Skip to main content
NCBI home page
Health Services Research logoLink to Health Services Research
. 1982 Fall;17(3):253–268.

Quality assurance as a managerial innovation: a research perspective.

A D Kaluzny
PMCID: PMC1068680  PMID: 7118545

Abstract

Quality assurance is defined and concepts from innovation theory are applied to the study of quality assurance programs. Two distinct although not mutually exclusive perspectives on innovation are considered--the diffusion perspective, focusing on the innovation itself and its implementation, and the adoption perspective, highlighting factors characteristic of the adoption unit (i.e., the organization or individuals within it) that facilitate or impede the adoption process. Directions for future research are suggested.

Full text

PDF
253

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cohen D. I., Jones P., Littenberg B., Neuhauser D. Does cost information availability reduce physician test usage? A randomized clinical trial with unexpected findings. Med Care. 1982 Mar;20(3):286–292. doi: 10.1097/00005650-198203000-00005. [DOI] [PubMed] [Google Scholar]
  2. Deuschle J. M., Alvarez B., Logsdon D. N., Stahl W. M., Smith H., Jr Physician performance in a prepaid health plan: results of the peer review program of the Health Insurance Plan of Greater New York. Med Care. 1982 Feb;20(2):127–142. [PubMed] [Google Scholar]
  3. Donabedian A. Methods for deriving criteria for assessing the quality of medical care. Med Care Rev. 1980 Fall;37(7):653–698. [PubMed] [Google Scholar]
  4. Dyck F. J., Murphy F. A., Murphy J. K., Road D. A., Boyd M. S., Osborne E., De Vlieger D., Korchinski B., Ripley C., Bromley A. T. Effect of surveillance on the number of hysterectomies in the province of Saskatchewan. N Engl J Med. 1977 Jun 9;296(23):1326–1328. doi: 10.1056/NEJM197706092962306. [DOI] [PubMed] [Google Scholar]
  5. Greer A. L. Advances in the study of diffusion of innovation in health care organizations. Milbank Mem Fund Q Health Soc. 1977 Fall;55(4):505–532. [PubMed] [Google Scholar]
  6. Hage J., Aiken M. Program change and organizational properties. A comparative analysis. AJS. 1967 Mar;72(5):503–519. doi: 10.1086/224380. [DOI] [PubMed] [Google Scholar]
  7. Jessee W. F. Physician competence and compulsory continuing education: are they compatible? J Community Health. 1977 Summer;2(4):291–300. doi: 10.1007/BF01325151. [DOI] [PubMed] [Google Scholar]
  8. Kaluzny A. D. Innovation in health services: Theoretical framework and rewiew of research. Health Serv Res. 1974 Summer;9(2):101–120. [PMC free article] [PubMed] [Google Scholar]
  9. Kaluzny A. D., Veney J. E., Gentry J. T., Sprague J. B. scalability of health services: an empirical test. Health Serv Res. 1971 Fall;6(3):214–223. [PMC free article] [PubMed] [Google Scholar]
  10. Kimberly J. R. Hospital adoption of innovation: the role of integration into external informational environments. J Health Soc Behav. 1978 Dec;19(4):361–373. [PubMed] [Google Scholar]
  11. Koran L. M. The reliability of clinical methods, data and judgments (first of two parts). N Engl J Med. 1975 Sep 25;293(13):642–646. doi: 10.1056/NEJM197509252931307. [DOI] [PubMed] [Google Scholar]
  12. McAuliffe W. E. Studies of process--outcome correlations in medical care evaluations: a critique. Med Care. 1978 Nov;16(11):907–930. doi: 10.1097/00005650-197811000-00002. [DOI] [PubMed] [Google Scholar]
  13. McDonald C. J., Wilson G. A., McCabe G. P., Jr Physician response to computer reminders. JAMA. 1980 Oct 3;244(14):1579–1581. [PubMed] [Google Scholar]
  14. Nathanson C. A., Morlock L. L. Control structure, values, and innovation: a comparative study of hospitals. J Health Soc Behav. 1980 Dec;21(4):315–333. [PubMed] [Google Scholar]
  15. Osborne C. E. Relationship between medical audit results and the planning of continuing medical education programs. Med Care. 1980 Oct;18(10):994–1000. doi: 10.1097/00005650-198010000-00003. [DOI] [PubMed] [Google Scholar]
  16. Palmer R. H., Reilly M. C. Individual and institutional variables which may serve as indicators of quality of medical care. Med Care. 1979 Jul;17(7):693–717. doi: 10.1097/00005650-197907000-00001. [DOI] [PubMed] [Google Scholar]
  17. Romm F. J., Hulka B. S. Developing criteria for quality of assessment: effect of the Delphi technique. Health Serv Res. 1979 Winter;14(4):309–312. [PMC free article] [PubMed] [Google Scholar]
  18. Warner K. E. A "desperation-reaction" model of medical diffusion. Health Serv Res. 1975 Winter;10(4):369–383. [PMC free article] [PubMed] [Google Scholar]
  19. Wennberg J. E., Blowers L., Parker R., Gittelsohn A. M. Changes in tonsillectomy rates associated with feedback and review. Pediatrics. 1977 Jun;59(6):821–826. [PubMed] [Google Scholar]

Articles from Health Services Research are provided here courtesy of Health Research & Educational Trust

RESOURCES