INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE最新文献

{"title":"Enhancing organizational health literacy in a rural Missouri clinic: a qualitative case study.","authors":"Ricardo Wray,&nbsp;Nancy Weaver,&nbsp;Prajakta Adsul,&nbsp;Kanak Gautam,&nbsp;Keri Jupka,&nbsp;Stacie Zellin,&nbsp;Kathryn Goggins,&nbsp;Santosh Vijaykumar,&nbsp;Natasha Hansen,&nbsp;Rima Rudd","doi":"10.1108/IJHCQA-05-2018-0131","DOIUrl":"https://doi.org/10.1108/IJHCQA-05-2018-0131","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to evaluate a collaborative effort between a health care organization and academic institution to strengthen organizational health literacy.</p><p><strong>Design/methodology/approach: </strong>The intervention took place at a rural, federally qualified health clinic in Missouri between May 2009 and April 2011. Qualitative interviews of key informants were conducted before (<i>n</i>=35) and after (<i>n</i>=23) the intervention to examine program implementation and success in effecting organizational change.</p><p><strong>Findings: </strong>Intervention activities helped establish a comprehensive understanding of health literacy. The project achieved moderate, fundamental and sustainable organizational change. The program successfully integrated health literacy practices into clinic systems and garnered leadership and organizational commitment, helped the workforce improve interpersonal communication and embedded practices making health education materials more accessible.</p><p><strong>Originality/value: </strong>The study points to programmatic, conceptual and methodological challenges that must be addressed for organizations to improve health literacy practices, and suggests change management strategies to advance organizational health literacy.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 5","pages":"788-804"},"PeriodicalIF":1.5,"publicationDate":"2019-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-05-2018-0131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37328570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Appreciative enquiry peer review improving quality of services.","authors":"Frank R Burbach,&nbsp;Sarah K Amani","doi":"10.1108/IJHCQA-01-2018-0015","DOIUrl":"https://doi.org/10.1108/IJHCQA-01-2018-0015","url":null,"abstract":"<p><strong>Purpose: </strong>Mental health service improvement initiatives often involve the setting of targets and monitoring of performance. The purpose of this paper is to describe the application of appreciative enquiry (AE), a radically different but complementary approach to quality assurance and improvement, to specialist mental health services across a health region.</p><p><strong>Design/methodology/approach: </strong>This case study describes a regional quality improvement (QI) project involving 12 early intervention in psychosis (EIP) services in South West England. In total, 40 people were trained in AE interviewing skills and in non-reciprocal peer review visits 59 interviews were conducted involving 103 interviewees including service users, carers, clinicians, managers and commissioners. Immediate verbal feedback was provided and main themes summarised in individual reports to host teams using the following headings: team values, strengths, dreams and development plans. A thematic analysis was conducted on team reports and a project report produced which summarised the stages and results of this regional initiative.</p><p><strong>Findings: </strong>All participants rated the experience as positive; it enhanced staff motivation and led to service development and improvement.</p><p><strong>Research limitations/implications: </strong>The experiences of these 12 EIP teams may not necessarily be generalisable to other services/regions but this positive approach to service improvement could be widely applied.</p><p><strong>Practical implications: </strong>AE is applicable in large-scale QI initiatives.</p><p><strong>Originality/value: </strong>To the authors knowledge this is the first time that AE has been applied to large-scale mental health service improvement and innovation.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 5","pages":"857-866"},"PeriodicalIF":1.5,"publicationDate":"2019-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-01-2018-0015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37328569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence based practice among healthcare providers: a cross-sectional study.","authors":"Khalil Kalavani,&nbsp;Rafat Mohebbifar,&nbsp;Sima Rafiei","doi":"10.1108/IJHCQA-08-2017-0162","DOIUrl":"https://doi.org/10.1108/IJHCQA-08-2017-0162","url":null,"abstract":"<p><strong>Purpose: </strong>Nowadays health systems in most of the countries are trying to build their healthcare provision system based on scientific knowledge based evidence. Evidence-based practice (EBP) is a crucial factor for quality improvement focusing on compliance with clinical standards. The purpose of this paper is to assess evidence-based knowledge and skills among healthcare providers in Qazvin hospitals in 2016.</p><p><strong>Design/methodology/approach: </strong>This was a descriptive study conducted among 300 health professionals working in hospitals affiliated by Qazvin University of Medical Sciences in 2016. A self-administered questionnaire was used to gather data on health providers' attitude, knowledge and skill regarding EBP. Descriptive statistics and multiple linear regressions were used to analyze data using SPSS 16 software.</p><p><strong>Findings: </strong>A total of 254 participants (84.6 percent) completed the questionnaire in which their attitude, knowledge and skill toward EBP were assessed at a low level. Study results indicated that among different occupational groups, physicians and those with greater awareness toward EBP terminology had a more positive attitude compared with others. Furthermore, a higher level of knowledge and skill toward EBP was associated with being a physician and having a positive attitude toward the issue.