People use health care services for many reasons: to cure illnesses and health conditions, to mend breaks and tears, to prevent or delay future health care problems, to reduce pain and increase quality of life, and sometimes merely to obtain information about their health status and prognosis. Health care utilization can be appropriate or inappropriate, of high or low quality, expensive or inex…
Governance is about how society, organizations and individual groups make and implement collective choices. It comprises shifting decision-making responsibilities from individuals to a governing authority, with implementation by one or more institutions and with accountability systems to monitor and assure the progress of the decisions taken. Governance in the health system…
The 5S-Kaizen-Total Quality Management (TQM) is the three-step approach to improve hospital management under limited resources. The steps are: a) Application of 5S (Sort, Set, Shine, Standardize and Sustain) for improvement of working environment; b) Continuous Quality Improvement (CQI) or KAIZEN activities for evidence-based participatory problem solving at the workplace for continuous quality…
People in the North of England live two years less than those in the South of England and boys born in the most deprived neighbourhoods of England can expect to live nine years less than those born in the most affluent wards (ONS, 2015). For baby girls, the gap is seven years. In our case study town of Stockton-on-Tees in the North East of England, the gaps in life expectancy …