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G. Laffel
Implementing quality management in health care: the challenge ahead
D. Wilkin, D. Metcalfe, L. Hallman
Area variations in the process of care in urban general medical practice
M. Linden
How will league tables affect GPs
NHS Management Executive News
From hierarchies to partnerships
D. Metcalfe
The chains of education, experience and culture
P. Hersey, K. Blachard
Management of Organisational Behaviour: Utilising Human Resources
S. Myerson
The new contract and relationships in general practice
J. Huntington
From FPC to FHSA to Health Commission
R. Sloane
Open for business
J. Cameron
Best friends and all things to all people
A. Wall, N. Webb
The fax about your job
V. Morley, J. Dammers, C. Pharoah
Building a GP platform
K. Wilson
At the top of the bill
General Medical Services Committee
General Practice: A British Success
NAHAT Briefing
FHSAs ‐ Today’s and Tomorrow’s Priorities
J. Wood, J. Bligh
New directions
D. Irvine
Managing for Quality in General Practice
D. Wilkin, D. Metcalfe
List size and patient contract in general practice
E. Fleishman
Twenty Years of Consideration and Structure, Current Developments in the Study of Leadership
S. Fountain
Practice management ‐ common problems
K. Holdridge
Networking best practice on the Internet
A. May, R. Robinson
Mapping the course
G. Butland
Commissioning for quality
D. Hunter
Vision is the key
J. Jolleys
Directors forum
M. Zairi
TQM in Primary Care: An Evaluation
This is the second part in a paper which studied the dynamics of primary health care provision. This paper examines external factors related to the management of general practices. The study revealed that there are major problems at GP/FHSA interfaces involving poor communications, needs evaluation and understanding, and the lack of teamwork. The paper argues that attempts by FHSAs in terms of initiatives are so far failing and have not effectively been able to build strong partnerships between the parties concerned. The paper concludes by proposing a Model of Total Partnership for effective primary health care provision. The model suggests that structures need to be modified in a horizontal way, focusing on patients and building a collaborative way between FHSAs and GPs in a seamless fashion. The model is based on Total Quality Management (TQM) principles and is represented by the building of a customer‐supplier chain, the spirit of continuous improvement and synergy through teamwork with the ultimate goal of Total Patient Satisfaction.
International Journal of Health Care Quality Assurance – Emerald Publishing
Published: Feb 1, 1998
Keywords: General practice; Health care; TQM
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