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Multi-level Pluralism: A Pragmatic Approach to Choosing Change and Improvement Methods

  • Wiggins L
  • Marshall B
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Abstract

The need for healthcare organizations and systems to improve and sustain quality is uncontentious. In most developed economies, projected health spend is outstripping GDP growth as a result of significantly changing demographics, advances in medicine, surgical techniques and patient expectations. Politicians, the media, professionals and patients all have views as to how the quality of patient care can be improved whilst spending is reduced. Whatever the latest government white paper, and whether framed as modernization (Freeman and Peck 2010), culture change (Braithewaite et al. 2010) or quality improvement (Berwick 2009), leaders are needed who have the skills

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Wiggins, L., & Marshall, B. (2018). Multi-level Pluralism: A Pragmatic Approach to Choosing Change and Improvement Methods. In Managing Improvement in Healthcare (pp. 25–41). Springer International Publishing. https://doi.org/10.1007/978-3-319-62235-4_2

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