Structural impediments to TQM in Australian health care.
The culture of quality called for by total quality management (TQM) has much to recommend it. Australian experience, however, suggests that it is not something that can easily be added to the profession-based structures and cultures prevailing in most Australian hospitals. Implementing TQM is not just a matter of advocating it. The institutional transformation implied by TQM requires additional action on multiple fronts, both internal and external to the hospital.
School of Health Services Management, University of New South Wales, Kensington, Australia.
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Degeling
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Carnegie
D001315:Australia; D004506:Education, Nursing / Q000458:organization & administration; D018166:Health Care Reform; D006739:Hospital Administration / Q000592:standards*; D006740:Hospital Administrators / Q000592:standards; D017146:Models, Organizational; D009517:New South Wales; D009718:Nurse Administrators / Q000592:standards; D010934:Planning Techniques; D017749:Total Quality Management