</p><p><strong>Practical implications: </strong>Given the importance of EBP and due to insufficient knowledge of healthcare providers about the issue, it is necessary to hold appropriate educational courses to empower health workforce in implementing EBP principles.</p><p><strong>Originality/value: </strong>The authors applied a self-administered questionnaire to assess health workforce knowledge and skills toward EBP. The results obtaining from the analysis not only highlights weaknesses related to service providers' knowledge and capabilities to implement EBP but also reveals facilities required for realization of the subject in hospital settings.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 5","pages":"867-878"},"PeriodicalIF":1.5,"publicationDate":"2019-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-08-2017-0162","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37332316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Business process improvement methods in healthcare: a comparative study.","authors":"Ehab Seed Ahmed,&nbsp;Mohammad Nazir Ahmad,&nbsp;Siti Hajar Othman","doi":"10.1108/IJHCQA-07-2017-0116","DOIUrl":"https://doi.org/10.1108/IJHCQA-07-2017-0116","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;According to the literature concerned with this study, less than satisfactory outcomes have been achieved through implementing business process improvements methods (BPIMs) in industries, in general, and in healthcare, in particular. The existing methods used need to be enhanced in order to create more effective outcomes. There has also been a lack of studies documenting gaps or shortfalls in implementing BPIMs, to be presented to the BPI research community. Therefore, researchers of this paper have attempted to fill gaps between theory and practice. On the contrary, there is also a need to link practical outcomes in the healthcare domain with those of the BPI research community. The purpose of this paper is to review popular BPIMs, techniques and tools applied in the healthcare domain; it seeks to examine and highlight their significant roles, clarify their pros and cons, and find opportunities to enhance their impact on the achievement of more sustainable improvements in the healthcare domain.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design/methodology/approach: &lt;/strong&gt;This study has been carried out by using a methodology combining an in-depth literature review with a comparison framework, which is called as the \"Framework for Comparing Business Process Improvement Methods.\" The framework is composed of seven dimensions and has been adapted from four recognized, related frameworks. In addition to the in-depth review of related literature and the adapted comparison framework, researchers have conducted several interviews with healthcare BPI practitioners in different hospitals, to attain their opinions of BPI methods and tools used in their practices.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;The main results have indicated that significant improvements have been achieved by implementing BPIMs in the healthcare domain according to related literature. However, there were some shortfalls in the existing methods that need to be resolved. The most important of these has been the shortfall in representing and analyzing targeted domain knowledge during improvement phases. The tool currently used for representing the domain, specifically flowcharts, is very abstract and does not present the domain in a clear form. The flowchart tool also fails to clearly present the separation of concerns between business processes and the information systems processes that support a business in a given domain.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Practical implications: &lt;/strong&gt;The findings of this study can be useful for BPI practitioners and researchers, mainly within the healthcare domain. The findings can help these groups to understand BPIMs shortfalls and encourage them to consider how BPIMs can be potentially improved.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Originality/value: &lt;/strong&gt;This researchers of this paper have proposed a comparison framework for highlighting popular BPIMs in the healthcare domain, along with their uses and shortfalls. In addition, they have conducted a deep literature review based on ","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 5","pages":"887-908"},"PeriodicalIF":1.5,"publicationDate":"2019-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-07-2017-0116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37328565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gynecology healthcare professionals towards safety procedures in operation rooms aiming to enhanced quality of medical services in Greece.","authors":"Konstantinos Dinas,&nbsp;Eleftherios Vavoulidis,&nbsp;Georgios Chrysostomos Pratilas,&nbsp;Kimon Chatzistamatiou,&nbsp;Alexandros Basonidis,&nbsp;Alexandros Sotiriadis,&nbsp;Leonidas Zepiridis,&nbsp;Konstantinos Pantazis,&nbsp;Konstantinos Tziomalos,&nbsp;Vassilis Aletras,&nbsp;George Tsiotras","doi":"10.1108/IJHCQA-02-2018-0033","DOIUrl":"https://doi.org/10.1108/IJHCQA-02-2018-0033","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to investigate the attitudes of healthcare professionals in Greece toward safety practices in gynecological Operation Rooms (ORs).</p><p><strong>Design/methodology/approach: </strong>An anonymous self-administered questionnaire was distributed to surgical personnel asking for opinions on safety practices during vaginal deliveries (VDs) and gynecological operations (e.g. sponge/suture counting, counting documentation, etc.). The study took place in Hippokration Hospital of Thessaloniki including 227 participants. The team assessed and statistically analyzed the questionnaires.