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马来西亚公共卫生保健中的质量管理。

Quality management in Malaysian public health care.

作者信息

Manaf Noor Hazilah Abd

机构信息

Department of Business Administration, Faculty of Economics and Management Sciences, International Islamic University Malaysia, Kuala Lumpur, Malaysia.

出版信息

Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(2-3):204-16. doi: 10.1108/09526860510594767.

Abstract

PURPOSE

The main aim of the study is to provide an empirical analysis of quality management practice among Malaysian Ministry of Health hospital employees, ranging from medical specialists to health attendants.

DESIGN/METHODOLOGY/APPROACH: Self-administered questionnaires collected data and cluster sampling used to select hospitals, while stratified random sampling selected employee respondents. The research was limited to peninsular Malaysian public health care.

FINDINGS

A total of 23 public hospitals participated in the survey, including the National Referral Centre, which is based in Hospital Kuala Lumpur. Eight quality management practices were identified in Malaysian public hospitals: continuous improvement, strategic planning, quality assurance, teamwork, leadership and management commitment, employee involvement and training, management by fact, and supplier partnership. Support for quality management was found to be lowest among the physicians.

ORIGINALITY/VALUE: The article fills a lacuna in the health care quality management empirical research literature. The main recommendation is for the Malaysian Ministry of Health to gamer physicians' support in its quality endeavours.

摘要

目的

本研究的主要目的是对马来西亚卫生部医院员工(从医学专家到健康护理员)的质量管理实践进行实证分析。

设计/方法/途径:通过自填式问卷收集数据,采用整群抽样选择医院,同时采用分层随机抽样选择员工作为受访者。该研究仅限于马来西亚半岛的公共卫生保健领域。

研究结果

共有23家公立医院参与了调查,其中包括位于吉隆坡医院的国家转诊中心。在马来西亚公立医院中确定了八项质量管理实践:持续改进、战略规划、质量保证、团队合作、领导与管理承诺、员工参与和培训、基于事实的管理以及供应商伙伴关系。结果发现,医生对质量管理的支持度最低。

原创性/价值:本文填补了医疗质量管理实证研究文献中的空白。主要建议是马来西亚卫生部应争取医生对其质量工作的支持。

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