Context for successful quality improvement

"Building on a series of thought pieces – published by the Health Foundation in Perspectives on context – this best evidence review combines the ideas of receptive and non-receptive contexts for change, with a psychological perspective and the proposition that social context is the key facilitator of quality improvement. The review also considers context at structural levels within the health care system:

• macro – the system level
• meso – the organisation level
• micro – the clinical team level.

Crucially, the review considers how all of these factors combine to impact upon the success and sustainability of quality improvement efforts."

Context for successful quality improvement
N Fulop, G Robert
The Health Foundation
October 2015

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The role of team climate in improving the quality of chronic care delivery

"The implementation of transition programmes requires a supportive and stimulating team climate to enhance the quality of chronic care delivery to chronically ill adolescents."

The role of team climate in improving the quality of chronic care delivery: a longitudinal study among professionals working with chronically ill adolescents in transitional care programmes
JM Cramm, MMH Strating, AP Nieboer
BMJ Open, 2014, 4:e005369

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Spreading improvement ideas

"Based on a review of 477 studies, there is evidence that spreading good practice in local internal teams can be facilitated by targeting key individuals, providing focused and proactive training and internal marketing."

No. 20: Spreading improvement ideas: Tips from empirical research
D de Silva
The Health Foundation
May 2014

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Delivering integrated care and support

"The achievement of personal outcomes for individuals should be the focus of integrated care and support."

Delivering integrated care and support
A Petch
Institute for Research and Innovation in Social Services
February 2014

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