Factors Influencing Continuous Quality Improvement Programme In Government Hospitals Of Sri Lanka
Somatunga L C, Sridharan S, Refai M A C M, Malavige K K, Gamini L P S
Index Terms: Continuous Quality Improvement, Top Management Commitment, Training, Teamwork, Physical Resources, Monitoring System.
Abstract: Health care systems are accountable to their patients and society to provide quality cost effective care and to seek ways to improve that care. By doing this, positive patient outcomes are ensured. Those factors, which affect the delivery of a good service have to be identified. It is important to determine whether the environment of an organization (type of hospitals) plays an important role in determining the implementation of quality improvement programmes Methodology :This was a hospital-based descriptive, cross-sectional survey carried out in selected hospitals in Sri Lanka. Sixteen Line Ministry Hospitals where Quality Management Units are already in place were selected for the study. Staff working in these hospitals including doctors, nurses and allied health staff was included. The data was collected using a self-administered questionnaire. The questionnaire was repeated after three weeks. Findings: A total of 378 participants responded in the study. This study identified top management commitment, training, teamwork, physical structure and monitoring system as independent variables that influence the CQI implementation programme. All the participants rated lower for teamwork and felt that teamwork had little influence on CQI programme implementation. The type of hospital has not influenced the implementation of CQI programme.
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