scholarly journals The Comprehensive Quality in Health Services by Using Six Sigma

2019 ◽  
Vol 7 (9) ◽  
pp. 83-103
Author(s):  
Amal Yassin
Keyword(s):  
Health Services ◽  
Six Sigma ◽  
Practical Importance ◽  
Hospital Management ◽  
Public Hospitals ◽  
Total Quality ◽  
Government Hospitals ◽  
Intermediate Degree ◽  
High Degree

Abstract The study aimed to know the overall quality of the concept and its importance in providing high-quality health services and the availability of the key factors in the application and services and to take administrative factors, technical and human and financial, which may contribute to the raise if directed properly and have an adult in improving the quality of health services impact. Based on the nature of the study and the objectives it seeks, the analytical descriptive approach was used. It was based on the study of the phenomenon as it exists in reality and it is treated as a precise description and expressed in qualitative and quantitative terms. To analyze the analytical aspects of the research subject and then collect the initial data through the questionnaire as a main tool for research, designed specifically for this purpose, and distributed to government hospitals in Khartoum State, and included the study community department managers and patients in government hospitals in Khartoum state. A random sample was collected (300) department managers and patients from the Khartoum government hospitals. Each individual has the opportunity to be a member of the study sample during the year 2016. The study concluded with a number of results, the most important of which is that the hospital management has the material potential (furniture, equipment, ...) to use the Six Sigma curriculum with an intermediate degree. The hospital management is ready to use the Six Sigma curriculum to a high degree. Six Sigma In the middle level, the hospital management is keen to train the heads of departments to form teams for the process of continuous improvement to a high degree, the hospital administration is continuously improving the purpose of reducing the deviations and errors that occur, the hospital management is ready to provide an information system Its data continuously At, there is the management of the hospital readiness to provide direct contact with an intermediate degree of quality coaches tuning software system. The study presented a number of recommendations, the most important of which is linking the promotion system in the public hospitals in Khartoum state with the quality control program, paying attention to the overall quality and stressing the possibility of using it in hospitals in Khartoum State because of its scientific and practical importance and improving the quality of the services and the operations provided. Keywords: total quality management, health services, competitiveness, sigma six

scholarly journals An Application for Measuring and Analyzing the Level of Performance Accuracy for Health Services Quality Indicators by Using Six-Sigma: A Study Case of Government Hospitals in Khartoum State

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Amal Hassan Mohammed Yassin ◽  
Najla Elzein Abukassawi Osman ◽  
Wiem Abedelmonem Ben Khalifa ◽  
Eltahir Nouh Mohammed Adam
Keyword(s):  
Quality Control ◽  
Human Resources ◽  
Continuous Improvement ◽  
Six Sigma ◽  
Practical Importance ◽  
Quality Control Program ◽  
Essential Components ◽  
Government Hospitals ◽  
Six Sigma Methodology

The study aimed at acknowledging the Six Sigma methodology and the existence of the essential components for the application, as well as reducing the time for completing the operations, reducing the error rate to the lowest possible level, and improving the quality of operations. For this objective, the analytical descriptive methodology was used on a sample consisted of 300 administrative and medical staff from Khartoum State Hospitals (Khartoum, Omdurman, Bahri). To this end, a questionnaire was used for collecting data and for analyzing it and achieving the results of the study by using the statistical analysis package (SPSS). The study deduced a number of results, the most important of which are that the items of commitment and supreme command support for the senior leadership and the methods of abundant human resources on quality control, and the application of the Six Sigma methodology in government hospitals in Khartoum state achieved a satisfactory level, while continuous improvement paragraphs, processes, and systems on quality control and the application of Six Sigma methodology achieved high quality. There is a significant effect on the extent of commitment and support of the higher leadership on quality control and the application of the Six Sigma methodology. Similarly, there is a statistically significant effect on the application of continuous improvement methods on quality control and Six Sigma methodology. Also, there is a statistically significant effect on the application of the abundance of human resources methods variable on quality control and the application of Six Sigma methodology in governmental hospitals in Khartoum state. The study recommended to take interest in the Six Sigma methodology and assure the possibility of using it in Khartoum State’s hospitals because of its scientific and practical importance in improving the quality of services and provided processes, and the need to provide qualified financial and human resources for using and developing Six Sigma methodology in hospitals, as well as great attention in training and providing departments heads with full knowledge of Six Sigma methodology and the fundamentals on which Six Sigma methodology, is based on its importance for hospitals. The study also recommended associating the promotions system in government hospitals in Khartoum state with the quality control program.

