Abstract
Background
Quality function deployment (QFD) is a method used to evaluate and plan the quality of products and services. It is based on the satisfaction of customers, translating their needs into measurable characteristics that meet their expectations. This study aimed to evaluate the quality of a public plastic surgery service using QFD.
Methods
Eighty-six patients undergoing reconstructive operations in the plastic surgery service of a university-affiliated public hospital in Brazil were enrolled. Quality issues required by patients (voice of customer) were correlated with service elements proposed by a multidisciplinary team (voice of organization).
Results
The requirements considered most important by patients (voice of customer) were “ease of hospital registration” followed by “nursing service.” The requirement considered least important by patients was “schedule for continuity.” The multidisciplinary team (voice of organization) considered “decreasing the number of complaints/month” the highest priority item of projected quality, followed by “increasing the number of satisfied patients.” “Number of patients referred” was considered the lowest priority item.
Conclusions
The QFD method was successfully applied to evaluate and set a projected quality plan for a public plastic surgery service in Brazil.
Level of Evidence: Level III, therapeutic study.
Similar content being viewed by others
References
Stravou D, Weissman O, Winkler E, Millet E, Nardini G, Tessone A, Zmora N, Mushin OP, Haik J (2011) Managing the relationship between quality and cost-effective burn care. Burns 37:367–376
Einspruch EM, Omachonu VK, Einspruch NG (1996) Quality function deployment (QFD): application to rehabilitation services. Int J Health Care Qual Assur 9:41–46
Alhoqail RA (2011) Self-audit in plastic surgery: toward total quality management of personal professional practice. J Craniofac Surg 22:409–414
Pusic AL, Lemaine V, Klassen AF, Scott AM, Cano SJ (2011) Patient-reported outcome measures in plastic surgery: use and interpretation in evidence-based medicine. Plast Reconstr Surg 127:1361–1367
Clapham PJ, Pushman AG, Chung KC (2010) A systematic review of applying patient satisfaction outcomes in plastic surgery. Plast Reconstr Surg 125:1826–1833
Al-Hoqail R, Al-Shlash S, Helmi A, Jad Alkareem J, Mirdad I, Abdulmannan Khan M, Abu Al Hamail A (2010) Total quality management in plastic surgery. J Craniofac Surg 21:10–19
Birkmeyer JD, Gust C, Dimick JB, Birkmeyer NJ, Skinner JS (2012) Hospital quality and the cost of inpatient surgery in the United States. Ann Surg 255:1–5
Griffin A (1992) Evaluating QFD’s use in US firms as a process for developing products. J Prod Innov Manag 9:171–187
Daniels VS, Sandler I (2008) Use of quality management methods in the transition from efficacious prevention programs to effective prevention services. Am J Community Psychol 41:250–261
Hallberg N, Timpka T, Eriksson H (1999) The medical software quality deployment method. Methods Inf Med 38:66–73
Donabedian A (1966) Evaluating the quality of medical care. Milbank Mem Fund Q 44:166–206
Chou S (2004) Evaluating the service quality of undergraduate nursing education in Taiwan using quality function deployment. Nurse Educ Today 24:310–318
Hauser JR, Clausing D (1998) The house of quality. Harv Bus Rev 76:63–73
Chaplin E, Bailey M, Crosby R, Gorman D, Holland X, Hippe C, Hoff T, Nawrocki D, Pichette S, Thota N (1999) Using quality function deployment to capture the voice of the customer and translate it into the voice of the provider. Jt Comm J Qual Improv 25:300–315
Lorenzo S, Mira J, Guerrero J, Moyano S (2004) Matrix analysis of the client’s voice: QFD applied to healthcare management. Gac Sanit 18:464–471
Matsuda LM, Évora YDM, Boan FS (2000) Quality function development method—QFD—on nursing service planning. Rev Lat Am Enfermagem 8:97–105
Kuo RJ, Wu YH, Hsu TS, Chen LK (2011) Improving outpatient services for elderly patients in Taiwan: a qualitative study. Arch Gerontol Geriatr 53:e209–e217
Volpato LF, Meneghim MC, Pereira AC, Ambrosano GMB (2010) Quality planning of family health units using quality function deployment (QFD). Cad Saude Publica 26:1561–1572
Rohrich RJ (2010) So you want to be better: the role of evidence-based medicine in plastic surgery. Plast Reconstr Surg 126:1395–1398
