The Fund supports networks of state health policy decision makers to help identify, inspire, and inform policy leaders.
The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health.
The Fund identifies and shares policy ideas and analysis to advance state health leadership, strong primary care, and sustainable health care costs.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
The Milbank Memorial Fund is is a foundation that works to improve population health and health equity.
March 2007 (Volume 85)
Quarterly Article
Richard P.T.M. Grol
Marije C. Bosch
Marlies E.J.L. Hulscher
Martin P. Eccles
Michel Wensing
December 2024
Dec 19, 2024
Back to The Milbank Quarterly
A consistent finding in articles on quality improvement in health care is that change is difficult to achieve. According to the research literature, the majority of interventions are targeted at health care professionals. But success in achieving change may be influenced by factors other than those relating to individual professionals, and theories may help explain whether change is possible. This article argues for a more systematic use of theories in planning and evaluating quality-improvement interventions in clinical practice. It demonstrates how different theories can be used to generate testable hypotheses regarding factors that influence the implementation of change, and it shows how different theoretical assumptions lead to different quality-improvement strategies.
Author(s): Richard P.T.M. Grol; Marije C. Bosch; Marlies E.J.L. Hulscher; Martin P. Eccles; Michel Wensing
Keywords: theories; quality improvement; health care
Read on Wiley Online Library
Read on JSTOR
Volume 85, Issue 1 (pages 93–138) DOI: 10.1111/j.1468-0009.2007.00478.x Published in 2007
