Practice follows structure: QM in Malaysian public hospitals

Purpose – The main aim of this study is to provide an empirical analysis on the practice of quality management among employees of Malaysian public hospitals at the district, state and national level hospitals. This paper aims to perform a comparative analysis on quality management practices among the three levels of hospitals.Design/methodology/approach – The main method of data collection was self‐administered questionnaire, and cluster sampling was used to select the respondent hospitals, while respondent employees were selected by stratified random sampling. Altogether 23 public hospitals throughout Peninsular Malaysia participated in the survey.Findings – Practice of quality management was found to be significantly higher in district hospitals than in the national referral centre. However, there was no significant difference in perception on implementation outcome between the three levels of hospitals. Among the factors of quality management, teamwork was found to be significantly higher in district h...

[1]  C. Clare,et al.  Quality improvement in the healthcare industry: some evidence from Singapore. , 2000, International journal of health care quality assurance incorporating Leadership in health services.

[2]  D. Green,et al.  A Matter of Life and Death , 2008, Science.

[3]  L. Yorks,et al.  Beyond Total Quality Management: Toward The Emerging Paradigm , 1994 .

[4]  T. C. Powell.  Total Quality Management as Competitive Advantage , 1995 .

[5]  M. Bisognano.  Continuous quality improvement in health care. , 1993, Managed care quarterly.

[6]  Employee Attitudes toward Total Quality Management in an Epa Regional Office , 1996 .

[7]  Jayant V. Saraph,et al.  An Instrument for Measuring the Critical Factors of Quality Management , 1989 .

[8]  M. Decker,et al.  Continuous Quality Improvement , 1992, Infection Control & Hospital Epidemiology.

[9]  Gerald Zeitz,et al.  An Employee Survey Measuring Total Quality Management Practices and Culture , 1997 .

[10]  James R. Evans,et al.  The management and control of quality , 1989 .

[11]  L. J. Porter,et al.  Identification of the Critical Factors of TQM , 1996 .

[12]  Stanley B. Davis,et al.  Quality Management , 2005 .

[13]  W. Edwards Deming,et al.  Out of the Crisis , 1982 .

[14]  Roger G. Schroeder,et al.  A FRAMEWORK FOR QUALITY MANAGEMENT RESEARCH AND AN ASSOCIATED MEASUREMENT INSTRUMENT , 1994 .

[15]  N. A. Manaf,et al.  PATIENT SATISFACTION IN OUTPATIENT CLINICS OF MALAYSIAN PUBLIC HOSPITALS: AN EMPIRICAL ANALYSIS , 2006 .

[16]  M. Arndt,et al.  Total quality management: Field of dreams? , 1995, Health care management review.

[17]  A. Czuchry,et al.  Managing the quality effort in a health care setting: an application. , 1999, Health care management review.

[18]  M. Milakovich.  Creating a total quality health care environment , 1991, Health care management review.

[19]  Malaysia,et al.  Eighth Malaysia plan, 2001-2005 , 2001 .

[20]  T. Getzen.  Health Economics: Fundamentals and Flow of Funds , 1996 .

[21]  Richard W. Foster,et al.  Keys for successful implementation of total quality management in hospitals , 1996, Health care management review.

[22]  A D Kaluzny,et al.  Total quality management in health: Making it work , 1990, Health care management review.

[23]  Su Mi Dahlgaard-Park,et al.  Lean Production, Six Sigma Quality, TQM and Company Culture , 2006 .

[24]  E. O'Connor,et al.  Assessing the impact of continuous quality improvement/total quality management: concept versus implementation. , 1995, Health services research.

[25]  J Salvage,et al.  A matter of life and death. , 1981, Nursing times.

[26]  D. Samson,et al.  EXPLODING THE MYTH: DO ALL QUALITY MANAGEMENT PRACTICES CONTRIBUTE TO SUPERIOR QUALITY PERFORMANCE? , 1999 .

[27]  J. Hair.  Multivariate data analysis , 1972 .

[28]  N. H. Manaf.  Quality management in Malaysian public health care. , 2005, International journal of health care quality assurance incorporating Leadership in health services.