Total quality management, supplier quality and operational efficiency in the public health sector in the Upper East Region of Ghana
DOI:
https://doi.org/10.47963/jobed.v12i.1498Abstract
The purpose of this study was to examine the role that Total Quality Management (TQM) plays in ensuring operational efficiency via supplier quality in public health sector in the Upper East Region. Specifically, the study examined the effect of TQM on supplier quality; effect of TQM on operational efficiency; effect of supplier quality on operational efficiency and finally assessed the mediating role that supplier quality plays in the relationship between TQM and operational efficiency within these health sectors in the Upper East region. Structured questionnaire was utilized to solicit primary data from the study’s respondents. The selection of 174 sampled respondents from the total population of 352 public health facilities were done using a simple random sampling procedure. Also, version 24 of the IBM SPSS software and the SmartPLS model was utilised to process the data. The demographic characteristics of the respondents were analysed with the help of descriptive tools such as means and standard deviation, while inferential statistical tools was employed in testing the cause-and-effect hypothesised relationships between the variables. The findings revealed that total quality management had a positive significant effect on supplier quality. Likewise, the objective two showed that total quality management had a positive statistically significant effect on operational efficiency. The third objective showed that supplier quality had a positive statistically significant effect on operational efficiency, and the fourth research objectives revealed a positive statistically significant mediating effect of supplier quality in the relationship between total quality management and operational efficiency. The study recommended that, management of health facilities within the Upper East region should emphasize on putting measures in place to ensure the improvement of their TQM practices to help set standard that will ensure that suppliers goods and services conform to quality standards
Downloads
References
Acquah, I. S. K., Quaicoe, J., & Arhin, M. (2023). How to invest in total quality management practices for enhanced operational performance: findings from PLS-SEM and fsQCA. The TQM Journal, 35(7), 1830-1859.
Aigbavboa, C. O., Thwala, W. D., & Alexander, K. (2018). Total quality management practices and operational performance in the South African construction industry. Journal of Construction Business and Management, 2(2), 36-46.
Al-Qatawneh, L., Al-Habashneh, R., & Al-Qatawneh, H. (2019). The impact of total quality management practices on operational efficiency in Jordanian public hospitals. Journal of Health Management, 21(4), 503-518.
Anafo, S., & Appiah-Nimo, C. (2018). Total Quality Management and Service Quality Delivery at Ghana Airports Company Limited. Asian Journal of Economics, Business and Accounting, 8(3), 1-14.
Asad, M., Chethiyar, S. D. M., & Ali, A. (2020). Total quality management, entrepreneurial orientation, and market orientation: Moderating effect of environment on performance of SMEs. Paradigms, 14(1), 102-108.
Baraei, E. K., & Mirzaei, M. (2019). Identification of factors affecting on organizational agility and its impact on productivity. Journal of Management and Accounting Studies, 7(02), 13-19.
Basheer, M. F., Hafeez, M. H., Hassan, S. G., & Haroon, U. (2018). Exploring the role of TQM and supply chain practices for firm supply performance in the presence of organizational learning capabilities: a case of textile firms in Pakistan. Paradigms, 12(2), 172-178.
Charantimath, P. M. (2017). Total quality management. Pearson Education India.
Dijkstra, T. K., & Henseler, J. (2015). Consistent partial least squares path modeling. MIS Quarterly, 39(2), 297-316.
Farooq, F., Yusop, Z., & Chaudhry, I. S. (2019). How do trade openness and public expenditures affect health status in OIC member countries? An empirical analysis. Pakistan Journal of Commerce and Social Sciences (PJCSS), 13(4), 1041-1056.
Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39-50.
Ghana Health Service (2023). Upper East Region. Retrieved from https://ghs.gov.gh/upper-east/
Ghana Health Service. (2016). Upper East Region Health Sector Report.
Ghana Health Service. (2018). National Medical Equipment Policy. Retrieved from https://www.ghanahealthservice.org/downloads/National_Medical_Equipment_Policy_2018.pdf
Hair Jr, J. F., Sarstedt, M., Hopkins, L., & Kuppelwieser, V. G. (2014). Partial least squares structural equation modeling (PLS-SEM): An emerging tool in business research. European Business Review, 26(2), 106-121.
Hair Jr, J. F., Sarstedt, M., Ringle, C. M., & Gudergan, S. P. (2017). Advanced issues in partial least squares structural equation modeling. New York, USA: SAGE publications.
