高优先级研究领域的建议。
