Assessment of Quality Management System Implementation and its Associated Factors in Public Hospitals of Addis Ababa, Ethiopia
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Date
2021-03
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Addis Abeba University
Abstract
Background: A Quality Management System is the organizational structure, processes,procedures, and resources needed to implement, maintain and continually improve themanagement of quality. The federal ministry of health of Ethiopia has chosen qualitymanagement system (QMS) as a comprehensive and applied strategy to achieve administrativedevelopment and improve the quality of health care services including the medical laboratory inorder to respond to the needs and expectations of the clients on quality of services provided forthem.
Objective: To assess current implementation status of quality management system and itsdeterminant factors in public hospitals of Addis Ababa Ethiopia, from February to August 2020.
Methods: The study was used cross-sectional study design. It also used both quantitative andqualitative data to assess the implementation status of QMS and associated factors in all publichospitals in Addis Ababa Ethiopia. Data was entered and analyzed by SPSS version 23. Binaryand Multivariable logistic regression analysis was done to identify predictive factors.
Results: The outcome of this study shows that the implementation status of quality managementsystem of public hospitals found in Addis Ababa was 56.7% and also indicates thatimplementation was better in specialized hospitals based on professional’s perception. Fivevariables found significantly associated with QMS in hospitals(p<0.05) were presence of hospitalquality mission, availability of established and functional quality committee, presence ofspecified budget for quality improvement, perceived significance of quality by professionals andpresence of well aware professionals on quality management system.
Conclusion and Recommendation: This study found that the current quality management implementation status was found 56.7% based on perception of professionals. The qualitymanagement was more successfully implemented in specialized hospitals than general hospitals.The hospital management should focus on the quality mission of the hospital and the significanceof QMS, allocate specified budget for quality improvement activities, strengthening qualitycommittees to accomplish the QMS implementation.
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Keywords
QMS, health professionals, Medical laboratory, Addis Ababa, hospitals.