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The quality issue

  • Roy McClelland (a1)
Extract

“It is essential that discussion about the quality and effectiveness of care are reintroduced into the centre of the debate as they are, in the end, the more important dimensions of NHS performance” (Maxwell, 1984).

While the term quality is not much used explicitly in clinical medicine in general and mental health services in particular, quality is implicit in much that guides us. Indeed it is at the very foundations of our health care practice – the ethical codes with their emphasis on beneficence, non-malevolence, respect for autonomy, justice and fairness.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Birley, J. L. T. (1973) The ghost in the machine. In Policy for Action. (Eds Cawley, R. and McLachan, G.). Oxford Nuffield Provincial Hospitals Turst, Oxford University Press.
The quality issue
Brewin, C. R., Wing, J. K., Mangan, S. P. et al (1987) Principles and practice of measuring needs in the long-term mentally ill. Psychological Medicine, 17, 971981.
Donabedian, A. (1980) The Definition of Quality and Approaches to its Assessment. Ann Arbor: Michigan Health Administration Press.
Jenkins, R. (1990) Towards a system of outcome indicators for mental health care. British Journal of Psychiatry, 157, 500514.
Maxwell, R. (1984) Quality assessment in health. British Medical Journal, 288, 14701472.
Ovretveit, J. (1990) Quality Health Services. London: Brunei Institute of Organisation and Social Studies.
Peters, T. (1987) Thriving on Chaos – a handbook for a management revolution. London: Pan Books.
Shaw, C. D. (1990) Criteria based audit. British Medical Journal, 300, 649651.
Stephens, G. & Bennett, J. (1989) Clinical audit-occurrance screening for quality assurance. Health Services Management, 85, 178181.
Wilson, C. R. M. (1989) Hospital-wide Quality Assurance. Canada: W. B. Saunders.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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The quality issue

  • Roy McClelland (a1)
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