18. Multifaceted strategies for improvement

  1. Richard Grol,
  2. Michel Wensing,
  3. Martin Eccles and
  4. David Davis
  1. Marlies Hulscher,
  2. Michel Wensing and
  3. Richard Grol

Published Online: 28 JUN 2013

DOI: 10.1002/9781118525975.ch18

Improving Patient Care: The Implementation of Change in Health Care, Second Edition

Improving Patient Care: The Implementation of Change in Health Care, Second Edition

How to Cite

Hulscher, M., Wensing, M. and Grol, R. (2013) Multifaceted strategies for improvement, in Improving Patient Care: The Implementation of Change in Health Care, Second Edition (eds R. Grol, M. Wensing, M. Eccles and D. Davis), John Wiley & Sons, Ltd, Oxford, UK. doi: 10.1002/9781118525975.ch18

Author Information

  1. Department IQ healthcare, UMC St Radboud, Nijmegen, the Netherlands

Publication History

  1. Published Online: 28 JUN 2013
  2. Published Print: 20 MAY 2013

ISBN Information

Print ISBN: 9780470673386

Online ISBN: 9781118525975

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Keywords:

  • diagnostic analysis;
  • multifaceted strategies;
  • patient care

Summary

The choice of any strategy should depend on the results of a diagnostic analysis and on the barriers and facilitators revealed by this analysis. It is plausible, although not yet proven, that multifaceted strategies based on a diagnostic analysis are more effective than single strategies, because multiple barriers can be removed. The total effect of a multifaceted strategy is determined by the effectiveness of the separate strategies of which it is composed and the interaction between them. The effectiveness of multifaceted strategies must be weighed against the costs, which are usually higher than the costs of single strategies. This chapter delves more deeply into combining strategies for improvement. It outlines the effectiveness of these strategies, elaborates on the prospects of optimizing their effect, and summarizes the literature in this area from 1999 to 2009.