International journal for quality in health care : journal of the International Society for Quality in Health Care
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Int J Qual Health Care · Apr 2003
ReviewImplementing culture change in health care: theory and practice.
To review some of the key debates relating to the nature of organizational culture and culture change care organizations and systems. ⋯ Managing organizational culture is increasingly viewed as an essential part of health system reform. To transform the culture of a whole health system such as the UK National Health Service would be a complex, multi-level, and uncertain process, comprising a range of interlocking strategies and supporting tactics unfolding over a period of years.
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Int J Qual Health Care · Feb 2003
Review Comparative StudyDevelopment of appropriateness criteria for colonoscopy: comparison between a standardized expert panel and an evidence-based medicine approach.
To assess the degree of agreement between appropriateness criteria for the use of colonoscopy developed by a standardized expert panel method and evidence from published studies. ⋯ Evidence for the appropriateness of most indications for colonoscopy could not be derived directly from the published literature. Agreement between appropriateness criteria developed by an expert panel and evidence from published studies was moderate to good, where available. New approaches should be sought in order to systematically integrate complementary evidence obtained from clinical trials and expert panels into practice guidelines.
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Int J Qual Health Care · Feb 2003
Comparative StudyQuality of psychiatric care: validation of an instrument for measuring inpatient opinion.
To validate a brief self-completed questionnaire for routinely assessing patients' opinions on the quality of care in inpatient psychiatric wards (Rome Opinion Questionnaire for Psychiatric Wards). ⋯ The questionnaire seems to be adequate for evaluating patients' opinions on care in inpatient psychiatric wards. Because of its user-friendliness, it may be particularly suitable for routine use.
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Int J Qual Health Care · Dec 2002
Influence of length of stay on patient satisfaction with hospital care in Japan.
The objective of this study was to identify specific patient satisfaction items related to overall satisfaction by different length of stay (LOS) for patients in Japanese hospital settings. ⋯ The findings show that according to LOS, unique items could determine significantly the achievement of overall satisfaction, while some common predictors across all three LOS groupings also seemed to be indispensable for inpatient's assessment of hospital care. It was also confirmed in this study that a positive perception of hospital reputation might have an important role in patient satisfaction in Japan.