IDEAS home Printed from https://ideas.repec.org/a/rbs/ijbrss/v11y2022i7p01-08.html
   My bibliography  Save this article

What enhances service delivery in public hospitals in Kenya? The role of total quality management practices

Author

Listed:
  • Rebecca Wangare Wandie

    (School of business, Kenyatta University. Nairobi, Kenya.)

  • Stephen Makau Muathe

    (School of business, Kenyatta University. Nairobi, Kenya.)

Abstract

The public health sector is affected by various challenges, such as operational inefficiencies and poor service delivery. These challenges affect public hospitals' delivery of quality services that meet client expectations. As a result of these issues, public hospitals have adopted the total quality management approach to deal with these challenges. The general objective of this research was to determine the effect of total quality management application on the quality-of-service delivery across public hospitals in Kenya. The study was anchored on a resource-based view, dynamic capabilities, and system approach theories. The research applied a descriptive approach to the target population of 1718 respondents. The sampling approach for the study was a stratified random technique that selected a sample of 250 participants. The findings indicated that employee involvement, technology adoption, continual advancement, and client focus affect service delivery across various public hospitals in Kenya. The research concluded that applying total quality management practices is essential and influences service delivery across various public hospitals. Therefore, the national and county governments are supposed to ensure management’s commitment to the implementation of TQM practices across the county’s healthcare facilities. Key Words:Total Quality Management, Employees’ participation, Adoption of Technology, Continuous Improvement, Client Focus, Service delivery, dynamic capability, Kenya

Suggested Citation

  • Rebecca Wangare Wandie & Stephen Makau Muathe, 2022. "What enhances service delivery in public hospitals in Kenya? The role of total quality management practices," International Journal of Research in Business and Social Science (2147-4478), Center for the Strategic Studies in Business and Finance, vol. 11(7), pages 01-08, October.
  • Handle: RePEc:rbs:ijbrss:v:11:y:2022:i:7:p:01-08
    DOI: 10.20525/ijrbs.v11i7.2046
    as

    Download full text from publisher

    File URL: https://www.ssbfnet.com/ojs/index.php/ijrbs/article/view/2046/1461
    Download Restriction: no

