Influence of total quality management principles on quality health care provisions in private facilities: A case of avenue hospital, Kisumu county, Kenya
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.