Critical Role of Human Resource Management in the Cost, Quality and Productivity Equation
Edited by Peter Spurgeon, Ronald J. Burke and Cary L. Cooper
Chapter 11: A review of quality improvement in health care and recommendations for the future
In recent years public spending on health care has increased by approximately £8 billion per year to £118 billion in 2011(HM Treasury 2011). Between 1997 and 2005 this funded an increase in management staffof 77.7 per cent compared with only 26.8 per cent for qualified nurses (Mintel 2009). The extent to which this increase in expenditure has resulted in concomitant quality improvements within the NHS is under question (Klein 2007). Worldwide there is an ever increasing demand for health services, brought about by an ageing population and greater social, cultural, racial and geographical diversity, which needs to be delivered with reducing budgets (Department of Health 2010). Efficiency gains and bureaucracy reduction are anticipated to deliver the required savings within the UK NHS (Department of Health 2011). Recognition of actual and potential deficits in services over the past two decades has prompted many health care organisations to introduce a wide range of initiatives and programmes to improve efficiency (Schouten et al. 2008). However these are often branded as Quality Improvement (QI) programmes although their focus is often on cost saving and efficiency rather than quality. The existing literature on these is wide and expanding but quality and generalisability are lacking.
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