THE EFFECTS OF ISO 9001:2008 AMONG PRIVATE HOSPITALS IN KENYA
Keywords:
ISO 9001, 2008 certification, corporate imageAbstract
Purpose: The purpose of this study was to assess the effects of ISO 9001 certification among Private Hospitals in Kenya. Empirical results on the impact of ISO certification on organization’s performance have been mixed hence the need to re-examine this relationship.
Methodology: The study used a mixed research design since both descriptive and explanatory research designs were used to describe the state of affairs of the study variables as well as test the cause and effect relationships between variables. The target population of this study was the over 100,000 customers and employees of ISO 9001 certified private hospitals in Kenya. The sampling units for the study were drawn from the 51 hospitals listed on the sampling frame and which are also ISO 9001 certified. The sample of this study was 400 respondents broken down into 200 employees and 200 customers since the recommended minimum sample derived from a large population should be 384 (Krejcie and Morgan, 1970). Convenience sampling was done. The specific convenience sampling technique was snowballing. A close ended questionnaire based on a likert scale was used to collect data. Data was analysed by use of descriptive and inferential statistics. Specifically, frequencies, count and regression analysis results were generated using SPSS version 17.
Results: Results indicated that customer service care was highly valued and emphasized at the private hospitals. The study concluded that customer service delivery had a positive and significant relationship with ISO 9001 certification. Results revealed that private hospitals had a good corporate image and that corporate image had a positive and significant relationship with ISO 9001 certification. Study results suggested that customer satisfaction was highly valued and emphasized at the private hospitals. However, results also indicated that there was a negative but insiginificant relationship between customer satisfaction and ISO 9001 certification. Ffindings reveal that internal processes and procedures had a positive and significant relationship with ISO 9001 certification
Conclusions: The implications of the study are that are that hospitals should strive to get ISO certified as this has bearing on the state of departmental processes and procedures, customer service, customer satisfaction and corporate image.Downloads
References
Aarts, F. & Vos, E. (2001). The impact of ISO registration in New Zealand firms’ Performance: a financial perspective. The TQM Magazine, 13 (3), pp 180-191.
Acharya U. H. & Sanjit, R. (2000): ISO 9000 certification in Indian industries: A survey, Total Quality Management, 11(3), pp. 261-266
Alic, M., Rusjan, B. (2010). Contribution of the ISO 9001 internal audit to business performance. International Journal of Quality & Reliability Management, Vol. 27 (8), pp.916 – 937
Anoye, B.A. (2009). The effects of ISO 9000 quality management systems in healthcare. A mixed methods study. An unpublished PhD Dissertation. Purdue University,
Arauz, R. and Suzuki, H. (2004). ISO 9000 performance in Japanese industries. Total Quality Management, Vol. 15 (1), pp. 3-33.
Arumugam, V., Ooi, K.B. and Fong, T.C. (2008). TQM Practices and quality management performance: An investigation of their relationship using data from ISO9001:2000 firms in Malaysia. The TQM Journal, Vol. 20, (6), pp. 636-650, [Online].Available from:
http://www.emeraldinsight.com.ezproxy.liv.ac.uk/journals.htm?issn=1754-2731&volume=20&issue=6&articleid=1747978&show=html&PHPSESSID=ke41md7g3n86ls615kamkfq6i2 Accessed: 11th December 2012
Brown, A. & Van Der Wiele, A. (1995). Industry experience with ISO 9000, Asia Pacific Journal of Quality Management, 4, pp. 8-17
Brown, A. and Van der Wiele, T. (1996). ‘A typology of approaches to ISO certification and TQM.’ Australian Journal of Management, (21), pp. 51–73.
Burns, N. and Grove, S. (2001). The practice of nursing research: conduct, critique and utilization (4th Ed). W.B.Saunders: Philadelphia, Pennsylvania, USA.
Buttle, F. (1997) ISO 9000: Marketing motivations and benefits. International Journal of Quality and Reliability Management, Vol 14, (9) pp939-947.
