Health Services Management Centre, University of Birmingham, Birmingham, UK.
J Health Organ Manag. 2013;27(2):209-24. doi: 10.1108/14777261311321789.
The purpose of this paper is to present a study of how quality improvement tools and techniques are framed within healthcare settings.
DESIGN/METHODOLOGY/APPROACH: The paper employs an interpretive approach to understand how quality improvement tools and techniques are mobilised and legitimated. It does so using a case study of the NHS Modernisation Agency Improvement Leaders' Guides in England.
Improvement Leaders' Guides were framed within a service improvement approach encouraging the use of quality improvement tools and techniques within healthcare settings. Their use formed part of enacting tools and techniques across different contexts. Whilst this enactment was believed to support the mobilisation of tools and techniques, the experience also illustrated the challenges in distributing such approaches.
ORIGINALITY/VALUE: The paper provides an important contribution in furthering our understanding of framing the "social act" of quality improvement. Given the ongoing emphasis on quality improvement in health systems and the persistent challenges involved, it also provides important information for healthcare leaders globally in seeking to develop, implement or modify similar tools and distribute leadership within health and social care settings.
本文旨在研究如何在医疗保健环境中构建质量改进工具和技术。
设计/方法/途径：本文采用解释性方法来理解质量改进工具和技术是如何被调动和合法化的。它通过对英格兰国民保健制度现代化局改进领导者指南的案例研究来实现这一点。
改进领导者指南被构建在服务改进方法中，鼓励在医疗保健环境中使用质量改进工具和技术。它们的使用构成了在不同背景下实施工具和技术的一部分。虽然这种实施被认为支持了工具和技术的调动，但这一经验也说明了在分发这些方法时所面临的挑战。
原创性/价值：本文对进一步理解构建质量改进的“社会行为”做出了重要贡献。鉴于卫生系统对质量改进的持续重视以及所涉及的持续挑战，它还为全球医疗保健领导者提供了重要信息，帮助他们在寻求开发、实施或修改类似工具以及在卫生和社会保健环境中分配领导力方面。
