Quality management and quality of care in nursing homes

Iñaki Heras; Ernesto Cilleruelo; Jon Iradi

doi:10.1108/09526860810910131

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International Journal of Health Care Quality Assurance

ISSN: 0952-6862

Online from: 1988

Subject Area: Health Care Management/Healthcare

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Quality management and quality of care in nursing homes

Document Information:
Title:	Quality management and quality of care in nursing homes
Author(s):	Iñaki Heras, (Business Management Department, The University of the Basque Country, San Sebastian, Spain), Ernesto Cilleruelo, (Business Management Department, The University of the Basque Country, Bilbao, Spain), Jon Iradi, (Business Management Department, The University of the Basque Country, Bilbao, Spain)
Citation:	Iñaki Heras, Ernesto Cilleruelo, Jon Iradi, (2008) "Quality management and quality of care in nursing homes", International Journal of Health Care Quality Assurance, Vol. 21 Iss: 7, pp.659 - 670
Keywords:	Elderly people, ISO 9000 series, Nursing homes, Spain
Article type:	Research paper
DOI:	10.1108/09526860810910131 (Permanent URL)
Publisher:	Emerald Group Publishing Limited
Acknowledgements:	The San Sebastián SIIS Documentation and Study Centre. Staff in the centres visited. The Spanish Geriatrics and Gerontology Society working group. Finally, the referees for their helpful recommendations.
Abstract:	Purpose – The purpose of this paper is to study the appropriateness of applying “manufacturing sector” quality management strategies to residential care homes sector and to analyze its influence on the quality of care. Design/methodology/approach – Observation and in-depth interviews were conducted with 41 Spanish care home top and middle managers, consultants and employees. Findings – The quality management paradigm based on ISO 9001 has certain shortcomings in the elderly residential care home sector. There is a need to fit general quality management models to the sector's specific characteristics and to integrate generic quality management with specialized models. Practical implications – Research findings should be noted by different agents involved in the process of improving services. Originality/value – Useful, up-to-date conceptual overview for different agents interested in the sector (managers, consultants, academics, etc.) as well as interesting evidence for reflection.