Evaluating the total quality and its role in measuring consumer satisfaction with e-healthcare services using the 5Qs model: a structure equation modeling approach

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Prachi Verma ◽  
Satinder Kumar ◽  
Sanjeev K. Sharma
Keyword(s):  
Service Quality ◽  
Consumer Satisfaction ◽  
Healthcare Service ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Equation Modeling ◽  
Total Quality ◽  
Content Type ◽  
Quality Perceptions

PurposeThis article initially aims to explore the factors of every quality construct of the 5Qs model of service quality and, second, identify the significant factors affecting the total quality of e-healthcare services and its association with consumer satisfaction using a multidimensional hierarchical 5Qs model of e-healthcare service quality.Design/methodology/approachQuestionnaire-oriented research was performed at three public hospitals of Punjab and Chandigarh. In total, 53 variables were covered in all quality constructs for data collection from the designated public hospitals. The respondents who agreed to have knowledge regarding e-Healthcare services and were availing these services were included in the study. The analysis comprised structural equation modeling technique using AMOS 21.FindingsThe outcomes suggest that the 5Qs model is more comprehensive and can be used to evaluate service quality perceptions using e-Healthcare services. The research identified 11 sub-dimensions for the five quality constructs of the 5Qs model, representing total quality, which is primary to consumer satisfaction. “Overall objectivity” and “technical objectivity” defined the quality of object. The quality of process of e-Healthcare services was characterized by “functionality,” “timeliness” and “responsiveness.” Quality of infrastructure was defined by “technical infrastructure,” “physical infrastructure,” “manpower skills” and “organizational infrastructure.” “Manner of interaction” and “timely interaction” defined the quality of interaction. The atmosphere was represented by only one factor. The results also suggest that quality of infrastructure, quality of interaction and quality of atmosphere play the most significant role in total quality leading to consumer satisfaction.Research limitations/implicationsTheoretical implications: The multidimensional hierarchical model will help the researchers study the e-Healthcare service quality in a more organized manner, and the outcomes of this study can be linked with that of future studies for more generalized application in other public hospitals. The sub-dimensions of each quality construct of the 5Qs model can be applied in private hospitals, and the hierarchical model can be tested in different industries to measure service quality perceptions of the consumerPractical implicationsThe outcomes of the study can be applied in various public sector hospitals to redesign the e-Healthcare services based on consumers' perception for better consumer satisfaction and quality services. This paper identifies the role of each quality construct in e-Healthcare services for improvement in the total quality, which in turn will lead to higher satisfaction for the consumers.Originality/valueIn this study, the original 5Qs model has been used for the first time in a new instrument to understand better and design quality e-Healthcare services. The paper explores the sub-factors of each quality construct and its significance in measuring the total quality.

scholarly journals Perbedaan Komunikasi Terapeutik Perawat Di Ruang Rawat Inap RS Pemerintah Dan RS Swasta

2017 ◽  
Vol 12 (1) ◽  
pp. 43
Author(s):  
Nova Fitria ◽  
Zahroh Shaluhiyah
Keyword(s):  
Job Satisfaction ◽  
Private Hospital ◽  
Work Motivation ◽  
Work Climate ◽  
Public Hospitals ◽  
Therapeutic Communication ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Government Hospitals