Carlsson, M. and Carlsson, D. (1996) Experiences of implementing ISO 9000 in Swedish industry. International Journal of Quality and Reliability Management 13 (7), 36–47
Casadesus, M. and Karapetrovic, S. (2005). An Empirical Study of the Benefits and Costs of ISO 9001: 2000 Compared to ISO 9001/2/3: 1994. Total Quality Management, Vol. 16 (1), pp.105-20.
Casparie, A. F. (1993). Handbook Quality of Care. (In Dutch), De Tijdstroom.
Chow-Chua, C., Goh, M. and Wan, T.B. (2003). Does ISO 9000 certification improve business performance? International Journal of Quality & Reliability Management, Vol. 20 (8/9), pp. 936-53.
Dahlgaard, J., Kristensen, K. and Kanji, G. (1998), Fundamentals of Total Quality Management, Chapman & Hall, London.
De Vaus, D. (2001). Research Design in Social Research. London: Sage, Part I: What is research design? pp. 1-52
Dick, G., Gallimore, K., Brown, J. (2002), Does ISO 9000 accreditation make a profound difference to the way y service quality is perceived and measured?, Managing Service Quality, 12(1), pp. 30-42
Dimara, E., Sakuras, D., Tsekouras, K., Goutsos, S. (2004), Strategic orientation and financial performance of firms implementing ISO 9000, International Journal of Quality & Reliability Management, 21(1), pp. 72-89.
Dobson, P. J. (2002). Critical realism and information systems research: Why bother with philosophy? Information Research – An International Electronic Journal, 7(2).
Douglas, A., Kirk, D., Brennan, C. and Tone, K. (1999). Maximizing the benefits of ISO 9000 implementation. Total Quality Management, Vol. 10 (4/5), pp. 507-13.
Ellis, A., Cutura, J., Dione, N., Gillson, I., Manuel, C., and Thongori, J. (2007). Gender and Economic Growth in Kenya – unleashing the power of women. Herndon, VA, USA: World Bank Publications
Feng, M., Terziovski, M., & Samson, D (2008). Relationship of ISO 9001:2000 quality system certification with operational and business performance: A survey in Australian and New Zealand based manufacturing and service companies. Journal of Manufacturing Technology Management, Volume 19 Issue 1, pp22-37, [Online]. Available from: http://www.emeraldinsight.com.ezproxy.liv.ac.uk/journals.htm?issn=1741-038X&volume=19&issue=1&articleid=1641811&show=html. Accessed: 11th December 2013.
Frost, R. (2012). ‘ISO Survey – Certifications up by + 6 %’ (Online) ISO Focus, January, pp. 44. Available From: Https: // docs. google. com / viewer? a=v&q=cache:lrS0Y6wTW4J:www.iso.org/iso/ Accessed: 10th September 2012.
Gavin, D.A. (1987), Competing on the eight dimensions of quality, in: Harvard Business Review, November-December, pp. 101-109
Gotzamani, K., (2005), "The implications of the new ISO 9000:2000 standards for certified organizations: anticipated benefits & implementation pitfalls", International Journal of Productivity & Performance Management, vol. 54, (8), pp. 645-657
Heras, I., Casadéus, M., Dick, G. (2002a), ISO 9000 certification and the bottom line: a comparative study of the profitability of Basque region companies, Managerial Auditing Journal, 17(1), pp. 72-78.
ISO 9001:2002 ‘Quality Management Systems- Requirements’, International Organization for Standardization, Geneva, Switzerland.
ISO 9001:2008 ‘Quality Management Systems- Requirements’, International Organization for Standardization, Geneva, Switzerland.
Israel, G.D. (1992). Determining Sample Size. Program Evaluation and Organizational Development, IFAS, University of Florida. PEOD-6
Jackson, P. and Ashton, D. (1995), Achieving BS EN ISO 9000, Kogan Page, London.
Jeng, Y. C. 1998. Performance evaluation of ISO 9000 registered companies in Taiwan. TQM Magazine, 10: 132 – 138.
Juran, J. (1989). Juran on Leadership for Quality – An Executive Handbook. Free Press, New York.
