Volume 3, Issue 1, Winter 2017, Page 1-57

Total quality management implementation in the healthcare industry: Findings from Libya

Mine HALIS; Mohammed R. TWATI; Muhsin HALIS

Management Issues in Healthcare System, 2017, Volume 3, Issue 1, Pages 4-21
DOI: 10.33844/mihs.2017.60466

The study researches the applied principles to achieve Total Quality Management (TQM) at healthcare institutions. Main elements elaborated in accordance with field specialists and international standards. These principles, elements, and the associated processes were reflected on the healthcare industry and the specific requirements of its operations, management, and customers. In order to apply the literature study into the field, a case study of the healthcare industry in Libya is adopted. The research method was to survey hospital staff from all levels and in several institutions about the basic principles of TQM at their workplace. The participants were also asked about the work methods, their awareness about the importance of TQM, the usage of modern technology by their institutions, utilization of resources, and the problems that may hinder the implementation of TQM the hospitals. The analysis of the survey indicated that the implementation of quality at Libyan hospitals is estimated at 33.6% with a significant lack of awareness about quality. A set of recommendation is then provided for hospital leadership for study and implementation.

Organisational commitment level of subcontracted labourers working at public hospitals: Case of Sanliurfa

Hüseyin ERIS; Yasemin KÜÇÜKÖZKAN; Baran ARSLAN

Management Issues in Healthcare System, 2017, Volume 3, Issue 1, Pages 22-35
DOI: 10.33844/mihs.2017.60462

The study was conducted to examine the organisational commitment of employees/subcontracted labourers,who were employed by using outsourcing method at 15 hospitals affiliated with the Public Hospitals Administration of Turkey in the province of Sanliurfa and Harran University Research and Application Hospital to determine the correlation between demographic variables and organisational commitment. Organisational Commitment Scale with 18 items, developed by Allen and Meyer (1990), was used in the study. It was determined that the reliability rate of the Organisational Commitment Scale was 0.89 and this rate for its subscales was 0.90 for affective commitment, 0.77 forcontinuance commitment, and 0.75 for normative commitment. A statistically significant difference was found between the organisational commitment levels of employees participating in the study in terms of age, gender, marital status, educational background, and occupation. There was no statistically significant difference between the groups only in terms of working duration. A positive correlation was determined between demographic characteristics and organisational commitment. 

Factors for determining quality perceptions in hospitals: An assessment in terms of doctors and nurses


Management Issues in Healthcare System, 2017, Volume 3, Issue 1, Pages 36-48
DOI: 10.33844/mihs.2017.60391

Quality in health care services is the fulfillment of the expectations and needs of the customers in all service processes as well as diagnosis, treatment, and care services in accordance with the standards of internationally valid indicators. For this reason, it has become a necessity to put some efforts into delivering high quality service. In this study, the quality perception of the services offered at the hospital was evaluated based on the employees (doctors and nurses) who can be called as internal customers of the hospital. For this purpose, a field study was conducted with the participation of a total of two hundred doctors and nurses from five university hospitals operating in the private and public sectors and the findings were evaluated.

Assessing Organizational Readiness for the Improvement and Change Initiatives in Public Hospitals

Mohamad Alwheeb; David M Rea

Management Issues in Healthcare System, 2017, Volume 3, Issue 1, Pages 49-57
DOI: 10.33844/mihs.2017.60346

Despite the significant amount of research completed on the best method to manage the improvement and change activities, a high volume of research work discusses the need to evaluate the readiness aspect as an important point prior to any further act for applying new changes. This paper focuses on increasing the readiness of public hospitals in Saudi Arabia by analysing the interrelationships between organizational readiness and its impact on individual preparedness based on a mixed method approach to identify deficiencies in order to assess the potential for improvement opportunities. The research findings show that defect in organisational readiness can definitely cause significant issues for individuals’ readiness, which may result in a problem for institutions and their improvement initiatives, and this may hinder the success of any change activity. Based on the findings of this study, we recommend practices that could assist in overcoming these challenges. Generally, our results focus attention on individual’s attitude and willingness to change and this is argued to be a crucial factor that can lead to a success or failure of any improvement activity.