Structural Relationships among TQM Activities, Compensation Equity, and Performance in Hospitals

의료기관 TQM 활동, 보상 공정성과 성과간의 구조적 관계

  • Published : 2009.09.30

Abstract

Purpose: The purpose of this study was to examine the relationships among TQM activities, compensation equity, and performance in hospitals. This study was designed to construct a structural equation model of TQM activities, compensation equity, and performance. Method: The subjects were 239 personnels working in four hospitals in Daegu and Gyeongpook. Data were collected using structured questionnaire from October 4, 2007 to February 4, 2008. The collected data were analyzed using the SPSS 12.0 and AMOS 5.0 program. Result: The overall fitness of the structural equation model was evaluated. These results showed that the model was adequate. TQM activities directly influenced organizational performance and indirectly influenced organizational performance through compensation equity. Conclusion: In testing the structural equation model, the findings showed that TQM activities and compensation equity were important factors for improving organizational performance. Therefore, to improve performance, the hospital leaders must establish the strategies to facilitate TQM activities. It is also necessary to establish effective reward and performance appraisal systems to induce positive participation of personnels in hospitals.

Keywords

References

  1. Barness, Z. I., Shortell, S. M., Gillies, R. R., Hughes, E. FX., O'Brien, J .L., Bohr, D., Izvi, C., & Kralovec, P.(1993). National survey of hospital quality improvementactivities. Hospital & Health Networks, 5, December,52-55.
  2. Chung, S. H., & Lee, D. H. (2005). Impacts of TQM activitieson employee`s satisfaction in the support of task process,and on business performance in medical service Industry.Journal of the Korea Service Management Society, 6(1),57-84.
  3. Counte, M. A., Glandon, G. L., Oleske, D. M., & Hill, J. P. (1992). Total quality management in a health care organization: How are employees affected?. Hospital & Health Services Administration, 37(4), 503-518.
  4. Eun, K. S. (2001). (A) study on the influencing factors oforganizational commitment and turnover intention related tothe equity perception of the personnel of mental hospitals.Unpublished master's thesis, Yonsei University, Seoul.
  5. Goetsch, D. L., & Davis, S. B. (2006). Quality management(Kim, J.G. et al, Trans.). Seoul: Scitech Media.
  6. Han, J. H. (2002). The study on the effects of the perceptionof compensation equity on the organizational commitmentand organizational citizenship behavior. Korea IndustrialEconomics Association, 341-357.
  7. Jeon O. G. (2006). (An) empirical study on the effects ofperceived compensation justice on the organizationalcommitment: Focusing on mediating role of trust types.Unpublished master's thesis, Hangyang University, Seoul
  8. Jung, H. K. (1999). The study on the performance of TotalQuality Management(TQM) in Hospitals. Unpublished doctoraldissertation, Seoul Women's University, Seoul.
  9. Kim, A. (2004). (A) study on the relation among trust inorganization, justice of compensation, and intention ofknowledge sharing. Unpublished master's thesis, SeoulNational University, Seoul.
  10. Kim, H. K. (2000). A study on relationship between TQMpractice and firm's performance: Focusing on themoderating role of control system and linkage betweennonfinancial and financial performance. Unpublisheddoctoral dissertation, Hongik University, Seoul.
  11. Kim, J. H. (2003). A study on the effects of rewards factors on performance of total quality management. Journal of the Korean Society for Quality Management, 31(4), 64-80.
  12. Kim, M. S., & Park, Y. B. (2006). The influence of organizational justice on job involvement and organizational commitment perceived by nurses. The Journal of Korean Nursing Administration Academic Society, 12(1), 32-40.
  13. Kim, S. H., & Lee, M. A. (2006). A study of the reward andthe Job Satisfaction perceived by nurses. Journal of KoreanNursing Administration Academic Society, 12(1), 122-130.
  14. Lee, J. S. (2006). An empirical study on the effects of TQMon organizational performance. Unpublished master's thesis,Ulsan University, Ulsan.
  15. Lee, M. H. (1998). Relationship between organizational culturetypes and organizational effectiveness in hospitals. Unpublisheddoctoral dissertation, Chungnam National University, Daejeon.
  16. Lee, S. E. (2004). A study on relationship between the activityof quality management and quality performance of healthcenters in Seoul Metropolitan districts. Unpublished master'sthesis, Seoul National University, Seoul.
  17. Lee, S. H., Choi, K. S., Kang, H. Y., Cho, W. Y., & Chae,Y. M. (2002). Assessing the factors influencing continuousquality improvement implementation: Experience in Koreanhospitals. International Journal for Quality in Health Care,14(5), 383-391. https://doi.org/10.1093/intqhc/14.5.383
  18. Meyer, S. M., & Collier, D. A. (2001). An empirical test ofthe causal relationships in the baldrige health care pilotcriteria. Journal of Operations Management, 19(4), 403-426. https://doi.org/10.1016/S0272-6963(01)00053-5
  19. Moon, S. J. (2007). Comparision of job satisfaction,commitment to organization, empowerment, autonomy andburnout between regular and non-regular nurses.Unpublished master's thesis, Kyunghee University, Seoul.
  20. Moorman, R. H. (1991). Relationship between organizationaljustice and organizational behaviors: Do fairness perceptionsinfluence employee citizenships?. Journal of Applied Psychology, 67(6), 845-855.
  21. Mowday, R. T., Porter, L. W., & Steers, R. M. (1979). Themeasurement of organizational commitment. Journal of Vocation Behavior, 14, 224-247. https://doi.org/10.1016/0001-8791(79)90072-1
  22. NIST (2007). 2007 Health care criteria for performance excellence, Retrieved from http;//www.quality.nist.gov., USA.
  23. Price, J. K., & Muller, C. W. (1986). Handbook oforganizational measurement. Pittman.: Marshfield, MA.
  24. Rutte, C., & Messick, D. (1995). An integrated model ofperceived unfairness. Social Justice Research, 8(3), 239-261. https://doi.org/10.1007/BF02334810
  25. Sin Y. G. (1985). Organizational Behavior. Seoul: Dasan.
  26. Soe, W. S., & Baek, J. A. (2006). A study on the effects of rewards factors on performance of total quality management - among Deluxe Hotel employees -. Korea Academic Socoety of Hotel Administration, 15(2), 185-201.
  27. Son, S. J. (2007). The effects of fitness between qualityorientation and corporate culture on the degree of qualitymanagement implementation and business performance.Unpublished doctoral dissertation, Sogang University, Seoul.
  28. Tak, K. C. (2003). Research on the total quality managementof the general hospitals. Korean journal of hospital management, 8(4), 26-58.
  29. Woo, J. H., & Ko, M. S. (2003). The effectivenessorganizational commitment, job satisfaction by clinicalnurse's compensation justice. The Journal of KoreanNursing Administration Academic Society, 9(4), 585-597.
  30. Yoe, H. J. (2007). Empirical study of baldrige health carecriteria in Korean hospitals. Unpublished master's thesis,Kyunghee University, Seoul.