Description
Hello,
This is a follow-up to a research project that was previously done. I attached the proposal, questionnaire, and interview for informants.
I need to do a final paper on the project. I have the questionnaire filled out and the interview with the informants.
For the paper:
Revise the whole paper: more details needed and relate it to king Khalid hospital.
Introduction
Literature Review ( explain more about king Khalid hospital in Najran)
Research Question
Research Significance
Research Objectives: General Objective&Specific Objectives
Methodology: Research Design & Study Setting
Target Population
Sampling
Data collection
Data Analysis
Validity and Reliability
Results
conclusion
Recommendations
References
interview for informants were conducted with these departments in hospitals:
Emergency Department
Outpatient clinics
Public health department
Quality management and patient safety department
Human resources
Also for questionnaire data: you can have access to the data through this link
Unformatted Attachment Preview
Purchase answer to see full attachment
Explanation & Answer
View attached explanation and answer. Let me know if you have any questions.
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Impact of Health Management on the Quality of Healthcare in King Khalid Hospital in Najran,
Saudi Arabia
Institution Affiliation
Course Name
Instructor
Date
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TABLE OF CONTENTS
TABLE OF CONTENTS ........................................................................................................................... 2
TERMS ........................................................................................................................................................ 4
ABSTRACT ................................................................................................................................................. 5
CHAPTER ONE: INTRODUCTION ....................................................................................................... 6
1.1. Background…………………………………………………………………………………………………………………………………..6
1.2. Statement of the Problem ................................................................................................................... 7
1.3. Justification of the Study.................................................................................................................... 8
1.4. Research Questions……………………………………………………………………………………………………………………….9
1.5. The Conjecture (Null Hypothesis) ................................................................................................... 10
1.6. Research Objectives ......................................................................................................................... 10
1.6.1. Overall Objective ...................................................................................................................... 10
1.6.2. Specific Objectives.................................................................................................................... 10
1.6.3. The Study's Scope ..................................................................................................................... 10
1.6.4. Conceptual Structure ................................................................................................................. 10
CHAPTER TWO: LITERATURE REVIEW ........................................................................................ 12
2.1. King Khalid University Hospital in Najran ..................................................................................... 12
2.2. Quality Management in Healthcare ................................................................................................. 12
2.3. Healthcare Management................................................................................................................... 12
2.4. Management Commitment and its Influence on the Provision of Quality Healthcare..................... 14
2.5. Patient satisfaction and the impact of health-care quality ................................................................ 15
CHAPTER THREE: METHODOLOGY ............................................................................................... 17
3.1. Study Design……………………………………………………………………………………….17
3.2. Study Variables…………………………………………………………………………………………………………………………..18
3.2.1. Dependent Variable................................................................................................................... 18
3.2.2. Independent Variable ................................................................................................................ 19
3.3. Study Target Population................................................................................................................... 20
3.4. Inclusion and Exclusion Criteria ...................................................................................................... 20
3.5. Sampling…………………………………………………………………………………………………………………………………….21
3.6. Data Collection Tools ...................................................................................................................... 21
3.6.1. Data Collection Procedure ........................................................................................................ 22
3.6.2. Validity………………………………………………………………………………………………………………………………..22
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3.6.3. Reliability……………………………………………………………………………………………………………………………23
3.6.4. Data Analysis………………………………………………………………………………………………………………………23
3.7. Ethical considerations ...................................................................................................................... 24
CHAPTER FOUR: RESULTS ................................................................................................................ 25
4.1. Overview…………………………………………………………………………………………………………………………………….25
4.2. Participants' social and demographic traits ...................................................................................... 25
4.3. Patient Satisfaction Score................................................................................................................. 27
4.4. HealthCare Services Quality Perceptions ........................................................................................ 28
4.4.1. Health Management Tangibility ............................................................................................... 28
4.4.2. Health Management Reliability ................................................................................................ 30
4.4.3. Health Management Responsiveness ........................................................................................ 32
4.4.4. Healthcare Management Assurance .......................................................................................... 33
4.4.5. Health Management Empathy ................................................................................................... 34
CHAPTER FIVE: DISCUSSION, RECOMMENDATIONS AND CONCLUSIONS ....................... 37
5.1. Discussion………………………………………………………………………………………………………………………………….37
5.1.1. Patient Contentment/Satisfaction .............................................................................................. 37
5.1.2. Service Effectiveness as Perceived ........................................................................................... 37
5.1.3. Health Management Factors ..................................................................................................... 40
5.2. Conclusion and Recommendations .................................................................................................. 42
REFERENCES .......................................................................................................................................... 44
APPENDICES ........................................................................................................................................... 50
Appendix 1: Study Questionnaire ........................................................................................................... 50
Appendix 2: Key Informant Interview Guide.………….…………………………………………………………….57
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TERMS
Quality - refers to how well a collection of intrinsic traits meets a set of standards. In this definition
it is determined by the level of satisfaction that a product or service provides. As a result, a product
can be classified as excellent or terrible quality depending on the amount of satisfaction (Martin
et al., 2020).
