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Total quality management in the health-care context: integrating the literature and directing future research

Authors Alzoubi MM, Hayati KS, Rosliza AM, Ahmad AA, Al-Hamdan ZM

Received 4 December 2018

Accepted for publication 11 July 2019

Published 23 September 2019 Volume 2019:12 Pages 167—177

DOI https://doi.org/10.2147/RMHP.S197038

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Kent Rondeau


Majdi M Alzoubi,1 KS Hayati,1 AM Rosliza,1 AA Ahmad,1 ZM Al-Hamdan2

1Department of Community Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, UPM Serdang, Selangor Darul Ehsan 43400, Malaysia; 2Department of Nursing Management, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan

Correspondence: KS Hayati
Department of Community Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, UPM Serdang, Selangor Darul Ehsan 43400, Malaysia
Email hayatik@upm.edu.my

Background: Synergistic integration of predictors and elements that determine the success of total quality management (TQM) implementations in hospitals has been the bane of theoretical development in the TQM research area. Thus, this paper aims to offer a systematic literature review to provide a foundation on which research on TQM can be built and to identify the predictors of successful TQM in the health-care context.
Materials and methods: A systematic literature survey was adopted in this paper, involving the review of 25 relevant researched articles found in the databases Science Direct, EBSCO, MEDLINE, CINAHL and PubMed.
Result: The systematic literature survey reveals five variables to be core predictors of TQM, signifying how important these variables are in the successful implementation of TQM in the health-care context. Also, it is revealed that the identified core predictors have positive effects on an improved health-care system. However, the systematic survey of the literature reveals a dearth of studies on TQM in the health-care context.
Conclusion: As TQM has become an important management approach for advancing effectiveness in the health-care sector, this kind of research is of value to researchers and managers. Stakeholders in the health sectors should introduce and implement TQM in hospitals and clinics. Nevertheless, this study has limitations, including that the databases and search engines adopted for the literature search are not exhaustive.

Keywords: total quality management, total quality management implementation, health care, commitment, systematic literature review, critical success factors

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