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TQM implementation for the healthcare sector
Andrea Chiarini1, Emidia Vagnoni1
1Department of Economics and Management, University of Ferrara , Ferrara, Italy.
Leadership in Health Services (Bradford, England)
|July 12, 2017
Summary
This study identifies three key leadership challenges hindering total quality management (TQM) in healthcare: lack of senior manager commitment, fragmented leadership in large organizations, and external political influence. Addressing these is crucial for effective TQM implementation.
Area of Science:
- Healthcare Management
- Organizational Behavior
- Quality Improvement
Background:
- Total Quality Management (TQM) is a framework for improving healthcare quality.
- Effective leadership is critical for successful TQM implementation.
- Existing literature lacks a comprehensive categorization of leadership barriers in healthcare TQM.
Purpose of the Study:
- To expand the discussion on TQM implementation within the healthcare sector.
- To critically evaluate the impact of leadership on TQM success.
- To identify and categorize specific leadership-related causes for TQM implementation failures.
Main Methods:
- The study employed a literature review methodology.
- Analysis focused on TQM and leadership in healthcare contexts.
- Findings were synthesized to categorize leadership-related barriers.
Main Results:
- Three primary categories of leadership failure in TQM implementation were identified.
- Category 1: Insufficient involvement and commitment from senior management.
- Category 2: 'Combined leadership' issues in large, complex healthcare organizations.
- Category 3: The impact of external 'political leadership' on public healthcare systems.
Conclusions:
- The identified categories provide a framework for future research into TQM leadership failures.
- Practitioners are encouraged to develop strategies for cohesive leadership to ensure unified TQM governance.
- Sustaining 'monolithic' leadership is vital for common vision, values, and attitudes in TQM initiatives.
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