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Effects of healthcare quality management activities and sociotechnical systems on internal customer experience and organizational performance

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Abstract

This study examines the effects of quality management (QM) activities and sociotechnical systems (STS) on internal customer (employee) experience and organizational performance in healthcare organizations. The proposed research model and developed hypotheses were tested using structural equations modeling based on the data collected from 239 employees who had more than three years of work experiences at general hospitals in South Korea. The results of the study indicated that QM activities have positive effects on STS components, which in turn help improve internal customer experience and organizational performance. The study results provide insights to healthcare organizations for sustainable hospital management strategies.

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References

  • Ahire S, Golhar D, Waller M (1996) Development and validation of TQM implementation constructs. Decis Sci 27(1):23–56

    Article  Google Scholar 

  • Amabile T (1998) How to kill creativity. Harv Bus Rev 76(5):76–87

    Google Scholar 

  • Anderson S, Smith J (2016) An empirical examination of the impact of tri-dyadic fit on the service experience. J Serv Manag 27(3):299–319

    Article  Google Scholar 

  • Barclay D, Higgins C, Thompson R (1995) The partial least squares (PLS) approach to causal modeling: personal computer adoption and use as an illustration. Technol Stud 2:285–309

    Google Scholar 

  • Baxter G, Sommerville I (2010) Socio-technical systems: from design methods to systems engineering. Interact Comput 23(1):4–17

    Article  Google Scholar 

  • Beltrán-Martín I, Roca-Puig V, Escrig-Tena A, Bou-Llusar J (2008) Human resource flexibility as a mediating variable between high performance work systems and performance. J Manag 34(5):1009–1044

    Google Scholar 

  • Bitner M, Booms B, Mohr L (1994) Critical service encounters: the employee’s viewpoint. J Mark 58(4):95–105

    Article  Google Scholar 

  • Blomqvist A, Leger P (2005) Information asymmetry, insurance, and the decision to hospitalize. J Health Econ 24(4):775–793

    Article  Google Scholar 

  • Brown T (2006) Confirmatory factor analysis for applied research. The Guilford Press, New York

    Google Scholar 

  • Cahill D, Warshawsky R (1995) Beyond competence: unconditional guarantees as a customer-service tool. J Custom Serv Market Manag 1(3):67–77

    Google Scholar 

  • Chaudary S, Zafar S, Salman M (2015) Does total quality management still shine? Re-examining the total quality management effect on financial performance. Total Qual Manag Bus Excell 26(7–8):811–824

    Article  Google Scholar 

  • Cleveland Clinic (2015) Serving our present, caring for our future progress in community and global citizenship. Cleveland Clinic, Cleveland, OH

    Google Scholar 

  • Cleveland Clinic Newsroom (2020) Cleveland Clinic named No. 2 hospital in the world by Newsweek (March 6, 2020). https://newsroom.clevelandclinic.org/2020/03/06/cleveland-clinic-named-no-2-hospital-in-the-world-by-newsweek/. Accessed 7 Apr 2020

  • Denton G, White B (2000) Implementing a balanced-scorecard approach to managing hotel operations. Cornell Hotel Restaurant Admin Q 41(1):94–107

    Article  Google Scholar 

  • Douglas T, Fredendall L (2004) Evaluating the Deming management model of total quality in services. SATIS 35(3):393–422

    Google Scholar 

  • Emery F, Trist E (1960) Socio-technical systems. In: Churchman C, Verhulst M (eds) Management science: models and techniques 2, pp 83–97

  • Ferris G, Arthur M, Berkson H, Kaplan D, Harrell-Cook G, Frink D (1998) Toward a social context theory of the human: resource management-firm performance relationship. Hum Resour Manag Rev 8(3):235–264

    Google Scholar 

  • Fornell C, Larcker D (1981) Evaluating structural equation models with unobservable variables and measurement error. J Mark Res 18:39–50

    Article  Google Scholar 

  • Garvin D (1988) Managing quality: the strategic and competitive edge. Free Press, New York

    Google Scholar 

  • Geels F (2004) From sectoral systems of innovation to socio-technical systems∶ insights about dynamics and change from sociology and institutional theory. Res Policy 33(6–7):897–920

