title: The (mis)application of management science in medicine: a flawed concept.
abstract: 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.
authors.affiliation: Department of Pediatrics, University Of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0927, USA. jfontanesi@ucsd.edu
authors.forename: John
authors.initials: J
authors.lastname: Fontanesi
authors.forename: David
authors.initials: D
authors.lastname: Goldsman
authors.forename: Christos
authors.initials: C
authors.lastname: Alexopoulos
authors.forename: Linda
authors.initials: L
authors.lastname: Hill
authors.forename: David
authors.initials: D
authors.lastname: Kopald
authors.forename: Kathy
authors.initials: K
authors.lastname: Holcomb
mesh_terms: 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
chemical_list: D007252:Influenza Vaccines