A Causal Model of Management Commitment and Quality Improvement Influencing Hospital Performance Results of Non-Profit Private Hospitals in Thailand

Abstract

This analytical research was aimed to study the causal relationship between management commitments, quality
improvement that influences hospital performance results of non-profit private hospitals in Thailand, and to examine
a relationship between the hypothesized model and the empirical data concerning the hospital performance results.
The samples were people from top management in non-profit private hospitals which had work experience of more
than one year. The samples of 220 top managements people from 13 hospitals were selected by simple random
sampling. The research instrument was the questionnaire. The data analysis were consisted of confirmatory factor
analysis, path analysis, and structural equation modeling.
The findings of the study showed that management commitment had a positive direct effect on the quality
improvement with a path coefficient equalled to 0.510 and did not have a direct effect on hospital performance
results. But the management commitment had an indirect effect on hospital performance results by affecting
quality improvement with path coefficient equalled to 0.404. The quality improvement had a positive direct effect
on hospital performance results with a path coefficient equalled to 0.790. The research results showed that the
hypothesized model had a relationship with the empirical data and all variables in the model could explain the
variation of performance results at 62.2%. The administrator of non-profit private hospitals should establish a policy
and action plans to improve hospital performance results. Moreover, top management of non-profit private hospitals
must construct strong and continuous management commitments to quality improvement.