By Beata Kollberg.
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Extra resources for Performance measurement systems in Swedish health care services
He further emphasises that the inquiry copes with situations, in which there are many more variables of interest than data points, relies on multiple sources of evidence, and benefits from the prior development of theoretical propositions. 40 Familiarity with the field According to Stake (1994, p. 445), qualitative case study is characterised by “researchers spending expended time, on site, personally in contact with activities and operations of the case, reflecting, revising meanings of what is going on”.
According to Øvretveit (1997) this is called “the traditional professional association approach to quality”. The background is the professional’s traditional ownership of the health care quality. The old health care system was built on quality inspections implying that the doctor controlled and inspected the nurses’ work; the nurses inspected the work of the assistant nurses and so on. Besides the professionals’ interest for health care quality, the political and administrative management controls health care quality by laws, regulations, infection control standards, documentation, incident reporting etc.
The Swedish researcher Olsson (2005) developed and tested a model that specifies factors for successful quality improvement of the Swedish health care, resembling to many of the findings presented by Øvretveit (1997). He concludes that the Organisation Change Manager – the OCM model - is suitable for health care managers, to increase the chances of successful quality improvement change in projects. The model comprises 11 factors, which includes 44 statements (Olsson, 2003). The successful organisations had sufficient resources for the improvement projects, illuminated the importance of the improvement project through a distinct problem analysis, and developed and communicated a project plan with a clear purpose derived within the management team.