Influence of total quality management principles on quality health care provisions in private facilities: A case of avenue hospital, Kisumu county, Kenya
Abstract
This research sought to examine influence of Total Quality Management Principles on Quality
Healthcare Provision in private Health Facilities by focusing on Avenue Hospital.Kisumu, Ke nya. This
study was guided by 4 independent variables and 4 hypotheses derived from study objectives. Empirical
literature of the works of widely published scholars was reviewed in this study. The study was hinged on
Andersen Healthcare model as a key theoretical mode underpinning this study. The nexus of
interrelationships between study variables was demonstrated by a conceptual framework configured.
The study adopted a case study design with a target population of 80 respondents who comprised of
doctors, nurses, pharmacists, Laboratory technologists and counselors. Using the Krejcie and
Morgan Table for determining sample size, 74 respondents were selected to constitute the sample size
for this study.
A six level questionnaire with both structured and unstructured questions with a 5- point likert scale was
constructed and used. Data obtained was analyzed using SPSS Version 17.0. Qualitative data was
analyzed by making inferences from the expressions and opinions of the respondents around the
variables and presented descriptively to make inferences. The specific effect of independent variables
against the dependent variable was tested through multivariate analysis while the significance of
independent variables against the dependent variable was analyzed through regression and correlation.
Instrument‘s validity was determined by using both content and constructs validity while reliability was
determined by using the test-retest method.
It is hoped this study would generate vital information and add to the pool of knowledge to the everexpanding
discipline of Project Management. To the Hospital under study it is hoped that the findings
will be adapted and Quality healthcare provision will be the defining factor of the Institution. The data
findings analyzed also showed that taking all other independent variables at zero, a unit increase in
customer Focus will lead to a 0.652 increase in Quality healthcare provision; a unit increase in
Leadership will lead to 0.587 increase in Quality healthcare provision The findings also indicated that
there was a highly significant relationship (with t statistic p value <0.023 < 0.05) Customer Focus and
Quality healthcare provision. Again, from the same findings, there existed a highly significant
relationship (with t statistic p value <0.0015 < 0.05) between Leadership and Quality healthcare
provision. However there seemed to exist no significant relationship between Employee involvement
and Quality healthcare provision.(p = 0.220 > 0.05), no significant relationship between Continuous
improvement and Quality healthcare provision (p = 1.000 > 0.05). In nutshell, from these findings, the
researcher accepts the 1st and 2nd
hypothesis and rejects the 3rd and 4th hypothesis.
Publisher
University of Nairobi
Collections
- Faculty of Education (FEd) [5964]