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 the
management of quality. The federal ministry of health of Ethiopia has chosen quality
management system (QMS) as a comprehensive and applied strategy to achieve administrative
development and improve the quality of health care services including the medical laboratory in
order to respond to the needs and expectations of the clients on quality of services provided for
them.
Objective: To assess current implementation status of quality management system and its
determinant 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 and
qualitative data to assess the implementation status of QMS and associated factors in all public
hospitals in Addis Ababa Ethiopia. Data was entered and analyzed by SPSS version 23. Binary
and Multivariable logistic regression analysis was done to identify predictive factors.
Results: The outcome of this study shows that the implementation status of quality management
system of public hospitals found in Addis Ababa was 56.7% and also indicates that
implementation was better in specialized hospitals based on professional’s perception. Five
variables found significantly associated with QMS in hospitals(p<0.05) were presence of hospital
quality mission, availability of established and functional quality committee, presence of
specified budget for quality improvement, perceived significance of quality by professionals and
presence 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 quality
management was more successfully implemented in specialized hospitals than general hospitals.
The hospital management should focus on the quality mission of the hospital and the significance
of QMS, allocate specified budget for quality improvement activities, strengthening quality
committees to accomplish the QMS implementation.
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Keywords
QMS, health professionals, Medical laboratory, Addis Ababa, hospitals.