Investigating Barriers and Providing an Appropriate Model for Establishing Total Quality Management: A Case Study in Hospitals

Journal of Modern Medical Information Sciences Pub Date : 2022-01-01 DOI:10.52547/jmis.7.4.44

Azam Dehghani, Snjar Salajegheh, Mehdi Mohammad Bagheri, Samaneh Mehdizadeh

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Abstract

Aim: Total quality management (TQM) is one of the appropriate tools for structural changes in hospitals and the most important philosophy to increase the effectiveness of a dynamic and purposeful organization in a competitive environment. This study aimed to investigate the barriers to establishing TQM in Kerman hospitals. Methods: This descriptive-correlational study examined the barriers to establishing TQM in Kerman hospitals, 2019-2020. 377 managers and experts, medical, administrative, and financial staff of the hospitals were selected by available sampling. The data was collected by barriers to implementing the TQM questionnaire and analyzed by descriptive (frequency, percentage, mean, and standard deviation) and inferential statistics (Analysis of variance) and SPSS software version 20. Results: Most of the subjects were women (67.3%). The mean of total barriers to implementation of TQM in hospitals was 3.94±1.38. The highest mean was related to cultural barriers and staff (4.42±1.16). There was a significant relationship between cultural barriers and staff, barriers related to infrastructure, and managerial barriers with the realization of TQM with more than 99% confidence. The standardized value of the impact of the organizational dimension on the cultural barriers and staff was 0.19, organizational barriers on the barriers related to infrastructure were 0.51, organizational barriers on the managerial barriers were 0.30. These correlations were significant. There was a significant relationship between cultural and staff barriers, infrastructure barriers, and managerial barriers. Conclusion: This study showed that the most significant barriers to establishing TQM in Kerman hospitals were cultural barriers and staff. Therefore, hospital managers should identify these management barriers and eliminate them. Investigating barriers and providing an for case hospitals. Journal of Modern Sciences. 2021; 7(4):

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探讨全面质量管理的障碍与模式——以医院为例

目的:全面质量管理(TQM)是医院结构变革的合适工具之一，也是在竞争环境中提高组织活力和目的性的最重要理念。本研究旨在探讨克尔曼医院建立全面质量管理的障碍。方法:本描述性相关研究考察了2019-2020年克尔曼医院建立全面质量管理的障碍。采用现有抽样方法，抽取医院管理人员、专家、医务、行政、财务人员377人。采用实施TQM障碍问卷收集数据，并采用描述性统计(频率、百分比、均值和标准差)和推断性统计(方差分析)和SPSS软件版本20进行分析。结果:以女性居多(67.3%)。医院实施TQM的总障碍平均值为3.94±1.38。平均值最高的是文化障碍和员工(4.42±1.16)。员工文化障碍、基础设施障碍和管理障碍与TQM的实现之间存在显著的关系，置信度超过99%。组织维度对文化障碍和员工影响的标准化值为0.19，组织障碍对基础设施障碍影响的标准化值为0.51，组织障碍对管理障碍影响的标准化值为0.30。这些相关性是显著的。文化和员工障碍、基础设施障碍和管理障碍之间存在显著的关系。结论:本研究表明，克尔曼医院建立TQM的最大障碍是文化障碍和人员障碍。因此，医院管理者应该认识到这些管理障碍，并加以消除。调查障碍并为病例医院提供帮助。现代科学学报。2021;7 (4):

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Journal of Modern Medical Information Sciences

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