Abstract
Aims: Outlines an approach to improve care and reduce costs by enhancing the quality of health care.
Methods: We argue that logic and evidence disproves the hypothesis that following national guidance maximises the quality and economy of care.
Results: We put forward an evolutionary system to produce change based on co-produced professional judgement.
Conclusion: It requires clinicians to diverge from local guidance supported by real-time patient and clinician evaluation of treatment. This is allied to open discussion of results with continuous local comparative feedback and review, supplemented by cross fertilisation from rotating professionals through different work environments, and case series reports.
Methods: We argue that logic and evidence disproves the hypothesis that following national guidance maximises the quality and economy of care.
Results: We put forward an evolutionary system to produce change based on co-produced professional judgement.
Conclusion: It requires clinicians to diverge from local guidance supported by real-time patient and clinician evaluation of treatment. This is allied to open discussion of results with continuous local comparative feedback and review, supplemented by cross fertilisation from rotating professionals through different work environments, and case series reports.
| Original language | English |
|---|---|
| Pages (from-to) | 10-12 |
| Number of pages | 3 |
| Journal | Journal of the Royal College of Physicians of Edinburgh |
| Volume | 47 |
| DOIs | |
| Publication status | Published - 17 Mar 2017 |