Karapetrovic, S., Casadesús, M. and Heras, I. (2010). What happened to the ISO 9000 lustre? An eight-year study. Total Quality Management & Business Excellence, 21 (3), pp. 245-267.
Krauss, S. E. (2005). Research paradigms and meaning making: A primer. The Qualitative Report, 10 (4), pp758-770.
Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30, pp. 607-61
Kunst P., & Lemmink J. (2000): Quality management and business performance in hospitals: A search for success parameters, Total Quality Management, 11:(8) pp. 1123-1133.
Kurpus, S.E.R. and Stafford, M.E. (2006). Testing and Measurement. A user friendly guide. London: SAGE.
Lado, A., and Zhang, M. J. (1998). Expert Systems, Knowledge Development and Utilization, and Sustained Competitive Advantage: A Resource-Based Model. Journal of Management, Vol. 24, (4), pp. 489-503.
Lagodimos, A.G., Dervitsiotis, K.N., Kirkagaslis, S.E. (2005). The penetration of ISO 9000 certification in Greek industries. Total Quality Management and Business Excellence, 16 (4), pp. 505-527
Magd, H. A. E. (2008). ISO 9001: 2000 in the Egyptian manufacturing sector: perceptions and perspectives. International Journal of Quality and Reliability Management, 25(2), pp. 173-200, [Online]. Available fro http://www.emeraldinsight.com.ezproxy.liv.ac.uk/journals.htm?articleid=1641969&show=abstractm: Accessed: 17th April 2013
Mann, R. & Kehoe, D. (1994) An evaluation of the effects of quality improvement activities on business performance, International Journal of Quality and Reliability Management, 11, pp. 29- 44
Meyer J.W & Rowan B., (1977). Institutional organizations: formal structure as myth and ceremony. American Journal of Sociology, 83, pp. 340-63.
Ministry of Health. (2005). Kenya National Accounts 2005/06. Nairobi, Kenya. MOH
Motwani, J., Kumar, A. and Cheng, C.H. (1996), ``A roadmap to implementing ISO 9000'', International Journal of Quality & Reliability Management, Vol. 13 (1), pp. 72-83.
Nelson, E.C., Rust, R.T., Zahorik, A., Rose, R.L., Batalden, P. & Siemanski, B.A. (1992) Do patient perceptions of quality relate to hospital financial performance?, Journal of Health Care Marketing, December, pp. 6-13.
Nguyen, N. (2006). The collective impact of service workers and service scape on the corporate image Formation. Hospitality Management (25) pp. 227–244
Orodho AJ, Kombo DK (2002). Research Methods. Nairobi: Kenyatta University, Institute of Open Learning.
Parasuraman, A., Zeithaml, V.A. and Berry, L.L. (1988) SERQUAL: a multiple-item scale for measuring customer perceptions of service quality, Journal of Retailing, 64, pp. 12-40.
Poksinska, B., Dahlgaard, J.J and Antoni, M. (2002). The state of ISO 9000 certification: a study of Swedish organizations. The TQM Magazine, Vol. 14 (5), pp. 297-306, [Online]. Available from:http://www.emeraldinsight.com.ezproxy.liv.ac.uk/journals.htm?issn=0954-478X&volume=14&issue=5&articleid=842040&show=html Accessed: 31st December 2012.
Porter, M.E. (1985). Competitive advantage: Creating and sustaining superior performance . New York: Free Press
Prasad, V.K. and Naidu, G.M. (1994). Perspectives and preparedness regarding ISO 9000 international quality standards. Journal of International Marketing, Vol. 2 (2) pp. 81-98.
Rao, S. S., Ragu-Nathan, T. S., & Solis, L. E. (1997). Does ISO 9000 have an effect on quality management practices? An international empirical study. Total Quality Management, 8(6), pp. 335– 346
Rayner, P. & Porter, L.J. (1991) BS 5759 /ISO 9000Ð the experience of small and medium sized firms, International Journal of Quality and Reliability Management, 8(6), pp. 16-28
Rumelt, R. P. (1987). Theory, Strategy and Entrepreneurship, in the Competitive Challenge, David Teece (ed.), Ballinger Publishing Co., Cambridge, MA, pp. 137-157.
