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Development of Service Quality Model for Hospitals

Thesis Info

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Author

Fatima, Iram

Program

PhD

Institute

University of the Punjab

City

Lahore

Province

Punjab

Country

Pakistan

Thesis Completing Year

2019

Thesis Completion Status

Completed

Subject

Bussiness & Management

Language

English

Link

http://prr.hec.gov.pk/jspui/bitstream/123456789/11467/1/Iram%20fatima%20total%20quality%20management%202019.pdf

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676724623235

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Superior health care services provide a strategic competitive advantage to health care organizations for catching new customers and retaining existing ones as their loyal members. Therefore, focusing on increased market-driven demand, a lot of service quality models have been conceptualized, discussed and empirically tested for functional quality measurements, but they did not conceive the idea to empirically validate technical aspects of service quality yet.Thus, there is need to develop a model covering both dimensions; functional and technical in South Asian context based on multiple respondents to bring improvement in multi-tasking services like hospitals.Such services possess a pool of multi-specialties and it is very difficult to develop such model that can cover each area collectively. So, in the current study, three departments; surgical, emergency, and diagnostics have been purposively selected to collect data from two types of respondents that include patients and employees (Doctors). Using cross-sectional study design, 1500 questionnaires were randomly self-administered among patients and 900 questionnaires (300 in each department) among employees of tertiary care hospitals from both public and private sector.Out of which 817 valid responses (with response rate of 56.67%) from patients and 518 (overall response rate of 57.56%) from employees were obtained.Data analysis was carried out using SPSS ver. 20.0 and AMOS ver. 20.0. Exploratory factor analysis and confirmatory factor analysis were carried out to determine dimensions within a scale. Findings validate assurance, reliability, communication, and responsiveness as contributing factors from previous studies while food, aesthetics, and promptness as new dimensions along with patient satisfaction as an outcome indicator in South Asian context for determining functional quality.These dimensions focused to synthesize a new scale termed Func.Qual. The Assurance was found as most important factor while Communication as the least one based on quality gap score. Whereas employee’s perspective for technical quality measurement results in reliability, responsiveness, tangibility, assurance, communication, working capacity and empathy to form second-order factor analysis model called Tech.Qual. Clinical indicators of each respective department were outcome measures of Tech.Qual. Assurance was found as most critical factor amongst all dimensions while reliability least one. There exists a significant difference in all dimensions of service quality of public and private hospitals except responsiveness and assurance in process measures and clinical indicators (outcome measures) of surgical and diagnostics departments. But in totality, both patients and employees perspective revealed that private sector possess lesser service quality gaps than public sector hospitals.This model, if applied in health sector, may lead to bringing incremental change in perspectives/priorities of health care providers to satisfy their customers
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مولانا احتشام الحسن کاندھلوی

مولانا احتشام الحسن کاندہلوی
افسوس ہے ہمارے عزیز اور فاضل دوست مولانااحتشام الحسن کاندہلوی بھی گزشتہ نومبر میں شدید علالت کے بعد انتقال کرگئے۔مولانا کاندہلہ کے رئیسوں میں شمار ہوتے تھے لیکن ان کا مشغلہ تبلیغی کتابوں کی تصنیف وتالیف اور مطالعہ کے سوا کچھ نہ تھا۔شب وروز اسی میں بسر ہوتے تھے اور گفتگو کاموضوع بھی بس یہی ایک بات ہوتی تھی۔تبلیغی جماعت کے طریق کارسے ان کو اختلاف تھا۔وہ کہا کرتے تھے کہ تبلیغ تو نام ہی اسلام کوغیر مسلموں تک پہنچانے کا ہے۔ مرض الوفات میں مبتلاہونے سے ایک ماہ قبل علی گڑھ آئے اور ایک ہفتہ کے قریب قیام کیا۔ان دنوں میں ان سے کئی مرتبہ ملاقات ہوئی اورہرملاقات میں وہ اپنے اس محبوب موضوع پرتقریر کرتے رہے ہیں۔میں حسب عادت خاموش سنتا رہا اور بولا کچھ نہیں۔مرض الوفات میں انھوں نے بڑی سخت تکلیف اٹھائی لیکن صبر ورضا کادامن ہاتھ سے نہیں چھوڑا۔ بڑے خلیق اورعابد وزاہد بزرگ تھے۔اﷲ تعالیٰ ابرار وصلحا کامقام عطا فرمائے آمین۔ [جنوری ۱۹۷۲ء]

 

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Supporting English Reading Development in Four Year Old Children Through Storytelling: An Action Research

Development of reading skills is essential for young children's educational achievements. The pre- reading skills development is a complex and time consuming task, (Ahuja & Ahuja, 1994) which needs systematic instructional approaches and techniques to adopt. The National Curriculum for ECE (2007) has not only emphasized the importance of reading in early years but also highlighted the provision of a quality learning environment to acquire literacy skills. However, there are many gaps in understanding of what is emergent literacy development verses current practices at early classroom levels. This paper addresses this critical issue of early age education and presents a small action research in which story telling is used as a main teaching pedagogy to support young children in English reading skills. The main research question was "How can four-year old children be supported in developing their English reading skills in a private school in Karachi, Pakistan?" Through this study I observed and facilitated reading development over a two- week period. Four children of 4-5 years and two teachers were selected randomly as research participants and data were gathered by using different tools including classroom observations, individual interviews with teachers, pre and post-reading checklists and through reflections. The study findings demonstrated that children were able to develop literacy skills when they were involved in meaningful literacy activities. Furthermore, the research revealed that children learned best when the stories were connected with different fun filled activities. The findings of this study also demonstrated that teachers were inserting efforts to engage children in language and literacy activities; however, it was found that they did not provide frequent opportunities for their reading development and also did not engage children in activities which are highly recommended for emergent literacy development. In addition, the findings revealed that teachers needed professional development to implement innovative literacy pedagogies in the ECED classrooms. Furthermore, parents' and the school management's involvement is also important in developing children's emergent literacy. In conclusion, storytelling is an effective pedagogical approach that helps in developing pre-reading skills. Therefore, it should be used in ECED classrooms to facilitate young children's reading development.