Jackson S
Management Centre, University of Bradford, UK.
Int J Health Care Qual Assur Inc Leadersh Health Serv. 1999;12(2-3):59-64. doi: 10.1108/09526869910261277.
Following a brief description of the inception of self-assessment and the European Foundation for Quality business excellence model, this article describes how one clinical directorate in an NHS Trust used the principles of both to secure a culture of continuous improvement. The journey from a mainly hierarchical, bureaucratic, individualist culture to one where the norms, values and beliefs reflected teamwork, involvement and empowerment is described. The highs, lows and learning points are all included, in an attempt to enlighten other healthcare organisations considering the benefits and pitfalls of using the business excellence model to improve the quality of their healthcare delivery.
在简要介绍自我评估的起源和欧洲质量基金会卓越商业模式之后，本文描述了国民保健服务信托基金中的一个临床部门如何运用这两者的原则来营造持续改进的文化。文中描述了从一种主要是等级森严、官僚主义、个人主义的文化，转变为一种规范、价值观和信念体现团队合作、参与和赋权的文化的过程。其中涵盖了高潮、低谷和经验教训，旨在启发其他医疗保健组织，让它们了解使用卓越商业模式来提高医疗服务质量的好处和陷阱。
