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Assessing the factors influencing continuous quality improvement implementation: experience in Korean hospitals

Authors
 Sunhee Lee  ;  Kui Son Choi  ;  Hye Young Kang  ;  Woohyun Cho  ;  Yoo Mi Chae 
Citation
 INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, Vol.14(5) : 383-391, 2002 
Journal Title
 INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE 
ISSN
 1353-4505 
Issue Date
2002
MeSH
Benchmarking* ; Consumer Behavior ; Cross-Sectional Studies ; Health Services Research ; Hospital Administration/standards* ; Hospital Bed Capacity, 300 to 499 ; Hospital Bed Capacity, 500 and over ; Hospital Information Systems ; Humans ; Korea ; Organizational Culture ; Power (Psychology) ; Program Evaluation ; Quality Indicators, Health Care ; Surveys and Questionnaires ; Total Quality Management/organization & administration ; Total Quality Management/statistics & numerical data*
Keywords
continuous quality improvement ; customer satisfaction ; employee empowerment ; information system ; Malcolm Baldrige National Quality Award Criteria ; organizational culture
Abstract
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 CQI 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.
Files in This Item:
T200204616.pdf Download
DOI
10.1093/intqhc/14.5.383
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Cho, Woo Hyun(조우현)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/143738
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