CAUSAL FACTORS AFFECTING THE SUCCESS OF ADVANCED QUALITY MANAGEMENT

Abstract

The development of hospital quality to become an advanced quality hospital is essential for ensuring safety in healthcare and achieving excellence in service, in line with the national development strategy aiming for Thailand to become an international health hub by 2026. The objectives of this research are: 1) to study the influence of top management leadership, the learning organization, continuous quality improvement, and organizational effectiveness on the success of becoming an advanced quality hospital, and 2) to propose guidelines for achieving success in becoming an advanced quality hospital. This research employs a mixed-method approach, combining both quantitative and qualitative research. The quantitative research utilizes a questionnaire distributed to 326 top hospital managers from advanced quality hospitals, selected through systematic random sampling. The data are analyzed using descriptive statistics and structural equation modeling (SEM) through specialized software. The qualitative research involves in-depth interviews with 6 hospital directors and experts in the field. The findings reveal that: 1) Continuous quality improvement, the learning organization, top management leadership, and organizational effectiveness have a statistically significant overall influence on the success of becoming an advanced quality hospital at the 0.05 level, with influence values of 0.95, 0.84, 0.50, and 0.21, respectively. 2) The proposed guidelines for achieving success in becoming an advanced quality hospital emphasize that top management must have a clear vision and quality policy, support continuous service improvement to enhance proactive service processes, and create a learning organization within the hospital to increase staff skills in developing new innovations, thereby ensuring safe and effective patient care