</p><p><strong>Findings: </strong>Attitude toward surgical counts and counting documentation, awareness of existence and/or implementation in their workplace of other surgical safety objectives (e.g. WHO safety control list) was assessed. In total, 85.2 percent considered that surgical counting after VDs is essential and 84.9 percent admitted doing so, while far less reported counting documentation as a common practice in their workplace and admitted doing so themselves (50.5/63.3 percent). Furthermore, while 86.5 percent considered a documented protocol as necessary, only 53.9 percent admitted its implementation in their workplace. Remarkably, 53.1 percent were unaware of the WHO safety control list for gynecological surgeries.</p><p><strong>Originality/value: </strong>Most Greek healthcare professionals are well aware of the significance of surgical counting and counting documentation in gynecology ORs. However, specific tasks and assignments are unclear to them. Greek healthcare professionals consider surgical safety measures as important but there is a critical gap in knowledge when it comes to responsibilities and standardized processes during implementation. More effective implementation and increased personnel awareness of the surgical safety protocols and international guidelines are necessary for enhanced quality of surgical safety in Greece.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 5","pages":"805-817"},"PeriodicalIF":1.5,"publicationDate":"2019-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-02-2018-0033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37331921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care living labs' effect on care organization and quality of working life.","authors":"Anselm Yennef Vereycken,&nbsp;Leen De Kort,&nbsp;Geert Vanhootegem,&nbsp;Ezra Dessers","doi":"10.1108/IJHCQA-03-2018-0069","DOIUrl":"https://doi.org/10.1108/IJHCQA-03-2018-0069","url":null,"abstract":"<p><strong>Purpose: </strong>There is a growing interest in living labs (a research concept in which innovations are co-created with end-users and tested in practice) as a method to test and develop health and social care innovations. However, little is known about their effect on the care organization and care providers' quality of working life. By using the Flanders Care Living Labs program (Belgium) as a case study, the purpose of this paper is to explore how innovations in a living lab context may affect those issues.</p><p><strong>Design/methodology/approach: </strong>This qualitative study combined data from document analysis, in-depth interviews and focus groups involving 23 care innovation projects. Deductive category application was used for analyzing data.</p><p><strong>Findings: </strong>Outcomes indicate that 22/23 care innovation projects resulted in organizational changes, and that 22 affected at least one care provider's quality of working life. Surprisingly, no project deliberately intended to affect the care organization and quality of working life. Future care innovation projects should focus on actual innovation and its implications for specific end-users, and on the broader organizational consequences and the possible effect on the care providers' work.</p><p><strong>Originality/value: </strong>This is the first study that specifically focused on care innovation's effect on the care organization and on the quality of working life within a living labs context.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 4","pages":"709-719"},"PeriodicalIF":1.5,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-03-2018-0069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37421374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient safety culture in maternity units: a review.","authors":"Waleed Al Nadabi,&nbsp;Bryan McIntosh,&nbsp;Tracy McClelland,&nbsp;Mohammed Mohammed","doi":"10.1108/IJHCQA-01-2018-0005","DOIUrl":"https://doi.org/10.1108/IJHCQA-01-2018-0005","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to summarize studies that have examined patient safety culture in maternity units and describe the different purposes, study designs and tools reported in these studies while highlighting gaps in the literature.</p><p><strong>Design/methodology/approach: </strong>Peer-reviewed studies, published in English during 1961-2016 across eight electronic databases, were subjected to a narrative literature review.</p><p><strong>Findings: </strong>Among 100 articles considered, 28 met the inclusion criteria. The main purposes for studying PSC were: assessing intervention effects on PSC (<i>n</i>=17), and assessing PSC level (<i>n</i>=7). Patient safety culture was mostly assessed quantitatively using validated questionnaires (<i>n</i>=23). The Safety Attitude Questionnaire was the most commonly used questionnaire (<i>n</i>=17). Interventions varied from a single action lasting five weeks to a more comprehensive four year package. The time between baseline and follow-up assessment varied from 6 to 24 months. No study reported measurement or intervention costs, and none incorporated the patient's voice in assessing PSC.</p><p><strong>Practical implications: </strong>Assessing PSC in maternity units is feasible using validated questionnaires. Interventions to enhance PSC have not been rigorously evaluated. Future studies should report PSC measurement costs, adopt more rigorous evaluation designs and find ways to incorporate the patient's voice.</p><p><strong>Originality/value: </strong>This review summarized studies examining PSC in a highly important area and highlighted main limitations that future studies should consider.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 4","pages":"662-676"},"PeriodicalIF":1.5,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-01-2018-0005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37263503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"mHealth apps design using quality function deployment.","authors":"Süleyman Barutçu","doi":"10.1108/IJHCQA-08-2018-0195","DOIUrl":"https://doi.org/10.1108/IJHCQA-08-2018-0195","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is threefold: first, to draw health managers', clinicians', entrepreneurs' and mobile apps designers' attention toward new mobile health applications (mHealth apps); second, to define mHealth apps design characteristics intended for doctors; and third, to highlight how mHealth apps can be designed using quality function deployment/house of quality (QFD/HOQ) techniques from doctors' perspectives.