The Roles of Hospital Directors in Hospital Quality Improvement

Main Article Content

Prasert Khungern Uthai Laohavichien

Abstract

The hospital director is the highest manager of the hospital and has influenced in quality development
of the hospital. This multiple case study, qualitative research aimed to investigate the problems of quality
improvement in Thai public regional and general hospitals and the role of hospital directors in hospital quality
improvement and six leader's roles support their importance for successful quality improvement of the
hospital. The unit of analysis were 4 regional and general hospitals of Permanent Secretary Department of
Ministry of Public Health of Thailand. Semi-structured, in-depth interviews of 60 key-informants, document
and archival collection and non-participant observation were use as data-collection techniques. Data analysis
using pattern matching, explanation building and cross-case synthesis. The finding of the study were, the
problems of hospital quality improvement included (1) no or low commitment of the hospital directors
in hospital quality improvement (2) the discontinuity and irregularity of hospital quality improvement
(3) the hospital medical staffs are opposed to hospital quality improvement (4) inappropriate structure of
hospital quality improvement (5) personnel conflict cause by hospital quality improvement. The hospital
directors had eight roles that importance for successful hospital quality improvement. They are (1) commitment
to quality improvement (2) leading quality improvement (3) communicating or cascading patient safety/
quality orientation throughout the organization (4) participating in quality improvement (5) supporting quality
improvement (6) problem solving in quality improvement (7) monitoring progress of quality improvement
(8) providing sustainable quality improvement. The leader's six roles derived from literature review support
their importance for successful quality improvement in healthcare organizations are also importance
for successful hospital quality improvement in Thai public regional and general hospital. In conclusion,
the hospital director plays an important role in hospital quality improvement and may be the problem generating
or problem solving.

Keywords

Article Details

Section
Research Article
Author Biographies

Prasert Khungern

Former Director of Buddhachinaraj Phitsanulok Hospital

Uthai Laohavichien

Former Dean of Faculty of Public Administration, NIDA