Quality management practices in hospital organizations: a multiple case study in hospitals in Rio Grande do Sul, Brazil

Authors

DOI:

https://doi.org/10.21680/2176-9036.2023v15n2ID33073

Keywords:

Quality Management; Hospital Management; Quality Indicators.

Abstract

Purpose: Verify the quality management practices carried out in hospital organizations in Rio Grande do Sul, based on the construct by Xiong et al. (2017)

Methodology: A descriptive, qualitative research was carried out with three hospital organizations established in the state of Rio Grande do Sul, Brazil. Data was collected through interviews with the quality managers and the chief executive of each hospital.

Results: The results indicate that quality management helps hospitals to measure the satisfaction of the interested parties in the organization, such as customers, employees, and suppliers, who, through quality tools, carry out result analysis in search of improvements. It is noteworthy that the influence of quality management in relation to the mapping and control of processes results in the optimization of work and continuous learning.

Contributions of the Study: The findings of this study contribute to health managers who want to implement quality management practices in hospital organizations; It also contributes to the scientific development of the administration area, as well as understanding how hospitals can advance in their management to improve the Brazilian health system.

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Author Biographies

Taynara Ribeiro Domingues Bom, Institute of Economic, Administrative, and Accounting Sciences – ICEAC.

Master in Business Administration from the Federal University of Rio Grande do Sul – FURG, Institute of Economic, Administrative, and Accounting Sciences – ICEAC

Débora Gomes de Gomes, Institute of Economic, Administrative, and Accounting Sciences –ICEAC

PhD in Accounting Sciences and Administration, professor at the Federal University of Rio Grande do Sul – FURG, Institute of Economic, Administrative, and Accounting Sciences –ICEAC.

Marcos Antônio de Souza, PhD in Controllership from the University of São Paulo – USP.

PhD in Controllership from the University of São Paulo – USP.

Samuel Vinícius Bonato, Federal University of Rio Grande – FURG

PhD in Production Engineering from the Federal University of Rio Grande do Sul – UFRGS. Professor at the Federal University of Rio Grande – FURG, Institute of Economic, Administrative and Accounting Sciences – ICEAC.

References

Almeida, H. O. C.; Santos, N. F. & Sampaio, W. K. S. (2020). Aplicabilidade das ferramentas da qualidade no âmbito hospitalar: uma revisão integrativa da literatura. RAHIS-Revista de Administração Hospitalar e Inovação em Saúde, 17(4), 11-22.

Alonso, L. B. N.; Droval, C.; Ferneda, E. & Emidio, L. (2014). Acreditação Hospitalar e a Gestão da Qualidade dos Processos Assistenciais. Perspectivas em Gestão & Conhecimento, 4 (2), 34-49.

Ahmed, S.; Abd Manaf, N. H. & Islam, R. (2018). Effect of Lean Six Sigma on quality performance in Malaysian hospitals. International journal of health care quality assurance, Bngley, 31(8), 973-987.

Al Raoush, A. T.; A’agoulah, A.; Albalas, S. & Athameneh, S. (2020). Impact of financial management on improving quality at jordanian public university hospitals. Journal of Information & Knowledge Management, 19(3), 2050025.

Alaraki, M. S. (2014). The impact of critical total quality management practices on hospital performance in the Ministry of Health hospitals in Saudi Arabia. Quality Management in Healthcare, Filadélfia, 23(1), 59-63.

Alves, K. (2015). Impacto da gestão da qualidade no desempenho de organizações hospitalares na região metropolitana de São Paulo. Master's Dissertation in Business Administration, School of Business Administration of São Paulo at Fundação Getúlio Vargas. São Paulo Brazil.

Associação Brasileira de Normas Técnicas – ABNT. (2021). ABNT NBR ISO 9001 2015: como usar. São Paulo: ABNT, 2021. E-book.

Baidoun, S. D.; Salem, M. Z. & Omran, O. A. (2018). Assessment of TQM implementation level in Palestinian healthcare organizations: the case of Gaza Strip hospitals. The TQM Journal, Bingley, 30(2), 98-115.

Bardin, L. (2011). Análise de conteúdo. São Paulo: Edições 70.

Bonato, V. L. (2011). Gestão de qualidade em saúde: melhorando assistência ao cliente. O Mundo da Saúde, São Paulo, 35(5), 319-331.

Chassin, M. R. (2013). Improving the quality of health care: what’s taking so long? Health Affairs, Washington, 32(10), 1761-1765.

Collado, C. F.; Lucio, P. B. & Sampieri, R. H. (2013). Metodologia de pesquisa. 5. ed. Porto Alegre: Penso.

Demirbag, M.; Tatoglu, E.; Tekinkus, M. & Zaim, S. (2006). An analysis of the relationship between TQM implementation and organizational performance: evidence from Turkish SMEs. Journal of manufacturing technology management, Bingley, 17(6), 829-847. Doi 10.1108/17410380610678828.

Denzin, N. K. & Lincoln, Y. S. (2006). O planejamento da pesquisa qualitativa: teorias e abordagens. 2. ed. Porto Alegre: Artmed.

Dey, P. K. & Hariharan, S. (2006). Integrated approach to healthcare quality management: a case study. The TQM Magazine, Bingley, v. 18, n. 6, 583-605.

Duarte, R. A. M. (2021). Acreditação ONA: saiba o papel da engenharia clínica para alcançá-la. Belo Horizonte: Arkmeds.

Farias, D. C. & Araujo, F. O. (2017). Gestão hospitalar no Brasil: revisão da literatura visando ao aprimoramento das práticas administrativas em hospitais. Ciência & Saúde Coletiva, Rio de Janeiro, 22, 1895-1904.

