[Quality management and practice-oriented research in a clinic-network of mother-/father-child rehabilitation centres].
The Research Network Prevention and Rehabilitation for Mothers and Children is an association of currently 24 rehabilitation centres for mothers, fathers and their children, and a scientific team at the Hannover Medical School. The Research Network combines practice-oriented research on mother and child health with the further development of treatment programmes and the implementation of internal quality management in mother-/father-child rehabilitation centres in accordance with DIN EN ISO 9001. The present paper describes the concept of the Research Network and the work contents addressed over the last three years. The advantages and disadvantages of this association and the changes initiated in practice were evaluated from the point of view of 19 quality managers of the participating clinics. The data were collected by means of semi-structured interviews, and a qualitative content analysis was performed in order to quantify the responses. The concept of the Research Network has proven successful. In the view of the quality managers of the clinics, implementation of DIN EN ISO 9001 has lead to structuring of the processes, improved internal communication, and increased motivation in the team. The major obstacles were the lack of time and human resources. In all clinics, the participation in practice-related research projects und scientifically monitored concept development has contributed to optimizing everyday practice. The exchange between the quality managers in external quality circle meetings was of central importance. The conjunction of internal quality management, practice-related research and concept development in a network can be recommended also for other associations of clinics, health centres or medical practices.
Otto
F
F
Medizinische Soziologie OE 5420, Medizinische Hochschule Hannover. otto.friederike@mh-hannover.de
Arnhold-Kerri
S
S
D000328:Adult; D002648:Child; D002908:Chronic Disease / Q000523:psychology / Q000534:rehabilitation*; D005196:Family Therapy / Q000331:legislation & jurisprudence / Q000592:standards*; D005260:Female; D005858:Germany; D006293:Health Promotion / Q000331:legislation & jurisprudence / Q000592:standards*; D006302:Health Services Research / Q000331:legislation & jurisprudence / Q000592:standards; D006801:Humans; D008297:Male; D009034:Mother-Child Relations; D009313:National Health Programs / Q000331:legislation & jurisprudence*; D010043:Outcome and Process Assessment, Health Care / Q000331:legislation & jurisprudence / Q000592:standards; D012047:Rehabilitation Centers / Q000331:legislation & jurisprudence / Q000592:standards*; D018454:Spouses; D017749:Total Quality Management / Q000331:legislation & jurisprudence / Q000592:standards*