A Health care Total Quality of Management (TQM) system model for a hospital in Southern Province of Zambia: A Review of literature
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概要
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Objective: To find a good model and its practices applicable in a hospital health care system, that can easily be monitored and evaluated for quality health service delivery.Methods: Documents that review the progress and how TQM is applied along with other studies were identified for a CostAccess-Quality model. This model addresses areas of the TQM concept and methodological gaps, as well as the way quality is perceived in the twenty-first century.Results: Quality was extensively studied and considerable efforts were put into the models. However, the TQM model approach was found suitable for the twenty-first century Quality Management in accordance with the Donabedian approach to quality and quality systems in a hospital. The construct was analyzed to provide cost-effective, equitable and accessible quality health care. The Donabedian model monitors the system, processes and the outcome. The problems faced when implementing the TQM are the following: lack of committed stewardship (leadership), lack of strategic planning and poor allocative efficiency of resources coupled with intermittent resource availability and organizational resistance against change.Conclusions: The Donabedian model is simple but difficult to implement. However, when dividing the concept into small parts one can manage small components by the TQM method that is the right model for a hospital. To get a good outcome one can combine the Donabedian model, the Cost-Access-Quality Model and the TQM Model, which was found to be a good model for the promotion, maintenance and sustaining continuous quality improvement in a hospital. Therefore strategic TQM is the most appropriate model regards the desired outcome.
- 国立保健医療科学院の論文
- 2012-10-00