Patient satisfaction - a measurement of how well a company's merchandise and operations meet
or exceed customer expectations; the entire anticipated advantages that a consumer anticipates
from a company's item or commodity (Nwankwo et al., 2010).
Perceived quality - alludes to a customer's assessment of a product's (or a brand's) capacity to
meet his or her needs. It is dependent on the organization's (or brand's) present public perception,
user familiarity with the agency's previous goods, and the impact of social influence, user's social
circle, and outsiders, and may have minimal or none to do with the genuine greatness of the
products (Samudro et al., 2020).
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ABSTRACT
Background: The study offers insight and understanding into the significance of maintaining
effectiveness in King Khalid University Hospital in Najran, Saudi Arabia for the benefit of medical
personnel, the Saudi Ministry of Health (MOH), and others interested in learning more about the
difficulties enveloping the foundation of quality healthcare alternatives.
Objective: The research overall goal was to examine and evaluate the managerial variables that
impact the delivery of quality healthcare in King Khalid University Hospital in Najran, with an
emphasis on management dedication to quality and health care staff capability.
Methodology: The intent was to construct the analysis using the research onion model, with a
focus on the realistic theoretical construct. Deductive reasoning will become the most effective
research approach. The research will apply a cross-sectional descriptive study design which will
combine quantitative research using structured questionnaires and qualitative research utilizing
key informant interviews (KII) data collecting approaches.
Findings: The results showed that 56 percent of patients were satisfied with the observed quality
of services. Patient satisfaction was influenced by several factors, including staff competency in
dealing with patient difficulties, health staff responsiveness, provision of prescription medications
in the hospital pharmacy, patient confidentiality during therapy, and patient waiting period.
Conclusion: Patient contentment was lowest in the areas of empathy, reactivity, and service
dependability. To increase the acknowledged quality of services and patient happiness at the
institution, the services must be more reliable, proactive, and empathic.
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CHAPTER ONE: INTRODUCTION
1.1.
Background
Healthcare quality has emerged as a hot subject because of its importance in terms of profit,
cost savings, and market share. The public's interest in the quality of healthcare services is
growing. There is a considerable agreement that consumer happiness is an essential indication of
healthcare quality, and many institutions are looking for methods to strengthen patient care
performance via quality enhancement efforts (Al-Damen, 2017). The trend for increased quality
healthcare treatments is continually rising as a result of worldwide changing demographics such
as increased life expectancies and illness sophistication. However, with dwindling means, it is
important to maximize skills, enhance administration and processes, and continually improve
healthcare system provision excellence. Furthermore, the ongoing imposition of administrative
and regulatory limitations hampers the establishment of excellent practices (Pecoraro et al., 2015).
Saudi Arabia's economic growth is dependent on oil, and the country exerts tight oversight
across the key economic activity. It controls over 16% of the world's estimated oil reserves, has
been the largest hydrocarbon producer, and is a key member of OPEC. Petroleum provides around
87 percent of budget expenditures, 42 percent of GDP, and 90 percent of export profits. Saudi
Arabia is enhancing private sector expansion in order to broaden its economic growth and engage
more Saudi citizens (The World Bank, 2019). The Ministry of Health (MOH), together with certain
additional governmental sectors, is the primary provider of health care in Saudi Arabia, accounting
for roughly 58 percent of all healthcare services. The Saudi government's objective is to provide
free health care to all citizens. The other major administrative entities that serve as healthcare
providers are the "Ministry of Defense, Ministry of the Interior, Ministry of Higher Education, the
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National Guard, and KFSH (King Faisal Specialist Hospital and Research Center)." Government
entities give free health care treatments to their own workers; for example, the Ministry of Defense
maintains healthcare facilities that offer free therapy to its personnel. Patients recommended by
other institutions are also accepted at these facilities (Al-Otaibi, 2017).
Despite the Saudi government's endeavors to improve the health system, it has not proven
fully effective. The existing system continues to have issues, such as challenges receiving
treatments, extensive waiting lists, professional misconduct, patient discontent, and so on.
Furthermore, because the MOH manages 58 percent of all medical services in the country,
improving the quality of care given to the public is a need shared by health managers, health
professionals, and consumers (Al-Otaibi, 2017). The apparent or perceptual usefulness of a service
is determined by the patient's interaction with the treatment provided. The considered quality of
health services is influenced by their assumptions, the service administration approach, and the
treatment outcomes. As a result, it is necessary to investigate the role of health management in
achieving observed healthcare quality in Saudi health facilities. This study used the SERVQUAL
paradigm, which centers on five core quality components: tangibility, reliability, responsiveness,
assurance, and empathy, to determine the influence of health administration on the effectiveness
of health care provision at King Khalid University Hospital in Najran, Saudi Arabia.
