What initiatives do healthcare leaders agree are needed for healthcare system improvement? Results of a modified-Delphi study
Journal of Health Organization and Management
ISSN: 1477-7266
Article publication date: 22 November 2018
Issue publication date: 23 November 2018
Abstract
Purpose
The purpose of this paper is to identify five quality improvement initiatives for healthcare system leaders, produced by such leaders themselves, and to provide some guidance on how these could be implemented.
Design/methodology/approach
A multi-stage modified-Delphi process was used, blending the Delphi approach of iterative information collection, analysis and feedback, with the option for participants to revise their judgments.
Findings
The process reached consensus on five initiatives: change information privacy laws; overhaul professional training and work in the workplace; use co-design methods; contract for value and outcomes across health and social care; and use data from across the public and private sectors to improve equity for vulnerable populations and the sickest people.
Research limitations/implications
Information could not be gathered from all participants at each stage of the modified-Delphi process, and the participants did not include patients and families, potentially limiting the scope and nature of input.
Practical implications
The practical implications are a set of findings based on what leaders would bring to a decision-making table in an ideal world if given broad scope and capacity to make policy and organisational changes to improve healthcare systems.
Originality/value
This study adds to the literature a suite of recommendations for healthcare quality improvement, produced by a group of experienced healthcare system leaders from a range of contexts.
Keywords
Acknowledgements
Counties Manukau Health funded the initial study from which these interview data were drawn, but not the re-analysis, findings or conclusions presented here.
Citation
Barson, S., Gauld, R., Gray, J., Henriks, G., Krause, C., Lachman, P., Maher, L., Massoud, M.R., Mathias, L., Wagner, M. and Villa, L. (2018), "What initiatives do healthcare leaders agree are needed for healthcare system improvement? Results of a modified-Delphi study", Journal of Health Organization and Management, Vol. 32 No. 8, pp. 1002-1012. https://doi.org/10.1108/JHOM-08-2017-0216
Publisher
:Emerald Publishing Limited
Copyright © 2018, Emerald Publishing Limited