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Since this time, the measurement of quality in healthcare, including the implementation of quality management programmes, increased.
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Ethical approval was not required because we used secondary data available from the routine implementation of a quality management programme in primary care in Switzerland.
However, it is expected that the fully integrated implementation of quality management will take many years.
Particularly countries such as the United Kingdom, the United States and Canada have shown expertise in development and implementation of quality management systems.
Tylutki and Fox (2002) devised and implemented a quality management programme based on Six Sigma's DMAIC approach to manage the feed costs of a dairy farm.
3 4 The measurement and assessment of structure, process and outcome of care can lead to the implementation of a high-quality management programme.
The involvement of all stakeholders in the development of quality management strategies is an important factor for successful and sustainable implementation and adherence to quality oriented policies.
Several randomised studies have reported that implementation of disease management programmes for chronic conditions could reduce hospital admissions, out-of-hours services and emergency department attendance [ 20- 24].
Graff et al. [11] have identified a number of barriers to the measurement and implementation of quality improvement programmes.
Moreover, it provides prudent evidence that the implementation of COPD disease management programmes can positively influence outcomes of care.
The implementation of a quality management system in practices can be facilitated by the use of quality indicators.
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