Weech-Maldonado R, Zinn J E, Hamilton R D
Department of Health Policy & Administration, Pennsylvania State University, 116 Henderson Building, University Park, PA 16801, USA.
Health Serv Manage Res. 2001 Aug;14(3):147-58. doi: 10.1177/095148480101400302.
This study develops a model and empirically assesses how# organizational context mediates the impact of total quality management (TQM) implementation on perceived performance in the nursing facility industry. Outcomes are analysed for financial, human resources and resident-care performance. Contextual factors related to TQM implementation include managerial control, reward systems, organizational structure and the extent of implementation. Duration of TQM implementation is included as a control variable. Benchmarking has a positive impact on financial outcomes, and the extent of TQM implementation and required reporting of quality improvement activity results have a positive impact on both financial and human resources performance. The presence of a Quality Steering Council has a positive impact on financial performance, but only among larger facilities.
本研究构建了一个模型，并通过实证评估了组织环境如何在护理机构行业中调节全面质量管理（TQM）实施对感知绩效的影响。分析了财务、人力资源和居民护理绩效方面的结果。与TQM实施相关的背景因素包括管理控制、奖励制度、组织结构和实施程度。TQM实施的持续时间作为控制变量纳入研究。标杆管理对财务结果有积极影响，TQM的实施程度和质量改进活动结果的要求报告对财务和人力资源绩效均有积极影响。质量指导委员会的存在对财务绩效有积极影响，但仅在较大规模的机构中如此。
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