</p><p><strong>Design/methodology/approach: </strong>Data were collected through a survey and in-depth interviews with doctors to understand their needs and attitudes toward mHealth apps. Analytic hierarchy process, QFD and HOQ methods were used to analyze data.</p><p><strong>Findings: </strong>Doctors agreed that mHealth apps provide them with the tools to improve their service and to become more efficient. Once the 12 doctors' wants were collected, they were prioritized according to their significance and used for mHealth apps development. Eight technical characteristics that cater to doctors' expectations were sorted. The authors suggest that mHealth app designers need to provide design requirements recommended by health personnel for a higher satisfaction level.</p><p><strong>Originality/value: </strong>Healthcare managers are focusing on increasing their efficiency, patient satisfaction and care quality, and decreasing costs. For these purposes, mHealth revolution and mHealth apps have high potential for improving doctor effectiveness and healthcare quality. This study is among the first to: define Turkish doctors' wants from mHealth apps; elaborate the app's technical characteristics; and increase design quality, which is implied in improving app design. This research makes a significant contribution to define doctors' wants from mHealth apps, to elaborate their technical characteristics and to increase mHealth apps design quality using QFD.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 4","pages":"698-708"},"PeriodicalIF":1.5,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-08-2018-0195","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37263505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preferences of Iranian average risk population for colorectal cancer screening tests.","authors":"Vajiheh Ramezani Doroh,&nbsp;Alireza Delavari,&nbsp;Mehdi Yaseri,&nbsp;Sara Emamgholipour Sefiddashti,&nbsp;Ali Akbarisari","doi":"10.1108/IJHCQA-08-2017-0151","DOIUrl":"https://doi.org/10.1108/IJHCQA-08-2017-0151","url":null,"abstract":"PURPOSE\u0000The purpose of this paper is to explore the preferences of the average risk Iranian population for colorectal cancer (CRC) screening tests.\u0000\u0000\u0000DESIGN/METHODOLOGY/APPROACH\u0000A standard stated-preferences method with discrete choice models was used to identify the preferences. Data about socio-demographic status, health status and preferences for CRC screening tests were collected by a structured questionnaire that was completed by 500 people aged 50-75 years. Mixed logit model was used to analyze the preferences.\u0000\u0000\u0000FINDINGS\u0000The regression model showed that the test process, pain, place, frequency, preparation, sensitivity, complication risk, mortality rate and cost were the final attributes; that had a statistically significant correlation with the preferences of the people in choosing CRC screening tests. The socio-demographic and health status of participants had no significant correlation with the individuals' preferences.\u0000\u0000\u0000PRACTICAL IMPLICATIONS\u0000This study provides insight into how different characteristics of a CRC screening test might influence the preferences of individuals about that test.\u0000\u0000\u0000ORIGINALITY/VALUE\u0000This was the first study of this type in Iran to elicit the preferences of the average risk population for CRC screening tests using a discrete choice model.","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 4","pages":"677-687"},"PeriodicalIF":1.5,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-08-2017-0151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37421371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting quality management at the Thai national institute of health.","authors":"Natkamol Chansatitporn,&nbsp;Vallerut Pobkeeree,&nbsp;Surachart Na Nongkhai,&nbsp;Somchai Sangkijporn","doi":"10.1108/IJHCQA-05-2018-0107","DOIUrl":"https://doi.org/10.1108/IJHCQA-05-2018-0107","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to confirm and examine organization-related factors that could affect quality management at the Thai national reference laboratory known as National Institute of Health.</p><p><strong>Design/methodology/approach: </strong>The authors invited 340 laboratory staff members to complete a questionnaire that enquired about their skills, opinions, perceptions, leadership, work environment, organizational culture and organizational commitment in relation to quality management. Confirmatory factor analysis (CFA) and multiple linear regression were used to analyze the data.</p><p><strong>Findings: </strong>In total, 65 percent of institute members responded to the questionnaire. CFA revealed that all factors were related to quality management. Three factors, leadership, organizational commitment and work environment, significantly affected quality management, but organizational culture did not.</p><p><strong>Research limitations/implications: </strong>Other data types should be collected for an in-depth understanding, i.e. focus groups or in-depth interviews. A longitudinal study could also enhance quality management understanding to see how each variable changes over time.</p><p><strong>Originality/value: </strong>Analyzing quality management through confirmatory factor and regression analysis showed that the four analyzed variables are statistically significant in relation to quality management at the laboratory. Managers could apply this information to revise the current policy.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 4","pages":"739-751"},"PeriodicalIF":1.5,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-05-2018-0107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37421372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}