title: A causal model for the effectiveness of internal quality assurance for the health science area.
abstract: The purposes of this research were 1) to study the effectiveness of Internal Quality Assurance (IQA) of the Health science area, and 2) to study the factors affecting the effectiveness of the IQA of the Health science area. A causal model has been developed by the researcher comprised of the 6 exogenous latent variables: Attitude towards quality assurance, Teamwork, Staff training, Resource sufficiency, Organizational culture, and Leadership, and the 4 endogenous latent variables, which are the effectiveness of the IQA, Student-centered approach, Decentralized administration, PDCA cycle of work (Plan-Do-Check-Act), and Staff job satisfaction. The research sample consisted of 108 health science faculties derived by stratified random sampling technique. Data were collected by 10 questionnaires having reliability ranging from 0.79 to 0.96. Data analyses were descriptive statistics, and Linear Structure Relationship (LISREL) analysis. The major findings were as follows: 1. The 4 dimensions of effectiveness for the IQA of the Health science areas were significantly higher at the .05 level, after the Health science faculty applied the IQA programme according to the National Education Act of 1999. 2. The causal model of the effectiveness of the IQA was valid and fitted the empirical data. The 6 predictors accounted for 83% of the variance in the effectiveness of IQA. Culture and Leadership were the predictors that significantly accounted for the effectiveness of the IQA.
authors.affiliation: Naval Nursing College, 504/57 Taksin Rd., Bukkalo, Thonburi, Bangkok 10600, Thailand.
authors.forename: Kittiya
authors.initials: K
authors.lastname: Seeorn
mesh_terms: D058016:Health Facility Administration; D006801:Humans; D017146:Models, Organizational; D017064:Process Assessment, Health Care; D015397:Program Evaluation; D011785:Quality Assurance, Health Care; D013785:Thailand