title: [Analysis medical staff opinion according to quality management in health care].
abstract: The practice of documenting the credibility of quality management system of companies in the medical sector in Poland does not have a long history. In the recent years hospitals have started to work in a system similar to a competitive market with features specific for medical service preserved. As a result quality focused activity instruments were introduced to the medical service market, such as ISO family of standards. The aim of the work objective was to get to know the opinion of medical staff about the changes resulting in the quality management system implementation.
  
  
  METHODS
  The answers of a team of 200 medical staff from two Polish hospitals were analysed. The respondents were employed in medical institutions before and after the introduction of ISO 9001.
  
  
  RESULTS
  A large number of participants claimed that standardization in work organization made a significant improvement (45.50%, n = 91), but part of them (36.50%, n = 73) claimed that this new organization improved the situation not very much. And a small group (18,00%, n = 36) said that the organization did not change after the introduction of standardization. Nurses and medical rescue workers more often claimed (the result being statistically significant) that their work organization improved after the standardization implementation (48.54%), differently from doctors (27.59%, p = 0.008). Doctors in the research often claimed that the changes after the introduction of standardization caused an increase in the requirements of their professional qualifications (79.13%), but the nurses and medical rescue workers found it a bit less (74.85%). Most participants (87.50%, n = 175) claimed that the changes which appeared as a result of the introduction of standardization motivated them to compete against others health care institutions.
  
  
  CONCLUSIONS
  Medical staff in the research claimed that the changes after the introduction of standardization resulted in work organization improvement. Nurses and medical rescue workers more often claimed (the result being statistically significant) that their work organization improved after the standard implementation. Most of the respondents were convinced about the benefits of standardization implementation. Changes that took place as a result of the introduction of quality management system based on ISO are a motivating factor for competing against other health care institutions. The system of quality insurance based on ISO is constructed in such a way so as to strive for satisfying constantly changing customers' needs, because quality is not an ideal notion but a goal that needs to be pursued.
authors.affiliation: Academy of Humanities and Economics in Lodz, Poland. ilopacinska@ahe.lodz.pl
authors.forename: Iwona
authors.initials: I
authors.lastname: Łopacińska
mesh_terms: D006801:Humans; D007348:Insurance, Health / Q000458:organization & administration; D008503:Medical Staff / Q000706:statistics & numerical data*; D011044:Poland; D011159:Population Surveillance; D011787:Quality of Health Care / Q000458:organization & administration* / Q000592:standards; D017749:Total Quality Management / Q000592:standards* / Q000706:statistics & numerical data*