Santos, G., M, F., & Barbosa, J. (2011).Certification and integration of management systems: the Experience of Portuguese small and medium enterprises. Journal of Cleaner Production, 19, pp.1965 - 1974.
Saunders, M., Lewis, P and Thornhill, A (2007). Research methods for business students. Fourth Edition. Harlow, England, FT Prentice Hall.
Schneider, B., Parkington, J.J. & Buxton, V.M. (1980) Employees and customer perceptions of service in banks, Administrative Science Quarterly, 25, pp. 252-267.
Sekaran, U. (2003). Research methods for business: a skill building approach. New York. John Wiley.
Sharma, D. S. (2005). The association between ISO 9000 certification and financial performance. The International Journal of Accounting 40 pp. 151– 172.
Shwu-Ing Wu & Jiun-Yi Jang (2011). The performance of ISO certification based on consumer perspective: A case study of a travel agency, Total Quality Management & Business, iFirst, pp. 1-23, [Online] Available from:
http://www.tandfonline.com.ezproxy.liv.ac.uk/doi/pdf/10.1080/14783363.2011.560704 Accessed 11th December 2012.
Simmons, B. L., & White, M. A; (1999); The relationship between ISO 9000 and Business performance: Does registration really matter? Journal of Managerial Issues; 11(3) pp. 330– 343
Singels, J., G. Ruël, H. van de Water. (2001). ISO 9000 series: Certification and performance. International Journal of Quality Reliability Management 18(1), pp. 62–75.
Tashakkori, A., & Teddlie, C. (2003). The past and future of mixed methods re-search: From data triangulation to mixed model designs. In A. Tashakkori, & C. Teddlie (Eds.), Handbook of mixed methods in social and behavioral research. pp. 671-701. Thousand Oaks, CA: SAGE
Taylor, W.A., (1995). Organizational differences in ISO 9000 implementation practices. International Journal of Quality & Reliability Management, Vol. 12 (7), pp. 10-27
Tsiotras, G. and Gotzamani, K. (1996). ISO 9000 as an entry key to TQM: the case of Greek industry. International Journal of Quality &Reliability Management, Vol. 13 (4), pp. 64-76.
Weaver, K., & Olson, J. K. (2006). Understanding paradigms used for nursing research. Journal of Advanced Nursing, 53(4), pp. 459-469
Wernerfelt, B. (1984) “A Resource-Based View of the Firm”, Strategic Management Journal, Vol. 5, pp. 171-180.
Williams, C. (2007) Total Quality Management, New York: Thomson Publishing Company
Williams, J. (2004). The Impact of motivating factors on implementation of ISO 9001:2000 registration process. Management Research News, Vol 27 (1) pp.74-84, [Online] Available from:
http://www.emeraldinsight.com.ezproxy.liv.ac.uk/journals.htm?issn=0140-9174&volume=27&issue=1&articleid=866904&show=html Accessed: 31st August 2012
Withers, B. and Ebrahimpour, M. (2000), Does ISO 9000 certification affect the dimensions of quality used for competitive advantage? European Management Journal, 18 (4), pp. 431-443, [Online]. Available from:
http://www.sciencedirect.com.ezproxy.liv.ac.uk/science/article/pii/S0263237300000323 Accessed: 11th December 2012.
Yaya, L.H.P., Marimon, F. and Casadesus, M. (2011). Customer’s loyalty and perception of ISO 9001 in online banking, Industrial Management & Data Systems, Vol. 111, (8), pp. 1194-1213
Zaramdini, W. (2007). An empirical study of the motives and benefits of ISO 9000 certification: the UAE experience. International Journal of Quality & Reliability Management Vol. 24 (5), 2007 pp. 472-491, [Online]. Available from:
http://www.emeraldinsight.com.ezproxy.liv.ac.uk/journals.htm?issn=0265671X&volume=24&issue=5&articleid=1603098&show=html Accessed31st August 2013
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