International Journal of Quality Innovation

Korean Society for Quality Management (한국품질경영학회)
권호 표지

The Effect of Organisational Structure on Quality Management in Public Hospitals in a Developing Nation: A Comparative Study Between District, State and National Level Hospitals in Malaysia

  • Manaf Noor Hazilah Abd. (International Islamic University Malaysia)
  • Published : 2006.04.01
Download PDF
⟨ Previous Next ⟩

Abstract

The objective of the study was to empirically assess the practice of quality management among employees of Malaysian public hospitals at the district, state and national level hospitals. Comparative analysis on the practice of quality management was made among the three groups of hospitals. Self-administered questionnaire was the main method of data collection. Twenty-three public hospitals throughout Peninsular Malaysia participated in the survey. Practice of quality management was found to be significantly higher in district hospitals than in the national referral centre, which is based in the capital city of Kuala Lumpur. However, there was no significant difference in perception of implementation outcome between the three levels of hospitals. Among the factors of quality management, teamwork was found to be significantly higher in district hospitals than in state hospitals and the national referral centre. Leadership and management commitment was found to be significantly higher in district and state hospitals than in the national referral centre. The effect of organizational structure could have an effect on practice of quality management.

Keywords

References

  1. Ai, S. Y.(2001), 'A matter of life and death,' The Star, Kuala Lumpur, 13 August, sec 2, p. 3
  2. Aljunid, S. M.(2002), 'Addressing issues of equity in rural health : 'Sharpening the saw',' in: Aljunid, S.M. and Mohsein N.A.A. (Eds), Health Economics Issues in Malaysia, University of Malaya Press, Kuala Lumpur, pp. 31-53
  3. Besterfield, D. H., Besterfield-Michna, C., Besterfield, G. H., and Besterfield-Sacre, M. (1999), Total Quality Management, Prentice Hall, Upper Saddle River
  4. Bigelow, B. and Arndt, M.(1995) 'Total quality management: field of dreams?' Health Care Management Review, Vol. 20, No.4, pp. 15-25
  5. Black, S. A. and Porter, L. J.(1996), 'Identification of the critical factors of TQM,' Decision Sciences, Vol. 27, No.1, pp. 1-21 https://doi.org/10.1111/j.1540-5915.1996.tb00841.x
  6. Bounds, G., Yorks, L., Adams, M., and Ranney, G.(1994), Beyond Total Quality Management: Toward the Emerging Paradigm, McGraw-Hill, New York
  7. Chow-Chua, C. and Goh, M.(2000), 'Quality improvement in the healthcare industry: Some evidence from Singapore,' International Journal of Health Care Quality Assurance, Vol. 13, No.5, pp. 223-229 https://doi.org/10.1108/09526860010342725
  8. Deming, W. E.(1994), Out of the Crisis, Massachusetts Institute of Technology, Cambridge
  9. Donabedian, A.(1993), 'Models of Quality Assurance', Leonald S. Rosenfeld Memorial Lecture, School of Public Health, University of North Carolina at Chapel Hill, 26 February 1993, in: McLaughlin, C.P. and Kaluzny, A.D. (Eds),Continuous Quality Improvement in Health Care, Aspen Publishers, Gaithesburg
  10. Dow, D., Samson, D., and Ford, F.(1999), 'Exploding the myth: Do all quality management practices contribute to superior quality performance?' Production and Operations Management, Vol. 8, No.1, pp. 1-27 https://doi.org/10.1111/j.1937-5956.1999.tb00058.x
  11. Economic Planning Unit, Prime Minister's Department(2001), Eighth Malaysia Plan 2001-2005, Percetakan Nasional Malaysia Berhad, Kuala Lumpur
  12. Evans, J. R. and Lindsay, W. M.(1996), The Management and Control of Quality, West Publishing, Minneapolis
  13. Flynn, B. B., Schroeder, R. G., and Sakakibara, S.(1994), 'A framework for quality management research and an associated measurement instrument,' Journal of Operations Management, Vol. 11, pp. 339-336 https://doi.org/10.1016/S0272-6963(97)90004-8
  14. Getzen, T. E.(1997), Health Economics: Fundamentals and Flow of Funds, John Wiley & Sons, New York
  15. Hair Jr., J. F., Anderson, R. E., Tatham, R. L., and Black, W. C.(1998), Multivariate Data Analysis, Prentice Hall, New Jersey
  16. Malaysian Statistics Department(2001), 'Press statement on population distribution and basic demographic characteristics report, population and housing census 2000,' Available: http://www.statistics.gov.my/English/pressdemo.htm (Accessed: 2003, 5 May)
  17. McLaughlin, C. P. and Kaluzny, A. D.(1990), 'Total quality management in health: Making it work,' Health Care Management Review, Vol. 15, No.3, pp. 7-14 https://doi.org/10.1097/00004010-199001540-00002
  18. McLaughlin, C. P. and Kaluzny, A. D. (Eds)(1999), Continuous Quality Improvement in Health Care, Aspen Publishers, Gaithesburg
  19. Ministry of Health Malaysia(2003), Indicators for Monitoring and Evaluation of Strategy for Health for All, Ministry of Health Malaysia, Kuala Lumpur
  20. Nunnally, J. C. and Bernstein, I. H.(1994), Psychometric Theory, McGraw-Hill, New York
  21. Omar, R.(2000), 'Health care in Malaysia,' in Omar, R. and Doling, J. (Eds) Issues and Challenges of Social Policy, University of Malaya Press, Kuala Lumpur
  22. Powell, T. C.(1995), 'Total quality management as competitive advantage: A review and empirical study,' Strategic Management Journal, Vol. 16, pp. 15-37 https://doi.org/10.1002/smj.4250160105
  23. Saraph, J. V., Benson, P. G., and Schroeder, R. G.(1989), 'An instrument for measuring the critical factors of quality management,' Decision Sciences, Vol. 20, No.4, pp. 810-829 https://doi.org/10.1111/j.1540-5915.1989.tb01421.x
  24. Shortell, S. M., O'Brien, J. L., Carman, J. M., Foster, R. W., Hughes, E. F., Boerstler, H., and O'Connor, E. J.(1995), 'Assessing the impact of continuous quality improvement/total quality management: Concept versus implementation,' Health Services Research, Vol. 30, No.2 pp. 377-401
  25. Suleiman, A. B. and Jegathesan, M.(Eds)(2000), Health in Malaysia: Achievements and Challenges, Ministry of Health Malaysia, Kuala Lumpur
  26. Zeitz, G.(1996). 'Employee attitudes toward total quality management in an EPA regional office,' Administration and Society, Vol. 28, No.1, pp. 120-143 https://doi.org/10.1177/009539979602800105
  27. Zeitz, G., Johannesson, R., and Ritchie, Jr., J. E.(1997), 'An employee survey measuring total quality management practices and culture,' Group & Organization Management, Vol. 22, No.4, pp. 414-444 https://doi.org/10.1177/1059601197224002