Hair, J. F., Astrachan, C. B., Moisescu, O. I., Radomir, L., Sarstedt, M., Vaithilingam, S., & Ringle, C. M. (2021). Executing and interpreting applications of PLS-SEM: Updates for family business researchers. Journal of Family Business Strategy, 12(3), 100392.
Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. (2010). Multivariate data analysis (7th ed.). Harlow, England: Pearson Education Limited.
Hair, J. F., Hult, G. T. M., Ringle, C. M., Sarstedt, M., & Thiele, K. O. (2017). Mirror, mirror on the wall: A comparative evaluation of composite-based structural equation modeling methods. Journal of the Academy of Marketing Science, 45(5), 616-632.
Hair, J. F., Ringle, C. M., & Sarstedt, M. (2011). PLS-SEM: Indeed, a silver bullet. Journal of Marketing Theory and Practice, 19(2), 139-152.
Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2-24.
Hair, J. F., Sarstedt, M., Pieper, T. M., & Ringle, C. M. (2012). The use of partial least squares structural equation modeling in strategic management research: A review of past practices and recommendations for future applications. Long Range Planning, 45(5-6), 320-340.
Hassan, A. S., & Jaaron, A. A. (2021). Total quality management for enhancing organizational performance: The mediating role of green manufacturing practices. Journal of Cleaner Production, 308, 127366.
Henseler, J. (2017). Partial least squares path modelling: Advanced methods for modeling markets. NY, USA: Springer.
Henseler, J., Dijkstra, T. K., Sarstedt, M., Ringle, C. M., Diamantopoulos, A., Straub, D. W., ... & Calantone, R. J. (2014). Common beliefs and reality about PLS: Comments on Rönkkö and Evermann (2013). Organizational Research Methods, 17(2), 182-209.
Henseler, J., Ringle, C. M., & Sarstedt, M. (2015). A new criterion for assessing discriminant validity in variance-based structural equation modeling. Journal of the Academy of Marketing Science, 43(1), 115-135.
Henseler, J., Ringle, C. M., & Sinkovics, R. R. (2009). The use of partial least squares path modeling in international marketing. In New challenges to international marketing. New York, USA: Emerald Group Publishing Limited.
Henseler, J., Ringle, C.M. & Sinkovics, R.R. (2009). The use of partial least squares path modeling in international marketing. In Sinkovics, R.R. & Ghauri, P.N. (Eds.), New Challenges to International Marketing (Advances in International Marketing, Vol. 20 pp. 277-319), Emerald Group Publishing Limited. https://doi.org/10.1108/S1474-7979(2009)0000020014
Institute of Medicine. (2013). Best care at lower cost: the path to continuously learning health care in America. New York, USA: National Academies Press.
Jha, A. K., Orav, E. J., & Epstein, A. M. (2009). The effect of financial incentives on hospitals that serve poor patients. Annals of Internal Medicine, 150(2), 86-93.
Jöreskog, K. G. (1971). Statistical analysis of sets of congeneric tests. Psychometrika, 36(2), 109-133.
Karim, R. A., & Rabiul, M. K. (2022). The Relationships of Corporate Sustainability, Customer Loyalty, and Word of Mouth: The Mediating Role of Corporate Image and Customer Satisfaction. Journal of Quality Assurance in Hospitality & Tourism, 1-21.
Kebede Adem, M., & Virdi, S. S. (2021). The effect of TQM practices on operational performance: an empirical analysis of ISO 9001: 2008 certified manufacturing organizations in Ethiopia. The TQM Journal, 33(2), 407-440.
Lamine, K., & Lakhal, L. (2018). Impact of TQM/Six Sigma practices on company’s performance: Tunisian context. International Journal of Quality & Reliability Management, 35(9), 1881-1906.
Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., ... & Yang, B. X. (2020). The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. The Lancet Global Health, 8(6), e790-e798.
Lo, V. H. Y., Sculli, D., & Yeung, A. H. W. (2006). Supplier quality management in the Pearl River Delta. International Journal of Quality & Reliability Management, 23(5), 513-530.
Njuguna, H. N., Yusuf, N., Raza, A. A., Ahmed, B., & Tohme, R. A. (2020). Progress toward maternal and neonatal tetanus elimination—worldwide, 2000–2018. Morbidity and Mortality Weekly Report, 69(17), 515.
