Comparison of health care professionals’ and surveyors’ opinions on problems and obstacles in implementing quality management system in Thailand: a national survey

Pongpirul, Krit; Sriratanaban, Jiruth; Asavaroengchai, Santawat; Thammatacharee, Jadej; Laoitthi, Poranee

doi:10.1093/intqhc/mzl031

Cited by 38 publications

(38 citation statements)

References 12 publications

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“…These findings are similar to those of other studies in the United States (Messner, 1998), Switzerland (Hudelson et al, 2008), Thailand (Pongpirul et al, 2006), Iran (Rad, 2005), Indonesia (Amar & Zain, 2002), and Taiwan (Lin & Jang, 2008). These researchers found that some or all of these factors (lack of rewards for hospital staff, inadequate authority delegation, and lack of staff) were major obstacles.…”

Section: Major Qms Obstacles In High-and Low-performing Hospitalssupporting

confidence: 88%

“…The questionnaire was based on the Quality Management Systems Obstacles Scale (QMSOS) which was built based on a comprehensive literature review of QMS and several survey instruments. The questionnaire is consisted of a list of the most common 23 concepts derived from various studies (Desai, 2010;Dixon-Woods et al, 2012;Hudelson et al, 2008;Lin & Jang, 2008;Pongpirul et al, 2006;Rad, 2005). This questionnaire is divided into two sections-A and B.…”

Section: Instruments Of the Studymentioning

confidence: 99%

“…For these reasons, hospitals in most countries including Jordan are constantly trying to improve their QMSs. Maintaining quality requires that every hospital should have a QMS that covers domains such as leadership and management, resource management, quality improvement, and organisational culture (Lin & Jang, 2008;Pongpirul, et al 2006). In the past, most hospitals had their own criteria for a QMS.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Staff Perceptions of Obstacles to Quality Management Systems in Low- and High- Performing Hospitals in Jordan

A’aqoulah¹,

Kuyini²,

Ajlouni³

et al. 2016

IJBM

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Implementing a quality management system (QMS) is important for hospitals to deliver high-quality services. Hospitals in Jordan vary greatly in terms of the quality of their services. This study aimed to explore QMS obstacles in low-and high-performing hospitals in Jordan. The study employed a Mixed Method-Sequential Exploratory design. A questionnaire was used to explore the QMS obstacles. The study population was drawn from six public and private hospitals considered low-and high-performing. A total of 908 participants who worked in the six hospitals completed the questionnaire. The questionnaire contained 23 items and was rated using 5-points Likert Scale. The data was analysed using quantitative tools as Descriptive statistics, General Liner Model (Univariate analysis) to determine the major QMS obstacles in low-and high-performing hospitals and to explore the relationship between participants' background variables. The study found that low-performing hospitals faced six major obstacles: lack of rewards for hospital staff, inadequate material resources, lack of training programmes in sufficient staff motivation, insufficient budget for a QMS, and inadequate authority delegation. Whereas, the high-performing hospitals faced three major obstacles: lack of rewards for hospital staff, inadequate authority delegation, and shortage of staff. The results showed that there were significant differences between low-and high-performance hospitals in terms of the QMS obstacles. The study also provides recommendations for improving the implementation of QMS in Jordanian hospitals.

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Section: Major Qms Obstacles In High-and Low-performing Hospitalssupporting

confidence: 88%

Section: Instruments Of the Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Staff Perceptions of Obstacles to Quality Management Systems in Low- and High- Performing Hospitals in Jordan

A’aqoulah¹,

Kuyini²,

Ajlouni³

et al. 2016

IJBM

View full text Add to dashboard Cite

show abstract

“…Researchers in several countries (A'aqoulah et al 2016;Abdullah, Razak, Hanafi, & Jaafar, 2013;Lin & Jang, 2008;Pongpirul, Sriratanaban, Asavaroengchai, Thammatach, & Laoitthi, 2006) have reported on the existence of obstacles that hinder implementation of a QMS.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The researchers concluded that an organisation's performance and successful QMS implementation are positively related. Finally, Pongpirul et al (2006) explored the obstacles that hinder implementation of QMSs in Thailand hospitals based on hospital accreditation standards. The results demonstrated that there were obstacles to QMS such as utilisation and integration of information and quality improvement (QI) requirements.…”

Section: Literature Reviewmentioning

confidence: 99%

Addressing Quality Management System Obstacles in Jordanian Hospitals

A’aqoulah¹,

Kuyini²,

Ajlouni³

2016

IBR

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Quality Management System (QMS) enhances management, allows more effective organisation, improves quality of services, increases staff satisfaction and commitment to the organisation, enhances co-operation among employees and management, and improve patients' satisfaction. Therefore, all hospitals make consistent efforts to address obstacles that face their QMS.This study aimed to explore Hospital managers' views about how to address QMS obstacles in Jordanian hospitals. The results from semi-structure interviews with 30 managers consisting of general directors, medical directors, administrative directors, quality directors, and nursing directors showed that hospitals can address QMS obstacles through a range of measures including but not limited to rewarding talented employees, providing good salaries and benefits, and recruiting qualified and efficient hospital managers. Recommendations for improving the implementation of QMS in Jordanian hospitals are provided.

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The provincial health office as performance manager: change in the local healthcare system after Thailand's universal coverage reforms

Intaranongpai

Hughes

Leethongdee

2012

Health Planning & Management

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This paper examines the implementation of Thailand's universal coverage healthcare reforms in a rural province, using data from field studies undertaken in 2003-2005 and 2008-2011. We focus on the strand of policy that aimed to develop primary care by allocating funds to contracting units for primary care (CUPs) responsible for managing local service networks. The two studies document a striking change in the balance of power in the local healthcare system over the 8-year period. Initially, the newly formed CUPs gained influence as 'power followed the money', and the provincial health offices (PHOs), which had commanded the service units, were left with a weaker co-ordination role. However, the situation changed as a new insurance purchaser, the National Health Security Office, took financial control and established regional outposts. National Health Security Office outposts worked with PHOs to develop rationalised management tools-strategic plans, targets, KPIs and benchmarking-that installed the PHOs as performance managers of local healthcare systems. New lines of accountability and changed budgetary systems reduced the power of the CUPs to control resource allocation and patterns of services within CUP networks. Whereas some CUPs fought to retain limited autonomy, the PHO has been able to regain much of its former control. We suggest that implementation theory needs to take a long view to capture the complexity of a major reform initiative and argue for an analysis that recognises the key role of policy networks and advocacy coalitions that span national and local levels and realign over time.

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Comparison of health care professionals’ and surveyors’ opinions on problems and obstacles in implementing quality management system in Thailand: a national survey

Cited by 38 publications

References 12 publications

Staff Perceptions of Obstacles to Quality Management Systems in Low- and High- Performing Hospitals in Jordan

Staff Perceptions of Obstacles to Quality Management Systems in Low- and High- Performing Hospitals in Jordan

Addressing Quality Management System Obstacles in Jordanian Hospitals

The provincial health office as performance manager: change in the local healthcare system after Thailand's universal coverage reforms

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