    File URL: https://doi.org/10.20525/ijrbs.v11i7.2046
    Download Restriction: no

    File URL: https://libkey.io/10.20525/ijrbs.v11i7.2046?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Sanjay Basu & Jason Andrews & Sandeep Kishore & Rajesh Panjabi & David Stuckler, 2012. "Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries: A Systematic Review," PLOS Medicine, Public Library of Science, vol. 9(6), pages 1-14, June.
    2. Khairul Anuar Mohd Ali & Main Naser Alolayyan, 2013. "The impact of total quality management (TQM) on the hospital's performance: an empirical research," International Journal of Services and Operations Management, Inderscience Enterprises Ltd, vol. 15(4), pages 482-506.
    3. Prabha Ramseook-Munhurrun & Vedmani Munhurrun & Arkrasunsingh Panchoo, 2011. "Total Quality Management Adoption In A Public Hospital: Evidence From Mauritius," Global Journal of Business Research, The Institute for Business and Finance Research, vol. 5(3), pages 67-77.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Emma Akpan & Surajudeen Abiola Abdulrahman & Nne Pepple, 2020. "Comparison of the Level of Adherence to Laboratory Quality Management System between Public and Private Secondary Health Facilities in Southern Nigeria," Global Journal of Health Science, Canadian Center of Science and Education, vol. 12(12), pages 1-27, November.
    2. Leonard, David K. & Bloom, Gerald & Hanson, Kara & O’Farrell, Juan & Spicer, Neil, 2013. "Institutional Solutions to the Asymmetric Information Problem in Health and Development Services for the Poor," World Development, Elsevier, vol. 48(C), pages 71-87.
    3. Jacob Assa & Cecilia Calderon, 2020. "Privatization and Pandemic: A Cross-Country Analysis of COVID-19 Rates and Health-Care Financing Structures," Working Papers 2008, New School for Social Research, Department of Economics.
    4. Rana Basu & Prabha Bhola, 2015. "Exploring Quality Management Practices and Its Pattern Analysis in Indian Service SMEs," Journal of Enterprising Culture (JEC), World Scientific Publishing Co. Pte. Ltd., vol. 23(02), pages 199-235, June.
    5. Tafesse, Wiktoria & Chalkley, Martin, 2021. "Faith-based provision of sexual and reproductive healthcare in Malawi," Social Science & Medicine, Elsevier, vol. 282(C).
    6. Harmeet Kaur Kang & Bandana Bisht & Manmeet Kaur & Obrey Alexis & Aaron Worsley & Denny John, 2024. "Effectiveness of interpersonal psychotherapy in comparison to other psychological and pharmacological interventions for reducing depressive symptoms in women diagnosed with postpartum depression in lo," Campbell Systematic Reviews, John Wiley & Sons, vol. 20(2), June.
    7. Choi, Jaerim & Lim, Sunghun, 2023. "Ostrom Meets the Pandemic: Lessons from Asian Rice Farming Traditions," 97th Annual Conference, March 27-29, 2023, Warwick University, Coventry, UK 334543, Agricultural Economics Society - AES.
    8. Zoe Dettrick & Hebe N Gouda & Andrew Hodge & Eliana Jimenez-Soto, 2016. "Measuring Quality of Maternal and Newborn Care in Developing Countries Using Demographic and Health Surveys," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-20, June.
    9. Martinussen, Pål E. & Rydland, Håvard T., 2022. "(I can't get no) satisfaction: A comparative study of healthcare recommodification in Europe, 2010-18," Social Science & Medicine, Elsevier, vol. 305(C).
    10. Titeca, Hannes, 2016. "Healthcare Spending: The Role of Healthcare Institutions from an International Perspective," MPRA Paper 73678, University Library of Munich, Germany.
    11. Marson, Marta & Migheli, Matteo & Saccone, Donatella, 2022. "Free to Die: Economic Freedoms and Influenza Mortality," Department of Economics and Statistics Cognetti de Martiis. Working Papers 202210, University of Turin.
    12. Andrews,Kathryn Gilman & Conner,Ruben Orion & Gatti,Roberta V. & Sharma,Jigyasa, 2021. "The Realities of Primary Care : Variation in Quality of Care Across Nine Countries in Sub-Saharan Africa," Policy Research Working Paper Series 9607, The World Bank.
    13. Cristian A Herrera & Gabriel Rada & Lucy Kuhn-Barrientos & Ximena Barrios, 2014. "Does Ownership Matter? An Overview of Systematic Reviews of the Performance of Private For-Profit, Private Not-For-Profit and Public Healthcare Providers," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-18, December.
    14. Beaussier, Anne-Laure & Demeritt, David & Griffiths, Alex & Rothstein, Henry, 2020. "Steering by their own lights: Why regulators across Europe use different indicators to measure healthcare quality," Health Policy, Elsevier, vol. 124(5), pages 501-510.
    15. Sulakshana Nandi & Helen Schneider & Priyanka Dixit, 2017. "Hospital utilization and out of pocket expenditure in public and private sectors under the universal government health insurance scheme in Chhattisgarh State, India: Lessons for universal health cover," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-18, November.
    16. Cammett, Melani & Şaşmaz, Aytuğ, 2017. "Political Context, Organizational Mission, and the Quality of Social Services: Insights from the Health Sector in Lebanon," World Development, Elsevier, vol. 98(C), pages 120-132.
    17. Eriksen, Steffen & Wiese, Rasmus, 2019. "Policy induced increases in private healthcare financing provide short-term relief of total healthcare expenditure growth: Evidence from OECD countries," European Journal of Political Economy, Elsevier, vol. 59(C), pages 71-82.
    18. Bianca Silva & Niel Hens & Gustavo Gusso & Susan Lagaert & James Macinko & Sara Willems, 2022. "Dual Use of Public and Private Health Care Services in Brazil," IJERPH, MDPI, vol. 19(3), pages 1-25, February.
    19. Juliet Mwanga-Amumpaire & Tobias Alfvén & Celestino Obua & Karin Källander & Richard Migisha & Cecilia Stålsby Lundborg & Grace Ndeezi & Joan Nakayaga Kalyango, 2021. "Appropriateness of Care for Common Childhood Infections at Low-Level Private Health Facilities in a Rural District in Western Uganda," IJERPH, MDPI, vol. 18(15), pages 1-16, July.
    20. Sujha Subramanian & Robai Gakunga & Joseph Kibachio & Gladwell Gathecha & Patrick Edwards & Elijah Ogola & Gerald Yonga & Naftali Busakhala & Esther Munyoro & Jeremiah Chakaya & Nancy Ngugi & Nyawira , 2018. "Cost and affordability of non-communicable disease screening, diagnosis and treatment in Kenya: Patient payments in the private and public sectors," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-16, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:rbs:ijbrss:v:11:y:2022:i:7:p:01-08. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Umit Hacioglu (email available below). General contact details of provider: https://edirc.repec.org/data/ssbffea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.