Health Care Analysis 3 (4):283-289 (1995)

Abstract
This paper examines some of the processes which have contributed to the development of a ‘total quality’ (TQ) approach within British health care. The paper challenges the idea that TQ is part of a redistribution of power within the NHS. Rather it is argued that through the elaboration of consumer-led market identities TQ misrepresents the interests of management and constructs a version of the self which obscures new forms of management control. TQ constrains alternative forms of social organisation, local knowledge and the social interests invested in them. An example of a competing set of assumptions is discussed. It is suggested that clinical groups — who are primarily motivated by the principles of professional, collegiate control — seek to free themselves from the constraints of TQ. Thus clinical discourse appropriates a professionally led version of the market and protects the traditional autonomy of professionals whilst seeming to render their interests synergistic with those of management. This casts ‘quality’, and perhaps even the ‘market’, as conceptual sites upon which different groups strive to construct and legitimate their own interests. It is concluded that the changes explicitly associated with TQ are not as fundamental as they seem
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1007/BF02197074
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 72,607
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

Interests and the Growth of Knowledge.Barry Barnes - 1977 - Routledge and Kegan Paul.

Add more references

Citations of this work BETA

No citations found.

Add more citations

Similar books and articles

Total Quality Management and the Silent Patient.Mary V. Rorty - 2002 - Business Ethics Quarterly 12 (4):481-504.
The Concept of Quality in Clinical Research.Dorota Śwituła - 2006 - Science and Engineering Ethics 12 (1):147-156.
Best Interests and Treatment for Mental Disorder.Phil Fennell - 2008 - Health Care Analysis 16 (3):255-267.
SQCs in Turkey as “Imece Circles”.Hayal Köksal - 2012 - AI and Society 27 (3):377-386.

Analytics

Added to PP index
2013-11-24

Total views
15 ( #703,613 of 2,533,645 )

Recent downloads (6 months)
1 ( #389,210 of 2,533,645 )

How can I increase my downloads?

Downloads

My notes