    Article  Google Scholar 

  • Goldstein S, Schweikhart S (2002) Empirical support for the Baldrige award framework in US hospitals. Health Care Manag Rev 27(1):62–75

    Article  Google Scholar 

  • Grönroos C (1990) Service management and marketing: managing the moment of truth in service competition. Lexington Books, Lexington

    Google Scholar 

  • Haeckel S, Carbone L, Berry L (2003) How to lead the customer experience to create a total brand experience, firms must provide the right directions. Market Manag 12(1):18–23

    Google Scholar 

  • Harter J, Mann A (2017) The right culture: not just about employee satisfaction. Workplace, GALLUP

  • Heskett J, Sasser W, Schlesinger L (1997) The service profit chain: how leading companies link profit and growth to loyalty, satisfaction, and value. The Free Press, New York

    Google Scholar 

  • Hudadoff P (2009) The customer value proposition: differentiation through the eyes of your customer. Applied Product Marketing LLC

  • Kinman G (2009) Emotional labour and strain in ‘front-line’ service employees: does mode of delivery matter? J Manag Psychol 24(2):118–135

    Article  Google Scholar 

  • Kristianto Y, Ajmal M, Sandhu M (2012) Adopting TQM approach to achieve customer satisfaction: a flour milling company case study. TQM J 24(1):29–46

    Article  Google Scholar 

  • Kull T, Ellis S, Narasimhan R (2013) Reducing behavioral constraints to supplier integration: a socio-technical systems perspective. J Supply Chain Manag 49(1):64–86

    Article  Google Scholar 

  • Lam M, O’Donnell M, Robertson D (2015) Achieving employee commitment for continuous improvement initiatives. Int J Oper Prod Manag 35(2):201–215

    Article  Google Scholar 

  • Lee D (2018) Strategies for technology-driven service encounters for patient experience satisfaction in hospitals. Technol Forecast Soc Chang 137(12):118–127

    Article  Google Scholar 

  • Lee D (2020) Impact of organizational culture and capabilities on employee commitment to ethical behavior in the healthcare sector. Serv Bus 14(1):47–72

    Article  Google Scholar 

  • Lee S, Lim S (2018) Living innovation: from value creation to the greater good. Emerald Publishing Limited, Bingley

    Book  Google Scholar 

  • Lee S, Lee D, Kang C (2012) The impact of high-performance work systems in the health care industry: employee reactions, service quality, customer satisfaction, and customer loyalty. Serv Ind J 32(1):17–36

    Article  Google Scholar 

  • Lee S, Lee D, Olson D (2013) Health care quality management using MBHCP excellence model. Total Qual Manag Bus Excell 24(2):119–137

    Article  Google Scholar 

  • Lee D, Hong K, Kim N (2016) Effects of hospital leadership, organizational systems, and ESWOS on medical error reduction. Serv Bus 10(1):159–177

    Article  Google Scholar 

  • Lee D, Yu S, Yoon S (2019) Analysis of hospital management based on the characteristics of hospitals: focusing on financial indicators. Glob Business Finance Rev 24(3):1–13

    Article  Google Scholar 

  • Lopez-Valeiras E, Gomez-Conde J, Lunkes R (2018) Employee reactions to the use of management control systems in hospitals: motivation vs. threat. Gac Sanit 32(2):129–134

    Article  Google Scholar 

  • McColl-Kennedy J, Vargo S, Dagger T, Sweeney J, van Kasteren Y (2012) Health care customer value cocreation practice styles. J Serv Res 15(4):370–389

    Article  Google Scholar 

  • McFadden K, Henagan S, Gowen C III (2009) The patient safety chain: transformational leadership’s effect on patient safety culture, initiatives, and outcomes. J Oper Manag 27(5):390–404

    Article  Google Scholar 

  • Merlino J, Raman A (2013) Health care’s service fanatics: how the Cleveland clinic leaped to the top of the patient-satisfaction surveys. Harv Bus Rev 91(5):108–116

    Google Scholar 

  • Myers J (2012) Going above and beyond: improving internal customer satisfaction. Infect Control Today 2012:1–5

    Google Scholar 

  • Nunnally J (1978) Psychometric theory, 2nd edn. McGraw Hill, New York

    Google Scholar 

  • Oakland J (2011) Leadership and policy deployment: the backbone of TQM. Total Qual Manag Bus Excell 22(5):517–534

