Quality Management and the Care Keys Quality Matrix
Theoretical and empirical research on the effect of management strategies and service organisation on the quality of care and on the quality of life of clients is still developing. In view of the growing importance of the provision of care in an “ageing society” this state of the art should raise concern and induce enhanced research efforts. The Care Keys project tried to make a contribution to the theoretical and empirical issues, even addressing practical concerns by developing tools for quality management in long-term care. The theoretical framework for management has been presented elsewhere (Chapter 6), and the reader might like to refer to this discussion for more detail. The objectives for the following analyses focus on empirical issues. We will investigate the effects of elements of “good” management strategies on the quality of care and care outcomes for the client. Drawing on the theoretical background, the concept of management will be put into operational terms by a set of indicators, which may guide quality management. The aim is to demonstrate the empirical significance and impact of the indicators in order to provide at least preliminary empirical support both for the indicators and for the structure and comprehensiveness of the strategy employing them. The practical aim of developing a matrix of quality indicators into a tool for quality management will, thus, be supported by a first evidence base.
The contribution will proceed in the following steps: first, the theoretical background will be sketched out. The aim is to clarify basic concepts of “good management” and to provide a model of management impacts as a basis for the empirical theses to be investigated. Second, the aim is to define and to structure the set of variables and to discuss some issues about the indicators, data and methods used in the following analyses. Third, the results of first analyses are shown focusing on the reconstruction of management styles from the data by cluster analysis, and the investigation of causal impacts by regression analyses. Finally, the results will be discussed and some conclusions drawn for further research.
KeywordsMarketing Assure Dura Stake
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- Bruhn, M. (2003). Qualitätsmanagement für Dienstleistungen (Quality management for services). Berlin: Springer Publisher.Google Scholar
- Bullinger, H.-J., & Scheer, A.-W. (Eds.). (2006). Service engineering. Berlin: Springer Publisher.Google Scholar
- Evers, A., Haverinen, R., Leichsenring, K., & Wistow, G. (Eds.). (1997). Developing quality in personal social services. Concepts, cases and comments. Aldershot: Ashgate.Google Scholar
- Friedag, H. R., & Schmidt, W. (2004). Balanced Scorecard, Planegg bei München.Google Scholar
- Görres, St. (1999). Qualitätssicherung in Pflege und Medizin (Quality assurance in care and medicine). Bern: Huber Publisher.Google Scholar
- Lawton, M. P. (1991). A multidimensional view of quality of life in frail elders. In J. E. Birren, J. E. Lubben, J. C. Rowe, & D. E. Deutchman (Eds.), The concept and measurement of quality of life in frail elders (pp. 3–27). San Diego, CA: Academic Press.Google Scholar
- Niven, P. R. (2003). Balanced Scorecard—Schritt für Schritt, Weiheim.Google Scholar
- Øvretveit, J. (1998). Evaluating health interventions. An introduction to evaluation of health treatments, services, policies and organizational interventions. Buckingham, Philadelphia, PA: Open University Press.Google Scholar
- Owen, T., NCHRDF (Eds.). (2006). My home life — quality of life in care homes. London.Google Scholar
- Reichwald, R., & Schaller, Ch. (2006). Innovationsmanagement von Dienstleistungen—Herausforderungen und Erfolgfaktoren in der Praxis. In H.-J. Bullinger, A.-W. Scheer (eds.). Service engineering. Berlin: Springer Publisher.Google Scholar
- Vaarama, M., & Pieper, R. (2005). Managing integrated care for older persons. European perspectives and good practices. Stakes and European Health Management Association. Saarijärvi: Gummerrus Publishing Oy.Google Scholar