The role of total quality management in enhancing the quality of private healthcare services
-
DOIhttp://dx.doi.org/10.21511/ppm.18(2).2020.07
-
Article InfoVolume 18 2020, Issue #2, pp. 64-78
- Cited by
- 1731 Views
-
2013 Downloads
This work is licensed under a
Creative Commons Attribution 4.0 International License
The study aims to explore the role of total quality management (TQM) in enhancing the service quality of the private healthcare sector in the Northern Area of West Bank Palestine. The study involves a questionnaire-based survey, private hospitals, and healthcare centers selected in North West Bank. The administrative employees are the population of the study, 200 employees were selected via stratified sampling method. By using the Structural Equation Modeling (SEM), the findings show that all TQM factors are positively and directly related to each other in the private healthcare sector. There is a positive and direct relationship between four TQM factors (customer satisfaction, employee involvement, continual improvements, and top management commitment) and service quality, while there is a negative direct relationship between processes and service quality. TQM factors (customer satisfaction, employee involvement, continual improvements, processes, and top management commitment) explained 95% of the variance in healthcare service quality (R² = 0.950, P < 0.05). Continual improvements is the main pillar in TQM application in healthcare sector, and it is highly associated with the private healthcare processes (R² = 0.907, P < 0.01), while top management commitment is the most significant factor in improving the service quality. Full understanding and commitment by the managers across all levels and activating the effective communication between employees at all levels in the organization are the key factors of a successful TQM implementation; it helps in strengthening the teamwork efficiency. Top management is required to avoid the monotonic managerial practices, especially in the organizational processes, as it has a negative impact on the private healthcare service quality.
- Keywords
-
JEL Classification (Paper profile tab)I11, M10
-
References42
-
Tables13
-
Figures2
-
- Figure 1. Conceptual framework
- Figure 2. Conceptual model (SEM)
-
- Table 1. Perceived service quality dimensions
- Table 2. Restructured model of service quality
- Table 3. Reliability test
- Table 4. Validity test
- Table 5. Study variables
- Table 6. TQM scale
- Table 7. SQ scale
- Table 8. Respondents’ characteristics
- Table 9. Covariances
- Table 10. Correlations
- Table 11. Regression weight
- Table 12. Squared multiple correlations
- Table 13. Standardized Regression Weights
-
- Abdullah, S. (2018). Skills Shortages and Gaps in the Health Sector in the Occupied Palestinian Territory. The Palestine Economic Policy Research Institute (MAS).
- Al-Adham, M. (2004). Assessment of Perceived Health Care Service Quality at Palestinian Hospitals: A Model for Good Hospital Management Practice (GHMP) (Master’s Thesis). An-Najah University, Nablus-Palestine.
- Al-Ali, M. A. (2014). Developing a Total Quality Management Framework for Healthcare Organizations. Proceedings of the 2014 International Conference on Industrial Engineering and Operations Management. Bali, Indonesia.
- Al-Omar, B. (2002). The extent to which TQM principles are implemented in Riyadh city hospitals: from the perspectives of nurses. Journal of Public Administration, 24(2), 307-352.
- Al-Refaie, A., Ghnaimat, O., & Ko, J.-H. (2011). The effects of quality management practices on customer satisfaction and innovation: A perspective from Jordan. International Journal of Productivity and Quality Management, 8(4), 398-415.
- Al-Shdaifat, E. A. (2015). Implementation of total quality management in hospitals. Journal of Taibah University Medical Sciences, 10(4), 461-466.
- Awuor, E., & Kinuthia, D. (2013). Total Quality Management Practices in Selected Private Hospitals in Nairobi, Kenya. European Journal of Business and Management, 5(13), 33-44.
- Bagozzi, R. P., Yi, Y., & Phillips, L. W. (1991). Assessing Construct Validity in Organizational Research. Administrative Science Quarterly, 36(3), 421-458.
- Behara, R., Fisher, W., & Lemmink, J. (2016). Modelling and Evaluating Quality Measurement using Neural Networks. International Journal of Operations & Production Management, 22(10), 1162-1185.
- Brysland, A., & Curry, A. (2015). Service Improvements in public services using SERVQUAL. Managing Service Quality, 11(6), 389-401.
- Chin, W. W. (1998). Commentary: Issues and Opinion on Structural Equation Modeling. MIS Quarterly, 22(1), 7-16.
- Dagger, T. S., Sweeney, J. C., & Johnson, L. W. (2007). A Hierarchical Model of Healthcare service quality. Scale Development and Investigation of an Integrated Model. Journal of Service Research, 10(2), 123-142.
- Davies, E. (2003). Quality: its historical context. Engineering Management, 13(2), 14-17.
- Gorji, M. (2017). The Study of the Relationship between Total Quality Management and Service Quality Improvement Leading to an Optimal Model Presentation. Australian Journal of Basic and Applied Sciences, 5(11), 1742-1749.