ABSTRAKDengan adanya kesetaraan peran rumah sakit pemerintah dan rumah sakit swasta dalam meningkatkan kualitas layanan kesehatan di Indonesia, maka setiap rumah sakit harus memberikan pelayanan yang baik dan berkualitas. Perawat merupakan bagian dari SDM Rumah Sakit yang memberikan pengaruh cukup besar terhadap kualitas pelayanan. Pelaksanaan asuhan keperawatan yang baik tidak dapat dipisahkan dari peran komunikasi terapeutik yang dilakukan oleh perawat yang juga merupakan salah satu upaya peningkatan pelayanan kepada pasien. Jenis penelitian ini adalah penelitian kuantitatif dengan desain penelitian menggunakan cross-sectional. Hasil penelitian menunjukkan ada perbedaan yang signifikan pada pelaksanaan komunikasi terapeutik perawat di RS Pemerintah dan di RS Swasta, dimana pelaksanaan komunikasi terapeutik perawat di RS swasta lebih baik. Faktor-faktor yang berhubungan secara signifikan dengan pelaksanaan komunikasi terapeutik perawat di RS Pemerintah dan di RS Swasta adalah sama, yaitu variabel kepuasan kerja, motivasi kerja, iklim kerja, dukungan teman kerja dan dukungan kepala ruang. Faktor yang paling dominan berpengaruh terhadap kepatuhan perawat di RS Pemerintah dalam melaksanakan komunikasi terapeutik adalah motivasi kerja (OR 36,866); sedangkan di RS Swasta adalah dukungan kepala ruang (OR 28,598). Perbedaan yang bermakna antara RS Pemerintah dengan RS Swasta nampak pada variabel: umur, masa kerja, sikap, kepuasan kerja, motivasi kerja, iklim kerja, dukungan teman kerja, dukungan kepala ruang, dan pelaksanaan komunikasi terapeutik itu sendiri. Kata Kunci: Pelaksanaan, Komunikasi Terapeutik, RS Pemerintah-RS Swasta Differences Therapeutic Communication Nurse In Inpatient Room Government Hospital And Private Hospital;quality role of government hospitals and private hospitals in improving the quality of health services in Indonesia, causing every hospital should provide a good service and quality. Nurses are part of hospital human resource that considerable influence on the quality of service, and the implementation of good nursing care can not be separated from therapeutic communication. the optimal implementation of therapeutic communication by nurse is one of the efforts to improve services to the patients. The type of this research was quantitative with cross-sectional study. The results showed a significant differences in the implementation of nurses therapeutic communication between public hospitals and private hospitals, where the implementation of nurses therapeutic communication in private hospital are better. Associated factors significantly with the implementation of nurses therapeutic communication in public hospitals and in private hospitals are the same, the variables are job satisfaction, work motivation, work climate, coworkers support and head of ward support. The most dominant factor that affects the compliance of nurses in government hospitals in implementing therapeutic communication is work motivation (OR 36.866), while in private hospitals is head of ward support (OR 28.598). Significant differences between the government hospitals and private hospitals appears on variables: age, period of work, attitude, job satisfaction, work motivation, work climate, coworker support, head of ward support, and the implementation of therapeutic communication itself. Keywords: Implementation, Therapeutic Communication, Government-Private Hospital

Total quality management (TQM) movement in public health

2015 ◽  
Vol 33 (1) ◽  
pp. 25-41 ◽  
Author(s):  
Jeffrey E. Jarrett
Keyword(s):  
Public Health ◽  
Quality Control ◽  
Quality Management ◽  
Health Services ◽  
Multivariate Methods ◽  
Total Quality ◽  
Public Health Services ◽  
Content Type ◽  
The Public

Purpose – The purpose of this paper is to suggest better methods for monitoring the diagnostic and treatment services for providers of public health and the management of public health services. In particular, the authors examine the construction and use of industrial quality control methods as applied to the public providers, in both the prevention and cure for infectious diseases and the quality of public health care providers in such applications including water quality standards, sewage many others. The authors suggest implementing modern multivariate applications of quality control techniques and/or better methods for univariate quality control common in industrial applications in the public health sector to both control and continuously improve public health services. These methods entitled total quality management (TQM) form the foundation to improve these public services. Design/methodology/approach – The study is designed to indicate the great need for TQM analysis to utilize methods of statistical quality control. All this is done to improve public health services through implementation of quality control and improvement methods as part of the TQM program. Examples of its use indicate that multivariate methods may be the best but other methods are suggested as well. Findings – Multivariate methods provide the best solutions when quality and reliability tests show indications that the variables observed are inter-correlated and correlated over time. Simpler methods are available when the above factors are not present. Research limitations/implications – Multivariate methods will provide for better interpretation of results, better decisions and smaller risks of both Type I and Type II errors. Smaller risks lead to better decision making and may reduce costs. Practical implications – Analysts will improve such things as the control of water quality and all aspects of public health when data are collected through experimentation and/or periodic quality management techniques. Social implications – Public health will be better monitored and the quality of life will improve for all especially in places where public development is undertaking rapid changes. Originality/value – The manuscript is original because it uses well known and scientific methods of analyzing data in area where data collection is utilized to improve public health.

scholarly journals The Effect of Using Six Sigma Approach in Improving the Quality of Health Services in the Jordanian Ministry of Health

2019 ◽  
Vol 12 (12) ◽  
pp. 11
Author(s):  
Ramzi Mubarak Al-tarawneh
Keyword(s):  
Health Services ◽  
Human Resources ◽  
Six Sigma ◽  
Top Management ◽  
Ministry Of Health ◽  
Management Level ◽  
Positive Effects ◽  
Quality Of Health Services ◽  
Six Sigma Approach

