Portuguese primary healthcare – sustainability through quality management

2017 ◽  
Vol 34 (2) ◽  
pp. 251-264 ◽  
Author(s):  
Sónia Duarte Silva ◽  
Ana Fonseca
Keyword(s):  
Quality Management ◽  
Primary Healthcare ◽  
Management Practices ◽  
Resistance To Change ◽  
Global Perspective ◽  
Local Health ◽  
Healthcare Organizations ◽  
Management Tools ◽  
Content Type ◽  
Health Trust

Purpose The purpose of this paper is to apply quality management tools and practices in the design of an integrated accreditation model for Local Health Trusts, in order to contribute to the sustainability of the Portuguese Primary HealthCare Service. Following the guidelines of the Portuguese Health Quality Strategy, the proposed model is an adaptation of the model from Agencia para la Calidad Sanitaria de Andaluzia. Design/methodology/approach The development of the integrated accreditation model was based on a literature review, complemented with observation and analysis of the usual working methods in a Local Health Trust (Western Oporto Health Trust). Findings Local Health Trusts include not only clinical management units but also non-clinical administrative units. Therefore, the National Model for Accreditation of HealthCare Institutions is not easily or directly applicable to them. To overcome this problem, the model proposed in this study incorporates ISO 9001 principles, widely accepted regarding organizational management. The success of the application of this model is highly dependent on the ability of public Primary HealthCare organizations to deal with potential problems such as resistance to change, lack of leadership and inadequate people management and involvement. Originality/value The integrated accreditation model proposed in this research is expected to promote the cohesion of Local Health Trust units, encouraging integrated quality management practices and continuous improvement strategies, leading Local Health Trusts, Primary Care and HealthCare in a global perspective toward sustainability.

The impact of quality culture on quality management practices and performance in Chinese manufacturing firms

2015 ◽  
Vol 32 (8) ◽  
pp. 799-814 ◽  
Author(s):  
Sarah J. Wu
Keyword(s):  
Quality Management ◽  
Management Practices ◽  
Resistance To Change ◽  
Manufacturing Firms ◽  
Quality Performance ◽  
Content Type ◽  
Quality Practices ◽  
Quality Culture ◽  
Core Practices ◽  
The Impact

Purpose – One of the commonly cited problems in the implementation of quality practices is related to cultural resistance to change. While the importance of organizational culture to quality management (QM) practices has been recognized in the recent literature, little is known about how quality culture influences quality performance. The purpose of this paper is to examine the mechanism of how the nurture of quality culture in a firm influences quality performance. Design/methodology/approach – This study empirically assesses the path from quality culture to infrastructure practices, core practices, and finally to quality performance using data collected from 397 Chinese manufacturing firms in a structural equitation model. Findings – The results indicate a chain effect that quality culture serves as an antecedent for infrastructure practices to take effect and infrastructure practices provide a supporting foundation for core practices to generate positive impact on quality performance. Anything that breaks on the chain will cause a problem in quality practices implementation. Originality/value – The results of this study contribute to understanding the cultural implications for successful QM implementation. The study emphasizes that quality implementation needs to be considered as a system work where culture is an indispensible part. This offers practical insights of how firms operating in China could build quality advantages other than cost.

Quality 4.0: leveraging Industry 4.0 technologies to improve quality management practices – a systematic review

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Afef Saihi ◽  
Mahmoud Awad ◽  
Mohamed Ben-Daya
Keyword(s):  
Systematic Review ◽  
Quality Management ◽  
Industry 4.0 ◽  
Management Practices ◽  
Future Research ◽  
Management Tools ◽  
Content Type ◽  
Digital Era ◽  
Quality Costs ◽  
Quality Aspects