    Article  Google Scholar 

  • Osman M, Rosnah M, Ismail N, Tapsir R, Sarimin M (2004) Internal customer satisfaction in ISO 9001 certified manufacturing companies. Int J Eng Technol 1(2):179–187

    Google Scholar 

  • Pasmore W, Sherwood J (1978) Sociotechnical systems: a sourcebook. University Associates, La Jolla

    Google Scholar 

  • Pine B, Gilmore J (1998) Welcome to the experience economy. Harv Bus Rev 76(6):97–105

    Google Scholar 

  • Psomas E, Jaca C (2016) The impact of total quality management on service company performance: evidence from Spain. Int J Qual Reliab Manag 33(3):380–398

    Article  Google Scholar 

  • Sampson D, Terziovski M (1999) The relationship between total quality management practices and operational performance. J Oper Manag 17:393–409

    Article  Google Scholar 

  • Schneider B, Macey W, Lee W, Young S (2009) Organizational service climate drivers of the American customer satisfaction index (ACSI) and financial and market performance. J Serv Res 12(1):3–14

    Article  Google Scholar 

  • Shostack L (1977) Breaking free from product marketing. J Mark 41(2):73–80

    Article  Google Scholar 

  • Shostack L (1984) Designing services that deliver. Harv Bus Rev 62(1):133–139

    Google Scholar 

  • Slater S, Narver J (1994) Does competitive environment moderate the market orientation performance relationship? J Mark 58:46–55

    Article  Google Scholar 

  • Smith J, Karwan K, Markland R (2009) An empirical examination of the structural dimensions of the service recovery system. Decis Sci 40(1):165–186

    Article  Google Scholar 

  • Smith J, Fox G, Ramirez E (2010) An integrated perspective of service recovery: a socio-technical systems approach. J Serv Res 14(4):439–452

    Article  Google Scholar 

  • Smith J, Anderson S, Fox G (2017) A quality system’s impact on the service experience. Int J Oper Prod Manag 37(12):1817–1839

    Article  Google Scholar 

  • Survey Research Center (2011) Guidelines for best practice in cross-cultural surveys (4th). Survey Research Center, Institute for Social Research. University of Michigan, MI

  • Tekin P, Erol R (2017) The internal and external customer focused process improvement and the performance analysis studies in healthcare systems. J Ind Eng Manag 10(3):407–430

    Google Scholar 

  • Verhoef P, Lemon K, Parasuraman A, Roggeveen A, Tsiros M, Schlesinger L (2009) Customer experience creation: determinants, dynamics and management strategies. J Retail 85(1):31–41

    Article  Google Scholar 

  • Vincoli J (1991) Total quality management and the safety and health professional. Prof Saf 36(6):27–32

    Google Scholar 

  • Walker O, Ruekert R (1987) Marketing’s role in the implementation of business strategies: a critical review and conceptual framework. J Mark 47:12–25

    Google Scholar 

  • Wolf J (2018) Elevating the discourse on experience in healthcare’s uncertain times. Patient Exp J 5(3):1–5

    Article  Google Scholar 

  • Yoon S, Lee D (2019) Artificial intelligence and robots in healthcare: what are the success factors for technology-based service encounters? Int J Healthcare Manag 12(3):218–225

    Article  Google Scholar 

  • Zeithaml V, Bitner M, Gremler D (2013) Services marketing, integrating customer focus across the firm (6th). McGraw-Hill Irwin, New York

    Google Scholar 

  • Zhang D, Linderman K, Schroeder R (2014) Customizing quality management practices: a conceptual and measurement framework. Decis Sci 45(1):81–114

    Article  Google Scholar 

  • Zomerdijk L, Voss C (2010) Service design for experience-centric services. J Serv Res 13(1):67–82

    Article  Google Scholar 

Download references

Acknowledgements

This work was supported by INHA UNIVERSITY Research Grant (INHA-65327).

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Correspondence to DonHee Lee.

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Lee, S.M., Lee, D. Effects of healthcare quality management activities and sociotechnical systems on internal customer experience and organizational performance. Serv Bus 16, 1–28 (2022). https://doi.org/10.1007/s11628-022-00478-9

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