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Effects of Total Quality Management Practices on Financial and Operational Performance of Hospitals

Author

Listed:
  • Songul Zehir

    (Social Sciences Institute, Gebze Technical University, Kocaeli 41400, Turkey)

  • Cemal Zehir

    (Department of Business Administration, Yildiz Technical University, Istanbul 34220, Turkey
    Center for Islamic Finance, Azerbaijan State University of Economics (UNEC), Baku AZ 1001, Azerbaijan)

Abstract

The Total Quality Management (TQM) system is known to have a beneficial impact on sustainability. This study aimed to elucidate the achievement of hospital sustainability by analyzing the relationship between the implementation of TQM practices (leadership of management, decision making, continuous improvement, customer focus, employee involvement, process management, and relations with suppliers), and their impact on the financial and operational performance of hospitals. The gathered data underwent analysis using structural equation modeling (SEM) to empirically investigate the impact of TQM methods on the financial and operational performance of hospitals. A total of 1069 surveys were completed in 6 privately-owned and 26 publicly-owned hospitals located in the Marmara region of Turkey. This study contributes significantly by addressing gaps in the existing literature. There is a lack of empirical research that has examined the potential correlation between TQM, operational success, and financial performance in both public and private hospitals. Especially in developing nations like Turkey, the focus is on the early phases of implementing TQM principles, with a primary emphasis on continuous improvement and sustainable performance. The results demonstrate that Total Quality Management (TQM) exerts a substantial impact on the financial and operational performance of hospitals in the service industry.

Suggested Citation

  • Songul Zehir & Cemal Zehir, 2023. "Effects of Total Quality Management Practices on Financial and Operational Performance of Hospitals," Sustainability, MDPI, vol. 15(21), pages 1-24, October.
    • Handle: RePEc:gam:jsusta:v:15:y:2023:i:21:p:15430-:d:1270440
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    References listed on IDEAS

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    Cited by:

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    2. Rizha Mae D. Alsaga & May Angeline D. Bactol & Jeffrey G. Estillore & Millisa E. Saramosing-Equit, 2026. "Influence of Total Quality Management (TQM) On Operational and Quality Performance in Selected Hospitality Industry in Valencia City, Bukidnon," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 10(5), pages 13006-13044, May.
    3. Dagnu Haile Tessema & Figen Yesilada & Iman Aghaei, 2025. "Enhancing Corporate Sustainability through Total Quality Management: Evidence From Ethiopian Private hospitals," SAGE Open, , vol. 15(2), pages 21582440251, April.
    4. Sophia Anastasiou & Konstantinos Ntokas, 2024. "Leadership and Quality Enhancement in Secondary Education: A Comparative Analysis of TQM and EFQM," Merits, MDPI, vol. 4(4), pages 1-13, December.
    5. Patriciah Wanjeri Murage & Daniel Auka & George Owuor & Henry Kombo, 2025. "Market Development Strategy and the Performance of Chartered Universities in Kenya," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 9(7), pages 3006-3021, July.

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