PurposeQuality 4.0 is an emerging research topic concerned with rethinking how quality management needs to be adopted in the digital era. The purpose of this research is to conduct a systematic review on the state of the research in the field of Industry 4.0 impact on improving quality management aspects and how technology can be leveraged to enhance its practices.Design/methodology/approachA systematic review of the literature published in the last 5 years is conducted. 52 papers were selected, mapped based on the technology they focused on and categorized based on the addressed quality aspects.FindingsThe review revealed various areas where quality management can benefit from Industry 4.0 technologies, identified several research gaps and suggested new directions for future research. Firstly, the literature provided some insights about industry 4.0 potential contributions but lacks further detail on the exact applications and solutions through use cases and case studies. Secondly, there has been a focus on the potential benefits provided for quality control while there is a clear scarcity in terms of the other quality management tools and methodologies. Thirdly, there is a lack of studies on economic analysis or detailed impacts on quality costs that justifies the substantial investments needed. Finally, there is a need for including more studies about the mapping and integration of ISO 9001 requirements and Industry 4.0 features.Originality/valueThis is the first attempt to conduct a comprehensive review on the ways industry 4.0 technologies can be leveraged for the field of quality management. Based on this review, several directions for further research in this area are identified.

Evolution and implementation of quality management practices in the manufacturing sector in Eastern Europe after the end of communism

2016 ◽  
Vol 33 (6) ◽  
pp. 804-829 ◽  
Author(s):  
Svetoslav Georgiev ◽  
Seiichi Ohtaki
Keyword(s):  
Quality Management ◽  
Eastern Europe ◽  
Management Practices ◽  
Resistance To Change ◽  
Manufacturing Sector ◽  
Eastern Bloc ◽  
Planned Economy ◽  
Content Type ◽  
Quality Management Practices ◽  
Centrally Planned Economy

Purpose – The purpose of this paper is to answer the following three questions: what influence has the centrally planned economy and Soviet-style manufacturing had on the evolution and implementation of quality management practices in Bulgaria’s manufacturing sector since the end of the communism; have Bulgaria and its businesses been able to embrace modern quality management philosophies such as TQM, which at times preach the exact opposite philosophies of the Soviet-style manufacturing; and if so, how advanced is the quality mindset of Bulgarian manufacturing businesses today – 24 years after the end of communism? Design/methodology/approach – The paper relies mainly on qualitative research methods. The authors have opted for exploratory approach. Besides an array of articles from scholarly journals, books, and conference proceedings, the authors have relied on five in-depth, semi-structured interviews and one case study in the form of plant visit and observations. The authors have used a framed analytical approach for interpreting the empirical data. Findings – The paper argues that the slow and painful transition from a centrally planned to market economy has impeded the evolution and implementation of QM practices in Bulgaria. More precisely, haphazard reforms in education, lack of highly qualified individuals due to the brain drain in the early 1990s, and the workers’ strong resistance to change have been among the main obstacles in the case of the quality movement. Research limitations/implications – The work presented in this paper is just the beginning of a series of studies on the quality management initiatives in Bulgaria. To go deeper into the topic, the authors realize that further research in a number of different directions is required. The first direction is related to the degree of relevance of Management Sovieticus in the twenty-first century, which somehow has been completely neglected as a research topic in the last decade. The second direction lies in the aspect of the attributes of Bulgarian managers and their perception toward the importance of the role of quality today. Practical implications – Countries with similar, political, economic, and social backgrounds – former Eastern Bloc members – can profit a great deal from the authors’ work. More than 20 years since the end of communism, both researchers and entrepreneurs, especially those from the West, have been neglecting the legacy of the centrally planned economy, which has been a major reason for the great number of business failures in the region. The authors’ work seeks to awaken those who still believe that two decades are sufficient to eradicate fully the unfortunate legacy of the command economy. Originality/value – Little, not to say incremental, research on the quality initiatives in Eastern Europe (*except for Russia) has been conducted so far. As to Bulgaria, the investigation reveals no significant studies on quality management, especially ones published in English. Hence, the authors’ work is the first international study on the evolution and implementation of QM practices in Bulgaria.

