The role of total quality management in enhancing the quality of private healthcare services

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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.

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    • 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