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The Struggle for Quality

The case of the National Health Service

Bibliographic Data

ID6327199
AuthorsChristopher Pollitt (Professor of Government, Brunel University, corresponding author)
Year1993
Volume21
Issue3
Pages161-170
Publication date1993-07-01
Open AccessNo
TypeARTICLE
VenuePolicy & Politics (JOURNAL)
Journal identifiersISSN: 0305-5736 • E-ISSN: 1470-8442
PublisherBristol University Press (PUBLISHER • GB)
DOI10.1332/030557393782331119
OpenAlexW2013142973
LanguageEN
Citations received10

Almost everybody, it seems, is currently in favour of improving the ‘quality’ of public services. However, analysis soon reveals that different groups define quality differently, adopt different approaches to its improvement and wield greater or lesser leverage in the struggle to determine which definitions, methods and measurements will be adopted in its pursuit. The NHS offers a particularly vivid example of the ‘politics of quality’. Close examination shows that the medical professionals have thus far been successful in protecting their own version of quality from outside scrutiny. The influence of patients in shaping quality systems has, by contrast, been slight. The main challenge to the traditional professional monopoly over judgements of quality is coming not from patients but from managers

Business · Economics · Leverage (statistics · Market economy · Monopoly · Political science · Politics · Public relations · Quality (philosophy · Scrutiny · Service (business · Service quality · Computer Science · Healthcare Quality and Management · Law · Public Administration · Marketing

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Citations per year0.31
Citation span1994 - 2012 (19)
Highly citedNo

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