The results of personal observations of on‐site visits to ten manufacturing firms are presented. Several important differences between traditional American firms, non‐traditional American firms, and Japanese firms operating in the United States are noted with regard to quality management....

Examines the literature to identify the essential components of kaizen or continuous improvement programmes. Relying on published sources on the North American experience with continuous improvement, also tries to identify organizational structures and practices likely to lead to successful...

Discusses challenges facing the US health‐care system now that prepaid or capitated health plans are gaining market share. Investigates how this affects providers, payers and policy makers and the concerns for the maintenance of a quality system. Concludes that the current changes in the US...