The impact of quality management practices on knowledge management processes: a study of a social security corporation in Jordan

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ata Al Shraah ◽  
Ayman Abu-Rumman ◽  
Faisal Al Madi ◽  
Fawwaz Ali Farhan Alhammad ◽  
Ayah Ahmad AlJboor
Keyword(s):  
Knowledge Management ◽  
Statistical Analysis ◽  
Quality Management ◽  
Social Security ◽  
Management Practices ◽  
Content Type ◽  
Quality Management Practices ◽  
Management Processes ◽  
The Impact ◽  
General Director

PurposeThis study aimed to investigate the impact of total quality practices on knowledge management (KM) processes across a Social Security Corporation (SSC) in Jordan and explore the best approach to improve KM processes using quality management.Design/methodology/approachThis study followed a quantitative methodology: a conceptual model was developed based on an extensive review of the related literature; an online survey was developed and distributed using the SSC's intranet; and 384 surveys were completed and used in the statistical analysis. The two-stage approach of structural equation modeling (SEM) was employed to analyze and interpret the data, and was used to validate the conceptual model of this research.FindingsBased on the statistical analysis it was found that six out of seven independent factors relating to quality management practices were confirmed to have a significant impact on the knowledge management processes (KMPs). Building upon the findings an agenda for improving KM processes using quality management is proposed.Originality/valueThis study was conducted in one organization namely the SSC because it is the largest public service organization in Jordan and offers compulsory services. The inclusion of other public organizations and companies may reflect different findings. Future research may collect data from other service industries to get a more comprehensive perspective from developing countries such as Jordan. Moreover, the population of this study included only the General Director, General Director Assistants, and Administrative Managers. Front-line employees were excluded from the data collection because the study was conducted solely from a managerial perspective.

Factors influencing Midwestern grain farmers’ use of risk management tools

2019 ◽  
Vol 79 (2) ◽  
pp. 192-203
Author(s):  
Brian K. Coffey ◽  
Ted C. Schroeder
Keyword(s):  
Risk Management ◽  
Management Practices ◽  
Mail Survey ◽  
Management Tool ◽  
Farm Size ◽  
Management Tools ◽  
Content Type ◽  
Multinomial Logit Regression ◽  
Decision Choices ◽  
Grain Farmers

PurposeThe purpose of this paper is to identify the relationships between grain farm and farmer profiles and their respective choices to use forward pricing techniques and revenue protection crop insurance to manage risk.Design/methodology/approachAn e-mail survey of Midwestern grain farmers elicited farmer demographic information, farm profile, risk attitudes and farmer use of forward pricing and revenue protection insurance. Responses regarding use of risk management tools were compiled as choices to use possible bundles of tools to account for simultaneous nature of the decision. Choices to use bundles of tools were used as the independent variable categories in a multinomial logit regression. Regressors were relevant data collected from the survey.FindingsFarm size, using a market advisory service, and being a technology adopter are the most important factors in predicting risk management tool use by grain farmers. Farmers tend to use forward pricing and revenue protection insurance in combination. Large farms are more likely to use forward pricing tools.Practical implicationsResults provide researchers, extension professionals and risk management specialists with a current understanding of how farm and farmer characteristics relate to use of risk management tools. The authors also elaborate on findings to provide guidance for future risk management research.Originality/valueThe survey covered 9 Midwestern states and 648 grain farmers. The survey results update understanding of grain farmers’ risk management practices. The empirical approach treats risk management decisions to use available tools as simultaneous, which recent literature suggests is more appropriate than earlier approaches.

Implementing capabilities-based quality management and marketing strategies to improve business performance

2016 ◽  
Vol 33 (8) ◽  
pp. 1124-1137 ◽  
Author(s):  
Satish Mehra ◽  
Joshua T. Coleman
Keyword(s):  
Quality Management ◽  
Marketing Strategy ◽  
Organizational Performance ◽  
Management Practices ◽  
Retail Banking ◽  
Marketing Strategies ◽  
Content Type ◽  
Quality Management Practices ◽  
Study Results ◽  
The Impact

