The tools and techniques of QFD and Lean-Six Sigma can help problem-solving teams by providing insight into customer needs and wants, design and development of customer-centric processes, and mapping value streams. Both QFD and Lean-Six Sigma focus on doing the most with the resources we have. Each of these megatools supports efforts to expand our community support programs and to increase the effectiveness of internal capacities. This dual external/internal focus offers an excellent partnership of quality improvement tools for Public Health.
In this book the authors have modified the QFD process and Lean-Six Sigma methodology so they are aligned with the needs and differences in Public Health design and delivery of products and services. Where these modifications are present, they are explained so readers will understand the change from what might be seen in an industrial or healthcare application of the same concepts.
Primary care will be central in meeting Denmark’s future healthcare challenges of an ageing population with multiple chronic conditions. Therefore, an urgent need is to create a national vision of how a modernised primary care sector will fulfill this new coordination role. National standards, clinical guidelines, accreditation of clinical pathways and targeted financial incentive programmes could support this role, along with more transparent and formalised continual professional development.
To facilitate quality improvement from the ambitious hospital rationalisation, Denmark should collect and disseminate data on the quality of individual physicians as well as the hospitals. Undergraduate training and medical research should be reviewed in light of the new service arrangements. Close surveillance will be needed to monitor whether certain patient groups forego healthcare because travel times to providers are too long. Limited data availability complicate Denmark’s ability to monitor its commitment to equitable healthcare. There is an urgent need for renewed action to tackle risk factors of chronic ill-health that disproportionately affect low-income groups. Better information on the impact of user-charges on unmet need in low-income groups is needed.
In The Single Payer Healthcare System: Faults and Fixes, Dr. Henry Krahn draws from his long career as a urologist to give an unparalleled inside look at the government’s version of socialized medicine. He explains the changes that occurred in Manitoba as the province transitioned from a functional and fluid single-payer insurance system to the governmentmanaged quagmire of wait lists and scarcity it is today.
He argues persuasively that by using a single-payer non-profit mutual insurance approach with arms-length government oversight, Canada could create a universal healthcare delivery system that provides affordable, high quality treatment within days rather than months. The healthcare system should include international healthcare insurance coverage at Canadian rates. With extensive examples, convincing arguments, and a lifetime of experience, Dr. Krahn points the way towards a system for which Canadians could truly be proud.