This research aimed to examine the effect of using the Six Sigma approach with its sub-variables (management commitment and support, feedback and measurement, continuous improvement, processes and systems, human resources) on improvement quality of health services with its sub-variables (response, reliability tangibility) at Jordanian Ministry of Health ,at the top management level , to achieve the study objectives, a questionnaire was designed which consists of (48) items , used for collecting primary data from study sample (57) participant of top management level at the Ministry of Health, Accordingly the data were collected, analyzed, and hypotheses were tested using the Statistical Package for Social Sciences (SPSS), other statistical methods were used to achieve the study, The study finding revealed that: "There are a statistically significant impact at the level of significance (P≤0.050) of the Sigma Six standards and its sub -variables on the improvement of the Health services quality which presented ,by the Jordanian Ministry of Health, Based on such results the researcher recommended a number of recommendations, the most important one are :The Ministry of Health should introducing Sigma Six concept , standards, and implementing it at the top level management, and training all the employees at top management on sigma six, linking Sigma Six standards to ministry strategies, and provide all the necessary for that. Conducting further studies that will show the positive effects of Six Sigma standards application in reducing the financial costs for health services ,and working to applying these standards to the human resources management functions.

scholarly journals Organizational reputation within the Framework of Total Quality Management: the University of Jordan as a Model

2021 ◽  
Vol 14 (12) ◽  
pp. 27
Author(s):  
Enas Ahmed Al Shuqairat ◽  
Mohammed Salem Al-Shura
Keyword(s):  
Quality Management ◽  
Total Quality Management ◽  
Total Quality ◽  
Validity And Reliability ◽  
Organizational Reputation ◽  
University Of Jordan ◽  
High Standards ◽  
The University ◽  
High Degree

This study aimed to identify the organizational reputation of the University of Jordan (a model) in the context of its application of total quality management. The study sample consisted of (350) faculty members at the University of Jordan. The study also used the (questionnaire) tool that it developed is collect data after verifying its validity and reliability. The results of the study showed that there is a high degree in the achievement of the University of Jordan for Total Quality Management, which was reflected on its reputation, and that there were significant statistically significant differences at the level (a ≤ 0.05) in the university’s reputation as a result of its application of the principles of total quality management, which was explained by the high standards of the organizational reputation variable, starting with In terms of (creativity/strength of financial position/quality of service/social responsibility), the criterion of attractiveness was the least effective. Among the recommendations that came: maintaining the application of total quality management in the University of Jordan more effectively with continuous development and improvement, and working on marketing the University of Jordan to further improve the image in the minds of beneficiaries (existing and new prospects).

scholarly journals Analysis of quality indexes of the provided health services in public and private services of Angola

2016 ◽  
Vol 26 (2) ◽  
pp. 228
Author(s):  
Maria Teresa Conceição Vicente ◽  
Rodrigo Daminello Raimundo ◽  
Ligia Ajaime Azalis ◽  
Virginia Berlanga Campos Junqueira ◽  
Fernando Luiz Affonso Fonseca
Keyword(s):  
Health Services ◽  
Health Management ◽  
Health Indicators ◽  
Structured Interview ◽  
Public Hospitals ◽  
Public Institution ◽  
Bed Occupancy ◽  
Private Institution ◽  
Public And Private

Introduction: Quality indices are being increasingly used by leaders, managers and health professionals as operational tools to improve processes and reduce costs. Noting that there is a greater tendency of private hospitals operating in the regulatory model for market mechanisms, it is expected that the quality indicators that serve as a reference for monitoring the health management are more critical in public hospitals. Objective: Evaluate the quality of health services provided in public and private service in Angola. Methods: We analyzed 142 patients of a public and a private institutions in Angola in a structured interview on health indicators. The indices were collected according to the process structure components and results. Results: There are 51,453 calls in the public institution, remaining hospitalized a day, an average of 184 patients,  with an annual rate of bed occupancy of 90.84%. 50% of respondents praised the services and 22% complained about the quality of services. He was appointed as the main grounds for complaint the slow service (17%). The private institution received 2,222 patients, with an average of 570 patients. The mean hospital stay was 4.5 days. The average monthly rate of bed occupancy was 59.9%. In assessing the degree of satisfaction of care, regular or bad satisfaction obtained a rate of 60% in the private institution. Conclusion: There was no favorable results for quality in health management both in public service and in private.

scholarly journals Quality of work life and factors associated with it among nurses in public hospitals, Iran