Purpose The purpose of this paper is to study the impact of successfully coordinating infrastructural capabilities, such as technology, and structural capabilities, such as people, on the performance of service businesses. Effective coordination of these two types of capabilities is shown to impact the implementation of quality management practices and the design of marketing strategy, both of which when utilized properly, lead to enhanced organizational performance. Design/methodology/approach The authors surveyed retail banking firms for this study to analyze empirical data on infrastructural and structural capabilities. Results were corroborated on the basis of in-depth interviews with several banking managers to provide real world verification of the findings. Findings Results indicate that both infrastructural and structural capabilities positively impact the design of marketing strategy, while only structural capabilities impact the implementation of quality management practices. Both, successfully implemented quality management ideals and a well-designed marketing strategy, are shown to enhance overall organizational performance. Research limitations/implications Research was conducted on a specific sector of the service industry, the banking sector. Also, the relatively small size of the study sample may have impacted the outcome of research applicability in some large businesses. Continuously emerging financial regulations could not be incorporated in the study. On the positive side, strong managerial feedback provides guidance toward adopting the study results, and lays the foundation for future research. Originality/value As today’s rapidly evolving society pushes people out of service encounters, replacing them with efficient and cost-saving technology, roles of both the people and the technology in an organization must be fully understood. This paper shows that, despite the exponential growth of technological innovation, both people and technology are critical to enhancing organizational performance through sound quality management practices and supportive marketing strategies.

Knowledge management measures: an empirical investigation of Indian cement industry

2019 ◽  
Vol 26 (3) ◽  
pp. 734-752 ◽  
Author(s):  
Manish Dave ◽  
Kanhaiya Singh ◽  
Arya Kumar ◽  
Sachin Kumar
Keyword(s):  
Knowledge Management ◽  
Value Chain ◽  
Management Practices ◽  
Reliability And Validity ◽  
Cement Industry ◽  
Sales Managers ◽  
Management Tools ◽  
Content Type ◽  
Management Measures ◽  
E Mail

Purpose The purpose of this paper is to develop knowledge management constructs comprising of KM processes and KM practices through marketing and sales to derive competitive advantage (CA) in the cement industry. Design/methodology/approach A thorough and detailed analysis of the literature was carried out to develop the measures for KM practices, KM processes and their impact on CA. A total of 65 variables affecting competitiveness in the form of questionnaire were developed. The questionnaire was administered through e-mail to 962 territory sales managers (TSM) and equivalent employed in the marketing and sales function of the cement organizations in India. A total of 121 valid and complete responses were received, representing a response rate of 12.6 percent. The factor analysis was carried out on the data collected to establish reliability and validity of the measures. Findings A total of seven constructs pertaining to knowledge management practices and processes and competitiveness that comprises of 65 variables have been developed. The statistical results establish that the constructs and the variables considered in the study are reliable and valid. Research limitations/implications The sample of respondents for developing constructs consisted of TSM and equivalent employed in the marketing and sales function of cement companies in India. Research scope can be enhanced in the future study by including middle and senior level managers in cement companies to better diagnose and understand perception of KM initiatives across different levels in the cement industry. The work can also be extended to incorporate inbound logistics and procurement that directly contributes to the overall value chain to have a holistic perspective. Practical implications The measures developed in this study would be effective management tools for the implementation of knowledge management initiatives in the marketing and sales function to ascertain their level of implementation and impact on the competitiveness. Originality/value This study is probably the first of its kind in India to provide KM measures combined for practices and processes to understand the relationship with competitiveness in cement companies pertaining to marketing and sales function. It provides valuable insights as a strategic tool for investing in KM initiatives.

Findings of quality management studies in primary and secondary education: a systematic literature review

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nancy Bouranta ◽  
Evangelos Psomas ◽  
Jiju Antony
Keyword(s):  
Secondary Education ◽  
Quality Management ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Management Practices ◽  
Content Type ◽  
Primary And Secondary Education ◽  
Review Study ◽  
Implementation Plans ◽  
Practical Implications