- Halis, Mi., Twati, M. R., & Halis, Mu. (2017). Total quality management implementation in the healthcare industry: Findings from Libya. Management Issues in Healthcare System, 3(1), 4-21.
- Health Evidence Network (HEN). (2003). What are the best strategies for ensuring quality in hospitals? (Report).
- James, B. (2017). Quality Management аor Health Care Delivery. Chicago, Illinois: The Hospital Research and Educational Trust.
- Lim, J.-S., Lim, K.-S., Heinrichs, J. H., Al-Aali, K., Aamir, A., & Qureshi, M. I. (2018). The role of hospital service quality in developing the satisfaction of the patients and hospital performance. Management Science Letters, 8(12), 1353-1362.
- Marshall, G., & Murdoch, I. (2001). Service quality in consulting marketing engineers. International Journal Construction Marketing, 3(1), 41-49.
- Masrurul, M. (2018). Impact of Service Quality on Customer Satisfaction in Bangladesh Tourism Industry: An Empirical Study. Advances in Management, 12(1), 136-140.
- Milakovich, M. E. (1991). Total Quality Management in the Public Sector. National Productivity Review, 10(2), 195-213.
- MOH. (2019). Annual Health Report, Palestine 2018.
- Nabitz, U. W., & Walburg, J. A. (2000). Addicted to quality-winning the Dutch Quality Award based on the EFQM Model. International Journal of Health Care Quality Assurance, 13(6-7), 259-265.
- Narallah, T. (2009). Measurement of Total Quality Management Critical Success Factors Implementation Level in the Palestinian Healthcare Sector (Master’s Thesis). BIRZEIT University-Palestine.
- Nasser, M., Khraim, I., & Mousa, A.-B. (2016). Measuring the Implementation of TQM Concepts in Northern West Bank Governmental Hospitals.
- Neetha, K., Srinivas, T. R., Ramachandra, C. G., & Manjunatha, B. (2016). A Study on Implementation of Total Quality Management (TQM) in Hospital to Improve Service Quality. Proceeding of National Conference on Advances in Mechanical Engineering Science.
- Nzioka, P. N., & Njuguna, R. (2017). Firm Orientations and Performance of Hotels in Nairobi County, Kenya. Journal of Business and Strategic Management, 2(3), 1-28.
- Ozdal, M. A., & Oyebamiji, B. F. (2018). Implementation of Total Quality Management and its Effect on Employees’ Performance in a Teaching Hospital in Oyo State, Nigeria. Public Health Open Access, 2(3).
- Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), 12-40.
- Patel, G. (2015). Total Quality Management in Healthcare. The MIDAS Journal.
- Pekkaya, M., Imamoğlu, Ö. P., & Koca, H. (2017). Evaluation of healthcare service quality via Servqual scale: An application on a hospital. International Journal of Healthcare Management, 12(4), 340–347.
- Perrott, B. (2010). Strategic Implications of Quality Management in Health Care. Journal of Change Management, 3(2), 158-166.
- Ramseook-Munhurrun, P., Lukea-Bhiwajee, S. D., & Naidoo, P. (2010). Service Quality in the Public Service. International Journal of Management and Marketing Research, 3(1), 37-50.
- Ramseook-Munhurrun, P., Munhurrun, V., & Panchoo, A. (2011). Total Quality Management Adoption in a Public Hospital: Evidence from Mauritius. Global Journal of Business Research, 5(3), 67-77.
- Ruvio, A., Shoham, A., & Brenčič, M. M. (2008). Consumers’ Need for Uniqueness: Short-Form Scale Development and Cross-Cultural Validation. International Marketing Review, 25(1), 33-53.
- Scholtes, P. R. (2015). The Team Handbook: How to Use Teams to Improve Quality. Madison: Joiner Associates, Inc.
- Sofijanova, E., & Zabijakin-Chatleska, V. (2013). Employee Involvement and Organizational Performance: Evidence from the manufacturing sector in the Republic of Macedonia. Trakia Journal of Sciences, 11(1), 31-36.
- Talib, F., Rahman, Z., & Azam, M. (2010). Total Quality Management Implementation in the Healthcare Industry: A Proposed Framework. In 2nd International Conference on Production and Industrial Engineering (CPIE-2010) (pp. 1361-1368).
- Taylor, W., & Wright, T. (2017). The impact of senior managers’ commitment on the success of TQM programs: An empirical study. International Journal of Manpower, 24(5), 535-550.
- Travakol, M., & Dennick, R. (2011). Making Sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53-55.
- World Health Organization (WHO). (2004). Quality improvement in primary health care: a practical guide.
- Zarei, E., Daneshkohan, A., Khabiri, R., & Arab, M. (2015). The Effect of Hospital Service Quality on Patient’s Trust. Iranian Red Crescent Medical Journal, 17(1), e17505.