Francisco, C; Paz, A. & Lazzari, D. D. (2012). Perspectivas de enfermeiras sobre gestão da qualidade e acreditação hospitalar. Revista de Enfermagem da UFSM, Santa Maria, 2(2), 401-411.

Honda, A. C. (2017). Aplicação de ferramentas de gestão da qualidade em ambientes de serviços hospitalares: estudo de medidas de melhoria em Santa Casa de Misericórdia no interior do estado de São Paulo. Doctoral thesis. University of Sao Paulo, Brazil.

Gerard, M. L. F. & Bernard, F. C. (2009). Desempenho hospitalar no Brasil: em busca da excelência. São Paulo: Singular.

Littike, D. & Sodré, F. (2015). A arte do improviso: o processo de trabalho dos gestores de um Hospital Universitário Federal. Ciência & Saúde Coletiva, 20, 3051-3062.

Mastelli, W. F. & Dallora, M. E. L. V. (2021). Como a gestão da qualidade pode contribuir para melhora no desempenho dos serviços hoteleiros terceirizados em um ambiente hospitalar público. Rev. Adm. Saúde (On-line), São Paulo, 21(84) 1-14, jul./set. Doi: http://dx.doi.org/10.23973/ras.84.297.

Mesgari, I.; Miab, A. K. & Sadeghi, M. J. (2017). Causal structure of the EFQM excellence model among healthcare sector: a case study in Iran. Total Quality Management & Business Excellence, 28(5-6), 663-677.

Metcalf, A. Y.; Wang, Y. & Habermann, M. (2018). Hospital unit understaffing and missed treatments: primary evidence. Management Decision, 56(10), 2273-2286.

Ministério da Educação. (2022). Apresentação EBSERH. Accessed on 18 dez. 2022, at http://portal.mec.gov.br/ebserh--empresa-brasileira-de-servicos-hospitalares

Nascimento, J. C. M. (2020). Acreditação hospitalar como ferramenta para a gestão da qualidade no Brasil: características, avanços e desafios. RAHIS-Revista de Administração Hospitalar e Inovação em Saúde, 17(4), 1-10.

Organização Nacional de Acreditação – ONA. (2021). Mapa de acreditações. 2021. Accessed on 15 aug. 2021, at https://www.ona.org.br/

Organização Pan-Americana da Saúde – OPAS. (2020). Folha informativa sobre o Covid-19. 2020. Accessed on 18 aug. 2020, at https://www.paho.org/pt/covid19

Rodrigues, A. S.; Oliveira Júnior, L. B.; Santos, L. F. P. & Jaernevay, M. L. S. (2022). Diagnóstico situacional de um hospital universitário de Minas Gerais a partir dos resultados do processo de avaliação interna da qualidade. HU Rev. 48, 1-11. Doi: 10.34019/1982-8047.2022.v48.34666

Ramos, G. I. S., Moreira, M. A., Martins, C. M., & Souza, A. C. (2019). Acreditação como elemento catalisador do desempenho em organização hospitalar. RAHIS-Revista de Administração Hospitalar e Inovação em Saúde, 16(3), 28-46. Doi: https://doi.org/10.21450/rahis.v16i3.5860

Sabella, A. R.; Kashou, R. & Omran, O. (2015). Assessing quality of management practices in Palestinian hospitals. International Journal of Organizational Analysis, 23(2), 213-232.

Saraph, J. V., Benson, P. G. & Schroeder, R. G. (1989). An instrument for measuring the critical factors of quality management. Decision sciences, Fontainebleau 20(4), 810-829.

Schiesari, L. M. C. (2014). Avaliação externa de organizações hospitalares no Brasil: podemos fazer diferente? Ciência & Saúde Coletiva, 19(10), 4229-4234.

Seabra, S. A. K. (2007). Acreditação em organizações hospitalares. Master's Dissertation in Administration, School of Administration, Accounting, and Economics, Pontifical Catholic University of Rio Grande do Sul. Porto Alegre, Brazil.

Secretaria de Políticas de Saúde (2002). Manual de Acreditação Hospitalar. Departamento de Avaliação de Políticas de Saúde. 3. ed. Brasília: Ministério da Saúde.

Van Schoten, S.; Blok C.; Spreeuwenberg, P.; Groenewegen, P. & Cordula, W. (2016). The EFQM Model as a framework for total quality management in healthcare: Results of a longitudinal quantitative study. International Journal of Operations & Production Management, 36(8), 901-922.

Xiong, J.; He, Zhen; Deng, Y.; Zhang, M. & Zhang, Z. (2017). Quality management practices and their effects on the performance of public hospitals. International Journal of Quality and Service Sciences, 9(3/4), 383-401.

Yin, R. K. (2016). Pesquisa qualitativa do início ao fim. Porto Alegre: Penso.

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Published

04-07-2023

How to Cite

DOMINGUES BOM, T. R. .; GOMES, D. G. de .; SOUZA, M. A. de .; BONATO, S. V. . Quality management practices in hospital organizations: a multiple case study in hospitals in Rio Grande do Sul, Brazil. REVISTA AMBIENTE CONTÁBIL - Universidade Federal do Rio Grande do Norte, [S. l.], v. 15, n. 2, 2023. DOI: 10.21680/2176-9036.2023v15n2ID33073. Disponível em: https://periodicos.ufrn.br/ambiente/article/view/33073. Acesso em: 6 jul. 2024.

Issue

Vol. 15 No. 2 (2023): Jul./Dez.

Section

Section 7: International (S7)

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