Health Policy Implications of a Three-Generation Case Study

"Conventional wisdom holds that the redesign of health care requires stepping back from the issues of individual patients and analyzing patterns of outcomes and costs for large patient populations. As practicing primary care physicians, we think a useful, complementary perspective might result from doing the opposite: looking intensely at the health and health care of an individual but widening the lens through which that patient is viewed. "

Time after Time - Health Policy Implications of a Three-Generation Case Study
C Sayer, TH Lee
New England Journal of Medicine 2014; 371:1273-1276

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Factors thought to influence the success of quality improvement in primary care

"This review aimed to provide guidance for researchers seeking to measure factors thought to modify the effect of Continuous Quality Improvement (CQI) in primary care settings."

Measuring organizational and individual factors thought to influence the success of quality improvement in primary care: a systematic review
SE Brennan, M Bosch, H Buchan, SE Green
Implementation Science, 2012, 7:121

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