Nunnally, J. C. (1994). Psychometric theory (3rd ed.). Uttar Pradesh, India: Tata McGraw-Hill Education
Orji, I. J., & Ojadi, F. (2021). Investigating the COVID-19 pandemic’s impact on sustainable supplier selection in the Nigerian manufacturing sector. Computers & Industrial Engineering, 160, 107588.
Pallant, J. (2020). SPSS survival manual: A step-by-step guide to data analysis using IBM SPSS. London, UK: Routledge
Parmar, P. S., & Desai, T. N. (2020). Evaluating Sustainable Lean Six Sigma enablers using fuzzy DEMATEL: A case of an Indian manufacturing organization. Journal of Cleaner Production, 265, 121802.
Peng, D. X., & Lai, F. (2012). Using partial least squares in operations management research: A practical guideline and summary of past research. Journal of Operations Management, 30(6), 467-480.
Permana, A., Purba, H. H., & Rizkiyah, N. D. (2021). A systematic literature review of Total Quality Management (TQM) implementation in the organization. International Journal of Production Management and Engineering, 9(1), 25-36.
Prajogo, D. I., & Sohal, A. S. (2001). TQM and innovation: a literature review and research framework. Technovation, 21(9), 539-558.
Sadeghi Moghadam, M. R., Safari, H., & Yousefi, N. (2021). Clustering quality management models and methods: systematic literature review and text-mining analysis approach. Total Quality Management & Business Excellence, 32(3-4), 241-264.
Samson, D., & Terziovski, M. (1999). The relationship between total quality management practices and operational performance. Journal of Operations Management, 17(1), 393–409.
Saragih, J., Tarigan, A., Pratama, I., Wardati, J., & Silalahi, E. F. (2020). The impact of total quality management, supply chain management practices and operations capability on firm performance. Polish Journal of Management Studies, 21(2), 384-397.
Sivakumar, P. T., Mukku, S. S. R., Antony, S., Harbishettar, V., Kumar, C. N., & Math, S. B. (2019). Implications of Mental Healthcare Act 2017 for geriatric mental health care delivery: A critical appraisal. Indian Journal of Psychiatry, 61(Suppl 4), S763.
Sohal, A. S., & Fitzpatrick, P. (2002). IT governance and management in large Australian organisations. International Journal of Production Economics, 75(1-2), 97-112.
Southwell, B. G., Wood, J. L., & Navar, A. M. (2020). Roles for health care professionals in addressing patient-held misinformation beyond fact correction. American Journal of Public Health, 110(S3), S288-S289.
Tawiah, V., Adongo, P. B., & Ali, S. (2014). The challenges of ensuring quality healthcare in Ghana. International Journal of Health Policy and Management, 3(5), 243-249.
Voorhees, C. M., Brady, M. K., Calantone, R., & Ramirez, E. (2016). Discriminant validity testing in marketing: an analysis, causes for concern, and proposed remedies. Journal of the Academy of Marketing Science, 44(1), 119-134.
Wetzels, M., Odekerken-Schröder, G., & Van Oppen, C. (2009). Using PLS path modeling for assessing hierarchical construct models: Guidelines and empirical illustration. MIS Quarterly, 33(1), 177- 195.
World Health Organization. (2013). Health in all policies: Framework for country action. Retrieved from https://www.who.int/healthpromotion/frameworkforcountryaction/en/
World Health Organization. (2017). Global strategy on human resources for health: Workforce 2030. . Retrieved from https://www.who.int/hrh/resources/global-strategy-workforce2030/en/
World Health Organization. (2020). Global action plan for healthy lives and well-being for all. Retrieved from https://www.who.int/initiatives/global-action-plan-for-healthy-lives-and-well-being-for-all
Zaidi, Z. M., & Ahmad, N. (2020). Total quality management (TQM) practices and operational performance in manufacturing company. Research in Management of Technology and Business, 1(1), 13-27.
Zeng, S. X., Tam, C. M., & Tam, V. W. (2007). Towards implementation of total quality management in the construction industry. Total Quality Management & Business Excellence, 18(5), 529-542.
Downloads
Published
Versions
- 2024-10-17 (2)
- 2024-10-01 (1)
How to Cite
Issue
Section
License
Copyright (c) 2024 Ramatu Issifu, Tiire Juliet Kano
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.