The (mis)application of management science in medicine: a flawed concept.
The business of medicine once again finds itself in the throes of rapidly escalating costs, concerns about quality of care, and demands for efficiency while simultaneously enhancing quality. Considerable effort has already been spent in trying to improve costs, quality, and patient satisfaction. The apparent failure to do so may be the result of a fundamental misunderstanding of the salient features of clinical practice and the misapplication of quality improvement techniques. This article explores some of the significant issues and offers potential new directions.
Fontanesi
John
J
Department of Pediatrics, University Of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0927, USA. jfontanesi@ucsd.edu
Goldsman
David
D
Alexopoulos
Christos
C
Hill
Linda
L
Kopald
David
D
Holcomb
Kathy
K
D000368:Aged; D015510:Clinical Medicine / Q000592:standards*; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data; D007252:Influenza Vaccines; D010043:Outcome and Process Assessment, Health Care; D011216:Practice Management, Medical / Q000592:standards*; D010818:Practice Patterns, Physicians'; D017749:Total Quality Management / Q000379:methods*; D014481:United States
D007252:Influenza Vaccines