Assessing continuous quality improvement in public health

Adapting lessons from healthcare

Alex Price, Robert Schwartz, Joanna E Cohen, Heather Manson, Fran Scott

Research output: Contribution to journalReview article

Abstract

Context: Evidence of the effect of continuous quality improvement (CQI) in public health and valid tools to judge that such effects are not fully formed. Objective: The objective was to adapt and apply Shortell et al.'s (1998) four dimensions of CQI in an examination of a public health accountability and performance management initiative in Ontario, Canada. Methods: In total, 24 semi-structured, in-depth interviews were conducted with informants from public health units and the Ministry of Health and Long-Term Care. A web survey of public health managers in the province was also carried out. Results: A mix of facilitators and barriers was identified. Leadership and organizational cultures, conducive to CQI success were evident. However, limitations in performance measurement and managerial discretion were key barriers. Conclusion: The four dimensions of CQI provided insight into both facilitators and barriers of CQI adoption in public health. Future research should compare the outcomes of public health CQI initiatives to the framework's stated facilitators and barriers.

Original languageEnglish (US)
Pages (from-to)34-49
Number of pages16
JournalHealthcare Policy
Volume12
Issue number3
StatePublished - 2017

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Quality Improvement
Public Health
Delivery of Health Care
Organizational Culture
Social Responsibility
Long-Term Care
Ontario
Canada
Interviews
Health

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Assessing continuous quality improvement in public health : Adapting lessons from healthcare. / Price, Alex; Schwartz, Robert; Cohen, Joanna E; Manson, Heather; Scott, Fran.

In: Healthcare Policy, Vol. 12, No. 3, 2017, p. 34-49.

Research output: Contribution to journalReview article

Price, A, Schwartz, R, Cohen, JE, Manson, H & Scott, F 2017, 'Assessing continuous quality improvement in public health: Adapting lessons from healthcare', Healthcare Policy, vol. 12, no. 3, pp. 34-49.
Price, Alex ; Schwartz, Robert ; Cohen, Joanna E ; Manson, Heather ; Scott, Fran. / Assessing continuous quality improvement in public health : Adapting lessons from healthcare. In: Healthcare Policy. 2017 ; Vol. 12, No. 3. pp. 34-49.
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