2019 ◽  
Vol 94 (1) ◽  
Author(s):  
Pouran Raeissi ◽  
Mohammad Reza Rajabi ◽  
Elahe Ahmadizadeh ◽  
Kourosh Rajabkhah ◽  
Edris Kakemam
Keyword(s):  
Job Stress ◽  
Organizational Factors ◽  
Work Life ◽  
Public Hospitals ◽  
Quality Of Work Life ◽  
Total Quality ◽  
Quality Of Work ◽  
Low Level ◽  
Promotion Policies

Abstract Background There is an acute shortage of nurses worldwide including Iran. Quality of work life is important for nurses as it affects the safety and quality of care provided for patients as well as organizational factors. The aim of this study was to describe the status of quality of work life and to explore its predictors among nurses in Iran. Methods A cross-sectional study was conducted on 2391 nurses in 85 Iranian public hospitals, selected through the convenience sampling. Data were collected using demographic information and the quality of work life questionnaires. Results The mean score for total quality of work life was 2.58, indicating a low level of self-reported quality of work life, with 69.3% of nurses dissatisfied with their work life. The major influencing factors were inadequate and unfair payment, lack of solving staff problems by organization and poor management support, job insecurity, high job stress, unfair promotion policies, and inadequate involvement in the decision-making. Significant predictors in the multivariate analysis for lower quality of work life were male gender, being single, older age, having lower educational levels, and working in teaching hospitals. Conclusion The quality of nursing work life was at a low level and needs improvement interventions. The predictors identified allow for more targeted interventions. Nursing managers and policymakers should develop and implement successful strategies appropriately to improve the quality of work life. This includes the payments, organizational and managerial support, job security, fair promotion policies, and measures to reduce job stress.

The use of six sigma methodology to evaluate the analytical performances of clinical chemistry analyzers

2016 ◽  
Vol 43 (1) ◽  
pp. 1-8
Author(s):  
Özlem Gülbahar ◽  
Murat Kocabıyık ◽  
Mehmed Zahid Çıracı ◽  
Canan Demirtaş ◽  
Fatma Uçar ◽  
...  
Keyword(s):  
Six Sigma ◽  
Clinical Laboratory ◽  
Clinical Chemistry ◽  
Total Quality ◽  
Biochemical Tests ◽  
Analytical Process ◽  
World Class ◽  
Six Sigma Methodology ◽  
Analytical Platforms

AbstractIntroduction:In our study, we aimed to evaluate the analytical process performances of the biochemistry tests in the analysis systems that were widely used in the clinical laboratories by using the six-sigma methodology.Methods:The analytical performances of four different analytical platforms (Beckman Coulter-Olympus AU2700, Abbott-Architect C8000, Roche-Cobas 8000, and Siemens-ADVIA 2400) running 18 biochemical tests (urea, creatinine, uric acid, total bilirubin, AST, ALT, ALP, LDH, HDL-C, CaResults:The parameters that have σ≥6 which means in world class are HDL-C and ALP in all four systems, while only NaDiscussion and conclusion:To improvement and monitoring of the analytical process performance as a part of total quality of a clinical laboratory to provide continuous improving, sigma levels can be used as it is a reliable method.

scholarly journals Patient Preference between Private and Government Hospital in Hyderabad Region

2020 ◽  
Vol 5 (8) ◽  
pp. 1400-1406
Author(s):  
Dr. B Lakshmi ◽  
Dr. BNV Parthasarathi ◽  
Shubham Jain ◽  
Monika Bhalerao ◽  
Devanshi Saini ◽  
...  
Keyword(s):  
Urban Population ◽  
Private Hospital ◽  
Public Hospitals ◽  
Government Hospital ◽  
Cost Of Treatment ◽  
Rural And Urban ◽  
Government Hospitals ◽  
Male Patients ◽  
Structured Questionnaire

Health is most primary factor than money, if people are focused for the treatment of various disorders. As per NSSO report, 72% and 79% of rural and urban population using private hospital than government hospital even though private hospital having more cost of treatment than government hospital. Most of people are not using public hospitals mainly due to hygienic condition and low quality of their services. This paper basically deals with the patient perception towards the private and government hospitals in Hyderabad Region. The survey was done using a structured questionnaire for a sample size of 299 outpatients, out of which 130 female and 169 male patients. On basis of this data, we will analyze factor such as demographic, social and economic that responsible for choosing private and government hospital.

Sign in / Sign up

Export Citation Format

Share Document