Emphasis on quality
- 1 April 1991
- journal article
- Published by RCNi in Elderly Care
- Vol. 3 (2) , 12-13
- https://doi.org/10.7748/eldc.3.2.12.s19
Abstract
There have been two health care revolutions in the UK since the inception of the National Health Service and we are entering a third, the hallmark of which is an emphasis on quality. The first revolution took us from the late 1940s through the 1960s and was an era of expansion with regular injections of new resources to undertake service development. The second revolution took place in the early 1970s and ran through the 1980s. This was an era of cost containment, value for money and cost improvement programmes. The emphasis was very much on ‘how big a bang you could get for your buck', The third revolution, as we move into the 1990s, is an era of assessment and accountability, where the emphasis is on the efficacy of medical and social care interventions. The concern is increasingly with outcomes rather than with inputs and processes. In short, there is a greater concern with the ‘quality of the bang that one gets for one's buck’.Keywords
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