Chung KC, Clapham PJ, Lalonde DH (2011) Maintenance of certification, maintenance of public trust. Plast Reconstr Surg 127:967–973
Hall BL, Hamilton BH, Richards K, Bilimoria KY, Cohen ME, Ko CY (2009) Does surgical quality improve in the American College of Surgeons National Surgical Quality Improvement Program: an evaluation of all participating hospitals. Ann Surg 250:363–376
Habal MB (2011) Quality performance with evidence and the focus shift. J Craniofac Surg 22:1547–1548
Mahajan AY, Stacey DH, Rao V (2010) The National Practitioner Data Bank: issues in plastic surgery. Plast Reconstr Surg 126:2252–2257
Zarei A, Arab M, Froushani AR, Rashidian A, Ghazi Tabatabaei SM (2012) Service quality of private hospitals: the Iranian patients’ perspective. BMC Health Serv Res 12:31
Vecina Neto G, Malik AM (2007) Trends in hospital care. Ciênc Saúde Coletiva 12:825–839
Rocha LR, Veiga DF, Oliveira PR E, Song EH, Ferreira LM (2013) Health service quality scale: Brazilian Portuguese translation, reliability and validity. BMC Health Serv Res 13:24
Messina DJ, Scotti DJ, Ganey R, Zipp GP (2009) The relationship between patient satisfaction and inpatient admissions across teaching and nonteaching hospitals. J Healthc Manag 54:177–189
Kogure M, Akao Y (1983) Quality function deployment and CWQC. Qual Prog 16:25–29
Marsot J (2005) QFD: a methodological tool for integration of ergonomics at the design stage. Appl Ergon 36:185–192
Kuijt-Evers LFM, Morel KPN, Eikelenberg NLW (2009) Application of the QFD as a design approach to ensure comfort in using hand tools: can the design team complete the House of Quality appropriately? Appl Ergon 40:519–526
Prado A, Andrades P, Parada F (2009) Performance of public and private plastic surgery practice in times of recession: a possible way to ‘ride out the storm’. J Plast Reconstr Aesthet Surg 62:433–436
Kotsis SV, Chung KC (2010) Fundamental principles of conducting a surgery economic analysis study. Plast Reconstr Surg 125:727–735
Bittencourt RJ, Hortale VA (2007) Quality in the public health emergency services and some considerations about recent events at Rio de Janeiro City. Cienc Saúde Coletiva 12:929–934
D’Innocenzo M, Adami NP, Cunha ICKO (2006) The movement for quality in healthcare and nursing services. Rev Bras Enferm 59:84–88
Franco SC, Campos GWS (1998) Quality-of-care assessment in a university hospital pediatric clinic. Cad Saude Publica 14:61–70
Klück M, Guimarães JR, Ferreira J, Prompt CA (2002) Care quality management at Hospital de Clínicas in Porto Alegre: indicators implementation and validation. Rev Adm Saúde 4:27–32
Neves JA, Motta KM (2002) Key features of implementing health care management improvement strategies. Rev Adm Saúde 4:33–38
Vázquez ML, Silva MRF, Campos ES, Arruda IKG, Diniz AS, Veras IL, Pereira APC (2003) Social participation in health: concepts of users and community leaders in two municipalities of Northeastern Brazil. Cad Saúde Pública 19:579–591
Rao VT, Mahapatra B, Juneja S, Singh IR (2013) Evaluating the McDonald’s business model for HIV prevention among truckers to improve program coverage and service utilization in India, 2004–2010. HIV AIDS 5:51–60
Arasli H, Ekiz EH, Katircioglu ST (2008) Gearing service quality into public and private hospitals in small islands: empirical evidence from Cyprus. Int J Health Care Qual Assur 21:8–23
Hensen P, Schiller M, Metze D, Luger T (2008) Evaluating hospital service quality from a physician viewpoint. Int J Health Care Qual Assur 21:75–86
Lei P, Jolibert A (2012) A three-model comparison of the relationship between quality, satisfaction and loyalty: an empirical study of the Chinese healthcare system. BMC Health Serv Res 12:436
Dijkstra L, van der Bij H (2002) Quality function deployment in healthcare: methods for meeting customer requirements in redesign and renewal. Int J Qual Reliab Manag 19:67–89
Acknowledgments
We are grateful to Guilherme Campos for his kind assistance with the graphic design.
Conflict of interest
None
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Campos, J.L.G., Veiga, D.F., Rocha, L.R.M. et al. Quality function deployment in a public plastic surgery service in Brazil. Eur J Plast Surg 36, 511–518 (2013). https://doi.org/10.1007/s00238-013-0839-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00238-013-0839-y