During the past decade, quality improvement (QI) has become the primary approach for health care organizations to measure performance and implement change. From a historical perspective, QI has multiple origins: in sy...
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During the past decade, quality improvement (QI) has become the primary approach for health care organizations to measure performance and implement change. From a historical perspective, QI has multiple origins: in systems engineering, as a way of defining production processes;in quantitative analysis, as a methodological approach for collecting and analyzing data;and in organizational behavior as a way of understanding how el fits with an organization's structure and management philosophy. Although eland evaluation share similar goals, as modes of inquiry, they del eloped in very distinct and separate settings, to fulfill different needs. However these differences are now beginning to merge as el gains acceptance as a desirable and legitimate approach for health care organizations to enhance service delivery and outcomes. This article describes the conceptual foundations on which el is based and identifies historical events that have influenced the development of el and its adaptation by health care organizations. (C) 2000 Sage Publications, Inc.
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