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Assessing hospital quality management systems: evidence from Iran

Ehsan Zarei (Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran)
Soghra Karimi (Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran)
Soad Mahfoozpour (Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran)
Sima Marzban (Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran)

International Journal of Health Care Quality Assurance

ISSN: 0952-6862

Article publication date: 11 February 2019

Abstract

Purpose

A quality management system (QMS) is defined as interacting activities, methods and procedures used to monitor, control and improve service quality. The purpose of this paper is to describe the QMS status using the Quality Management System Index (QMSI) in hospitals affiliated to Shahid Beheshti Medical Sciences University in Tehran, Iran.

Design/methodology/approach

In this cross-sectional study, 28 hospitals were investigated. A validated 46-item questionnaire was used for data collection. Data were analyzed using descriptive statistics, Pearson correlation, independent student’s t-test and regression analysis.

Findings

The mean QMSI score was 18.4: 15.3 for public and 20.9 for non-public hospitals (p=0.001). The lowest (1.96) and the highest (2.14) scores related to “Quality policy documents” and “Quality monitoring by the board,” respectively. The difference between public and non-public hospitals was significant in all nine QMSI dimensions (p=0.001). The QMSI score was higher in non-public and small hospitals than in public and large ones (p=0.05).

Originality/value

Most QMS studies come from developed countries, and there is no systematic information about the mechanisms and processes involved in implementing QMS in developing countries like Iran. This is the first study on Iranian hospital QMS using a newly developed tool (QMSI), and results showed that QMS maturity in these hospitals was relatively good, but the non-public hospitals status (private and charity) was far better than public hospitals.

Keywords

Acknowledgements

This paper precis a Health Services Management Master’s thesis, supported and funded by Shahid Beheshti Medical Sciences University. The authors thank participating hospitals directors and personnel for their support.

Citation

Zarei, E., Karimi, S., Mahfoozpour, S. and Marzban, S. (2019), "Assessing hospital quality management systems: evidence from Iran", International Journal of Health Care Quality Assurance, Vol. 32 No. 1, pp. 87-96. https://doi.org/10.1108/IJHCQA-11-2017-0208

Publisher

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Emerald Publishing Limited

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