PurposeThe aim of this paper is to present the main findings of the studies in the field of quality management (QM) in primary and secondary education. Grouping these findings into themes and these themes, in turn, into broad categories as well as prioritizing the themes of findings are also aims of the present study.Design/methodology/approachA systematic literature review (SLR) of articles focusing on QM in primary and secondary education was carried out based on major publishers, namely Emerald Online, Taylor and Francis, Elsevier/Science Direct, Springer Link, Sage Publishing and Online. In total, 133 articles published in 62 journals during 1983–2019 were collected. The affinity diagram was applied in order to group the findings of the QM studies into logical themes and these themes into broad categories. Moreover, the Pareto diagram was applied to prioritize the themes revealed.FindingsA plethora of articles focusing on QM in primary and secondary education have been published in the last decades. The findings of the QM studies presented in the 133 reviewed articles are grouped into 43 themes and these themes, in turn, into 6 broad categories, namely management practices, school characteristics, teachers, stakeholders, government and pupils. The analysis also reveals themes that can be characterized as “vital” and “useful.”Practical implicationsResearchers and school managers can take into consideration the findings of the QM studies in primary and secondary education as well as the themes of high priority for the design of future studies and QM implementation plans, respectively.Originality/valueThis is the first literature review study which presents analytically the findings of the QM studies in primary and secondary education. This study also contributes to the literature by formulating meaningful themes of these findings and broad categories of these themes and by prioritizing the themes revealed.

Resistance to change in the financial management of small family-owned firms: a grounded theory of family firms in Laos

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Hanvedes Daovisan ◽  
Thanapauge Chamaratana
Keyword(s):  
Grounded Theory ◽  
Financial Management ◽  
Family Firms ◽  
Management Practices ◽  
Resistance To Change ◽  
Sampling Procedure ◽  
Content Type ◽  
Management Processes ◽  
Open Coding ◽  
Axial Coding

Purpose The purpose of this study is to apply a grounded theory (GT) approach to develop a theory of resistance to change in the financial management of Laotian family firms. Design/methodology/approach The research adopts a GT approach, using a theoretical sampling procedure. Interviews were conducted with 36 Laotian family firms between April 2017 and May 2019. The in-depth interview transcriptions were analyed using open coding, axial coding and selective coding. Findings The interviewees identified that strategic planning, budgeting and management processes are factors influencing resistance to change. Research results show that accounting portfolios, investment decisions and return on assets are aspects of financial management that are particularly prone to change. The authors, therefore, suggest that Laotian family firms’ reduction in confidence and loss aversion may activate resistance to the adoption of more efficient financial management practices. Originality/value To the best of the authors’ knowledge, this is the first research to attempt to use grounded data to emerge a theory of resistance to change in financial management in Laos.

Quality management practices in SMEs: a comparative study between India and Namibia

2019 ◽  
Vol 26 (5) ◽  
pp. 1499-1516 ◽  
Author(s):  
Ayon Chakraborty ◽  
Michael Mutingi ◽  
Abhishek Vashishth
Keyword(s):  
Quality Management ◽  
Comparative Study ◽  
Emerging Economies ◽  
Business Performance ◽  
Management Practices ◽  
Sampling Technique ◽  
Major Influence ◽  
Content Type ◽  
The Status ◽  
Developed Nations

Purpose Small- and medium-sized enterprises (SMEs) have now become an important part of economy for not only developed nations but also for emerging economies. Irrespective of the benefits that can be derived, SMEs in emerging economies still lack the will to implement quality management (QM) practices. Using a comparative study, the purpose of this paper is to understand the status of QM practices in SMEs of emerging economies. Design/methodology/approach A survey-based approach was adopted to understand the established QM practices in the SMEs. A survey instrument was designed by reviewing the literature on QM initiatives in SMEs. A sample of 270 SMEs across Southern India and 189 SMEs in Namibia was selected through stratified random sampling technique. Findings The overall response rate was 19.52 percent for India and 26.46 percent for Namibia, respectively. There were similarities and differences in responses from SMEs in both countries. Similarities are in terms of limited implementation of QM practices, and also less use of tools and techniques. Reasons for not implementing include unknown to the authors, and the high cost of training. Differences emerged in the type of market (Indian SMEs catering to one major customer), CSFs and business performance indicators. It was interesting to find that management commitment and involvement do not have a major influence as CSF for SMEs in both the countries. Originality/value The research is the first attempt in bringing a comparative study about QM practices in SMEs from developing countries. The insights will help emerging economies to develop policies for education and training, and thus facilitate implementation of QM practices in SMEs.

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