TY - JOUR
T1 - Assessing the factors influencing continuous quality improvement implementation
T2 - Experience in Korean hospitals
AU - Lee, Sunhee
AU - Choi, Kui Son
AU - Kang, Hye Young
AU - Cho, Woohyun
AU - Chae, Yoo M.I.
N1 - Funding Information:
The research upon which this article is based was supported by the Korean Society of Quality Assurance in Health Care.
PY - 2002/10
Y1 - 2002/10
N2 - Objective. To assess the extent of continuous quality improvement (CQI) implementation in Korean hospitals and to identify its influencing factors. Design. Cross-sectional study by mailed questionnaire survey. Study participants. One hundred and seventeen staff members with responsibility for CQ1 at 67 hospitals with ≥ 400 beds. Main outcome measures. The degree of CQI implementation was measured using the Malcolm Baldrige National Quality Award Criteria (MBNQAC). Factors related to the degree of CQI implementation were the four components of the CQI pyramid, namely the cultural, technical, strategic, and structural attributes of individual hospitals. Results. The average CQI implementation score across the seven dimensions by MBNQAC was 3.34 on a 5-point scale. The highest score was achieved in the dimension of 'customer satisfaction' (3.88), followed by 'information/analysis' (3.59), and 'quality management' (3.35). Regression analysis showed that hospitals which better fulfilled technical requirements, such as improving information systems (P<0.05), using more scientific CQI tools, and adopting systematic problem-solving approaches (P<0.01), tended to achieve higher degrees of CQI implementation. Although statistically insignificant, positive trends were observed for group/developmental culture and the degree of employee empowerment, and the use of prospective strategy. Conclusion. It appears that the most important contributing factors to active CQI implementation in Korean hospitals were the use of scientific skills in decision-making and the adoption of a quality information system capable of producing precise and valid information.
AB - Objective. To assess the extent of continuous quality improvement (CQI) implementation in Korean hospitals and to identify its influencing factors. Design. Cross-sectional study by mailed questionnaire survey. Study participants. One hundred and seventeen staff members with responsibility for CQ1 at 67 hospitals with ≥ 400 beds. Main outcome measures. The degree of CQI implementation was measured using the Malcolm Baldrige National Quality Award Criteria (MBNQAC). Factors related to the degree of CQI implementation were the four components of the CQI pyramid, namely the cultural, technical, strategic, and structural attributes of individual hospitals. Results. The average CQI implementation score across the seven dimensions by MBNQAC was 3.34 on a 5-point scale. The highest score was achieved in the dimension of 'customer satisfaction' (3.88), followed by 'information/analysis' (3.59), and 'quality management' (3.35). Regression analysis showed that hospitals which better fulfilled technical requirements, such as improving information systems (P<0.05), using more scientific CQI tools, and adopting systematic problem-solving approaches (P<0.01), tended to achieve higher degrees of CQI implementation. Although statistically insignificant, positive trends were observed for group/developmental culture and the degree of employee empowerment, and the use of prospective strategy. Conclusion. It appears that the most important contributing factors to active CQI implementation in Korean hospitals were the use of scientific skills in decision-making and the adoption of a quality information system capable of producing precise and valid information.
KW - Continuous quality improvement
KW - Customer satisfaction
KW - Employee empowerment
KW - Information system
KW - Malcolm Baldridge National Quality Award Criteria
KW - Organizational culture
UR - http://www.scopus.com/inward/record.url?scp=0036797922&partnerID=8YFLogxK
U2 - 10.1093/intqhc/14.5.383
DO - 10.1093/intqhc/14.5.383
M3 - Article
C2 - 12389804
AN - SCOPUS:0036797922
SN - 1353-4505
VL - 14
SP - 383
EP - 391
JO - International Journal for Quality in Health Care
JF - International Journal for Quality in Health Care
IS - 5
ER -