Managerial attitude to the implementation of quality management systems in Lithuanian support treatment and nursing hospitals
Managerial attitude to the implementation of quality management systems in Lithuanian support treatment and nursing hospitals
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DOI：
10.1186/1472-6963-6-120
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发表时间：
2006-09-20
影响因子：
2.8
通讯作者：
Kazlauskaite, Ruta
中科院分区：
文献类型：
--
作者：
Buciuniene, Ilona;Malciankina, Sonata;Kazlauskaite, Ruta
背景资料：立陶宛卫生部于1998年批准了在保健组织实施质量管理体系的条例。根据上述规定，医疗机构的总经理必须在医院中启动质量管理体系的实施。由于没有研究质量管理体系的实施已经进行了立陶宛支持治疗和护理医院，因为，本研究的目的是评估其目前的阶段，从管理perspective.Methods：立陶宛支持治疗和护理医院的总经理进行了问卷调查，在2005年1月至3月期间。问卷中的大多数项目都是用七分制李克特量表测量的。在调查过程中，共发放了72份调查问卷，其中58份已填写，并被退回（答复率为80.6%;在95%置信水平下，标准抽样误差为0.029）。质量管理系统在39.7%的支助治疗和护理医院运行，目前正在46.6%的医院实施（13.7%的人没有）。受访者感知的QMS重要性的平均值为5.8（七分制）。与推行品质管理系统有关的最重要问题包括程序发展（5.5）、缺乏财政资源（5.4）和信息（5.1），以及工作指引的发展（4.6），而回应者认为改善责任和权力分担（5.2）、提高服务品质（5.1）和提高病人满意度（5.1）是品质管理系统的主要好处。被调查医院的管理层对质量管理体系的满意度一般（3.6）。然而，它被认为是更高的受访者谁是更有能力的质量管理，熟悉ISO 9000标准，并有更多的员工在质量management.Conclusion培训：质量管理体系被认为是成功地运行在三分之一的立陶宛支持治疗和护理医院。其目前的实施阶段取决于医院的规模-医院越大，它在质量管理体系实施中取得的成功就越多。至于关键的质量管理（QM）问题，医院往往会遇到这样的主要问题，缺乏财政资源，信息和培训，以及在程序开发的困难。另一方面，有助于质量管理体系实施成功的关键因素包括管理层对质量管理体系重要性的认识以及医院员工培训系统和审计小组的存在。
Background: The regulations of the Quality Management System (QMS) implementation in health care organizations were approved by the Lithuanian Ministry of Health in 1998. Following the above regulations, general managers of health care organizations had to initiate the QMS implementation in hospitals. As no research on the QMS implementation has been carried out in Lithuanian support treatment and nursing hospitals since, the objective of this study is to assess its current stage from a managerial perspective.Methods: A questionnaire survey of general managers of Lithuanian support treatment and nursing hospitals was carried out in the period of January through March 2005. Majority of the items included in the questionnaire were measured on a seven-point Likert scale. During the survey, a total of 72 questionnaires was distributed, out of which 58 filled-in ones were returned ( response rate 80.6 per cent; standard sampling error 0.029 at 95 per cent level of confidence).Results: Quality Management Systems were found operating in 39.7 per cent of support treatment and nursing hospitals and currently under implementation in 46.6 per cent of hospitals (13.7% still do not have it). The mean of the respondents' perceived QMS significance is 5.8 ( on a seven-point scale). The most critical issues related to the QMS implementation include procedure development (5.5), lack of financial resources (5.4) and information (5.1), and development of work guidelines (4.6), while improved responsibility and power sharing (5.2), better service quality ( 5.1) and higher patient satisfaction ( 5.1) were perceived by the respondents as the key QMS benefits. The level of satisfaction with the QMS among the management of the surveyed hospitals is mediocre (3.6). However it was found to be higher among respondents who were more competent in quality management, were familiar with ISO 9000 standards, and had higher numbers of employees trained in quality management.Conclusion: QMSs are perceived to be successfully running in one third of the Lithuanian support treatment and nursing hospitals. Its current implementation stage is dependent on the hospital size - the bigger the hospital the more success it meets in the QMS implementation. As to critical Quality Management (QM) issues, hospitals tend to encounter such major problems as lack of financial resources, information and training, as well as difficulties in procedure development. On the other hand, the key factors that assist to the success of the QMS implementation comprise managerial awareness of the QMS significance and the existence of employee training systems and audit groups in hospitals.