This article identifies areas of management research that should be pursued to develop a better understanding of barriers and facilitators to improve quality in health care organizations. Five major structural barriers to improvement of quality are discussed. Research priorities are presented with suggestions on how to encourage more meaningful research that will accelerate quality improvement in health care.
Vinod K. Sahney, Ph.D., is Senior Vice President, Planning and Strategic Development, Henry Ford Health System, Detroit, Michigan. E-mail: firstname.lastname@example.org.
In preparation for this paper I had discussions with a number of practitioners and researchers. I also received helpful comments on an earlier version from a number of colleagues. My sincere thanks to: Paul Batalden, M.D., James W. Begun, Ph.D., William Conway, M.D., Robert Crane, M.D., Jennifer Elston Lafata, Ph.D., Ellen Gaucher, MSN, David Gustafson, Ph.D., Rose Glenn, Mark Kelley, M.D., Anthony Kovener, Ph.D., David Leach, M.D., Louise Liang, M.D., Gene Nelson, Ph.D., David Nerenz, Ph.D., Thomas Nolan, Ph.D., Manel Pladevall, M.D., Jonathan Schwartz, M.D., Patricia Stoltz, and Robert Waller, M.D.