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Total Quality Management & Business Excellence Volume 22, 2011 - Issue 4
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Original Articles

Assessing the competitive effectiveness of hospitals: The role of quality improvement initiatives

Mahmoud Yasin East Tennessee State University, College of Business, Department of Management & Marketing, P.O. Box 70625, Johnson City, TN, 37614, USACorrespondence[email protected]
,
Mário Augusto School of Economics – University of Coimbra, Institute of Systems and Robotics, Av. Dias da Silva, 165, 3004-512, Coimbra, Portugal
,
João Lisboa School of Economics – University of Coimbra, Institute of Systems and Robotics, Av. Dias da Silva, 165, 3004-512, Coimbra, Portugal
&
Phillip Miller East Tennessee State University, College of Business, Department of Management & Marketing, P.O. Box 70625, Johnson City, TN, 37614, USA
Pages 433-442 | Published online: 04 Apr 2011
 
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Abstract

The dynamic relationships relevant to the competitive environment and competitive business methods utilised are examined for a sample of 107 hospitals with different operational characteristics. The data collected was analysed utilising a structural equation modeling approach. The results of the analysis clearly show that the effective implementation of quality improvement initiatives is associated with operational benefits. These operational benefits, in turn, were found to be associated with strategic organisational benefits. The path to these benefits appears to be motivated by environmental changes.

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