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Association Between Total Quality Management and Financial Performance: Evidence From University Teaching Hospitals.

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Title: Association Between Total Quality Management and Financial Performance: Evidence From University Teaching Hospitals.
Authors: A'aqoulah, Ashraf1,2 (AUTHOR) aqoulaha@ksau-hs.edu.sa, Albalas, Samir3 (AUTHOR), Al-Amayrh, Hadeel4 (AUTHOR), Innab, Nisreen5 (AUTHOR), Da'ar, Omar B.1,2 (AUTHOR), Bhuyan, Soumitra S.6 (AUTHOR), Abusaris, Raghib1,2 (AUTHOR)
Source: Inquiry (00469580). 9/1/2025, Vol. 62, p1-9. 9p.
Subject Terms: *Corporate culture, *Academic medical centers, *Group decision making, *Communication, Cross-sectional method, Teams in the workplace, Supervision of employees, Health facility administration, Questionnaires, Multiple regression analysis, Descriptive statistics, Health services administrators, Patient-centered care, Odds ratio, Financial statements, Quality assurance, Commitment (Psychology), Data analysis software, Organizational goals, Management
Geographic Terms: Jordan
Abstract: Total Quality Management (TQM) is a comprehensive approach that helps organizations succeed in maintaining high standards of operations and improving financial performance. The study examines the association between TQM and hospital financial performance. A cross-sectional survey using a previously validated questionnaire was conducted among hospital leaders, including directors, managers, heads of departments, and supervisors in Jordan. The sample was 172 leaders. Descriptive statistics were used to summarize variables of interest and multivariable logistic regression was employed to understand the association between TQM and financial performance in university teaching hospitals. The study found that implementation of TQM and financial performance among university teaching hospitals are moderate based on hospital leaders' perspectives. Moreover, the high implementation of TQM in university teaching hospitals is more likely to be associated with hospital financial performance's effectiveness than low implementation. However, the interaction of higher management positions and teamwork appears to have a positive association. Moderate and high teamwork increases the association of higher management positions, such as supervisory role with effective financial performance (aOR = 50.3, P =.004 and aOR = 94, P =.031, respectively). High effective communication of hospitals' goals and missions to patients and connection with patients through a variety of platforms was associated with a higher odds ratio of effective hospital financial performance (OR = 20.3, P =.023). The study focused on university teaching hospitals; a setting underrepresented in empirical TQM literature. Moreover, it measured the association between TQM and financial performance, a narrower and more tangible outcome than overall quality or satisfaction. There is an association between TQM and the financial performance of university teaching hospitals. The study draws the attention of university teaching hospital managers to the importance of implementing TQM to enhance the financial performance and its outcomes. [ABSTRACT FROM AUTHOR]
Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Association Between Total Quality Management and Financial Performance: Evidence From University Teaching Hospitals.
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  Data: <searchLink fieldCode="AR" term="%22A'aqoulah%2C+Ashraf%22">A'aqoulah, Ashraf</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> aqoulaha@ksau-hs.edu.sa</i><br /><searchLink fieldCode="AR" term="%22Albalas%2C+Samir%22">Albalas, Samir</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Al-Amayrh%2C+Hadeel%22">Al-Amayrh, Hadeel</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Innab%2C+Nisreen%22">Innab, Nisreen</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Da'ar%2C+Omar+B%2E%22">Da'ar, Omar B.</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bhuyan%2C+Soumitra+S%2E%22">Bhuyan, Soumitra S.</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Abusaris%2C+Raghib%22">Abusaris, Raghib</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Inquiry+%2800469580%29%22">Inquiry (00469580)</searchLink>. 9/1/2025, Vol. 62, p1-9. 9p.
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  Data: *<searchLink fieldCode="DE" term="%22Corporate+culture%22">Corporate culture</searchLink><br />*<searchLink fieldCode="DE" term="%22Academic+medical+centers%22">Academic medical centers</searchLink><br />*<searchLink fieldCode="DE" term="%22Group+decision+making%22">Group decision making</searchLink><br />*<searchLink fieldCode="DE" term="%22Communication%22">Communication</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Teams+in+the+workplace%22">Teams in the workplace</searchLink><br /><searchLink fieldCode="DE" term="%22Supervision+of+employees%22">Supervision of employees</searchLink><br /><searchLink fieldCode="DE" term="%22Health+facility+administration%22">Health facility administration</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+administrators%22">Health services administrators</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-centered+care%22">Patient-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Financial+statements%22">Financial statements</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+assurance%22">Quality assurance</searchLink><br /><searchLink fieldCode="DE" term="%22Commitment+%28Psychology%29%22">Commitment (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Organizational+goals%22">Organizational goals</searchLink><br /><searchLink fieldCode="DE" term="%22Management%22">Management</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Jordan%22">Jordan</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Total Quality Management (TQM) is a comprehensive approach that helps organizations succeed in maintaining high standards of operations and improving financial performance. The study examines the association between TQM and hospital financial performance. A cross-sectional survey using a previously validated questionnaire was conducted among hospital leaders, including directors, managers, heads of departments, and supervisors in Jordan. The sample was 172 leaders. Descriptive statistics were used to summarize variables of interest and multivariable logistic regression was employed to understand the association between TQM and financial performance in university teaching hospitals. The study found that implementation of TQM and financial performance among university teaching hospitals are moderate based on hospital leaders' perspectives. Moreover, the high implementation of TQM in university teaching hospitals is more likely to be associated with hospital financial performance's effectiveness than low implementation. However, the interaction of higher management positions and teamwork appears to have a positive association. Moderate and high teamwork increases the association of higher management positions, such as supervisory role with effective financial performance (aOR = 50.3, P =.004 and aOR = 94, P =.031, respectively). High effective communication of hospitals' goals and missions to patients and connection with patients through a variety of platforms was associated with a higher odds ratio of effective hospital financial performance (OR = 20.3, P =.023). The study focused on university teaching hospitals; a setting underrepresented in empirical TQM literature. Moreover, it measured the association between TQM and financial performance, a narrower and more tangible outcome than overall quality or satisfaction. There is an association between TQM and the financial performance of university teaching hospitals. The study draws the attention of university teaching hospital managers to the importance of implementing TQM to enhance the financial performance and its outcomes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1177/00469580251359504
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      – Code: eng
        Text: English
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      – SubjectFull: Corporate culture
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      – SubjectFull: Academic medical centers
        Type: general
      – SubjectFull: Group decision making
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      – SubjectFull: Communication
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      – SubjectFull: Cross-sectional method
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      – SubjectFull: Teams in the workplace
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      – SubjectFull: Supervision of employees
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      – SubjectFull: Health facility administration
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      – SubjectFull: Questionnaires
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      – SubjectFull: Multiple regression analysis
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Health services administrators
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      – SubjectFull: Patient-centered care
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      – SubjectFull: Odds ratio
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      – SubjectFull: Financial statements
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      – SubjectFull: Quality assurance
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      – SubjectFull: Commitment (Psychology)
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              Text: 9/1/2025
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