The new production theory for health care through clinical reengineering: a study of clinical guidelines--Part II.
In Part I of this two-part article, in the December 1994 issue of the journal, the author discussed the manufacturing theories of Peter Drucker in terms of their applicability for the health care field. He concluded that Drucker's four principles and practices of manufacturing--statistical quality control, manufacturing accounting, modular organization, and systems approach--do have application to the health care system. Clinical guidelines, a variation on the Drucker theory, are a specific example of the manufacturing process in health. The performance to date of some guidelines and their implications for the health care reform debate are discussed in Part II of the article.
Sharp
J R
JR
Wilford Hall Medical Center, Lackland AFB, TX.
D003363:Cost Control; D003362:Cost-Benefit Analysis; D018166:Health Care Reform / Q000191:economics / Q000458:organization & administration*; D006297:Health Services Accessibility; D006739:Hospital Administration / Q000592:standards* / Q000639:trends; D006801:Humans; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care; D013597:Systems Analysis; D018511:Systems Integration; D014481:United States