1.2.
Statement of the Problem
Clinical satisfaction is a crucial driver of patients' viewpoint behavioral attitude and is an
essential indicator of therapeutic excellence since it provides information on the provider's
performance in satisfying clients' standards. Patient satisfaction is a critical predictor of users'
perceived behavioral attitude and a vital indicator of healthcare quality since it provides knowledge
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on the provider's performance in achieving the patient's greatest significant aspirations. It is linked
to positive results including improved adherence, lower hospital services consumption, fewer
mistreatment lawsuits, and an increased prognosis (Xesfingi & Vozikis, 2016). Different
investigations have been conducted in Saudi Arabia to gauge patient contentment, with many of
them taking place in basic health care clinics (Owaidh et al., 2018). However, limited knowledge
about health management and patient care quality in Saudi Arabian university hospitals, such as
King Khalid University Hospital, is accessible. According to Alharthi (2019), the standard of
health care given in Saudi Arabian university health facilities has to be improved, particularly in
the areas of healthcare quality, operational efficacy, and patient connectedness. Difficulties that
have a detrimental influence on the apparent quality of health care might be attributed to
managerial inadequacies, a necessity for improved management, or a drive to build a quality
attitude. This study will give important information about patient perceptions of quality and
prospects for regulatory and administrative changes focused at enhancing patient satisfaction.
1.3.
Justification of the Study
The research pursues to provide a perspective and comprehension into the importance of
sustaining performance in King Khalid University Hospital in Najran, for the betterment of
healthcare personnel, participants of the citizenry, the Saudi ministry of health, and concerned
parties seeking to comprehend the issues surrounding the establishment of quality healthcare
solutions. The study's findings are valuable to hospital management and other related partners in
apprising customized legislative proposals and generative interference at respectively the
treatment center and societal levels, with the goal of addressing obstacles and missteps in
improving provider quality and achieving greater thresholds of fulfillment. The findings of the
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study relate to the Saudi Arabian healthcare sector's expansion and investments goals, such as the
Kingdom's Vision 2030, by addressing critical concerns such as enhancing treatment quality and
patient happiness. The research provided helpful information as well as record for future analysis.
The research will provide a tactical perspective to health management as well as the
enhancement of quality maintenance and advancement methods in an optimal and productive
manner. With the aid of this study, the authorities may also develop strategies that are
comprehensive and adaptable in terms of providing excellent health care. Using this study, the
Saudi MOH may be able to develop new or restructure established policies for assuring residents'
access to quality health care. This might minimize the proportion of incidents recorded involving
poor quality treatments and professional malpractice. The planned study will give a major
foundation for future studies linked to the topic of study, as per the academics and intellectuals.
The research project will also attempt to demonstrate the inadequacies in the field of study.
1.4.
Research Questions
Main Question (MQ): What is the role of health management in healthcare quality and its
improvement in King Khalid University Hospital in Najran, Saudi Arabia?
Sub-Question 1 (SQ1): What is the degree of patient satisfaction with King Khalid
University Hospital's health-care delivery?
Sub-Question 2 (SQ2): What are patients' opinions about the quality of health-care services
provided at King Khalid University Hospital?
Sub-Question 3 (SQ3): What elements in the health-care system influence satisfaction with
the overall quality of health-care services at Khalid University Hospital?
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1.5.
The Conjecture (Null Hypothesis)
H0: In King Khalid University Hospital, health management parameters do not influence
positive patient outcomes with reported service quality.
1.6.
Research Objectives
1.6.1. Overall Objective
The overall objective of this study is to examine and evaluate the managerial variables that
impact the delivery of quality healthcare in King Khalid Hospital in Najran, with an emphasis on
management dedication to quality and health care staff capability.
1.6.2. Specific Objectives
i) To analyze the impact of health management on the performance of high health care in King
Khalid University Hospital.
ii) To analyze the provision of management capabilities and capacity usage in King Khalid
University Hospital for the administration of quality healthcare.
iii) To assess the degree of dedication of health management to provide quality healthcare in King
Khalid University Hospital.
1.6.3. The Study's Scope
The research was conducted at the King Khalid University Hospital in Najran, which is a
national health facility run by a university. This allowed researchers to work around the schedule
and financial limitations that come with a larger project.
1.6.4. Conceptual Structure
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The link between factors to be researched is depicted in the theoretical model above. The
SERVQUAL quality paradigm (Parasuraman et al., 1980) was used in this investigation to identify
the gap amongst end user perceptions and expectations when determining...
