Establishing a Quality Certification System for Diagnostic Radiology Laboratory in Thailand
Article Sidebar
Main Article Content
Abstract
The Bureau of Laboratory Quality Standards of the Ministry of Public Health (MOPH) had established a quality certification system for diagnostic radiology laboratory (DRLab), namely MOPH X-ray 2562, since 2019. This study aimed to determine the appropriate processes and to evaluate the implementation of the established certification system by using descriptive statistics and one-way ANOVA. The research included three parts: (1) the creation of DRLab standards with 10 main topics containing 114 checklist items; (2) the development of a certification system, including quality documents, assessor training, and operational procedures in order to provide certification services for DRLabs in Thailand; (3) the implementation of the certification system with 245 DRLabs of 5 provider groups (community hospitals, general hospitals, regional hospitals, academic hospitals under Ministry of Public Health, and hospitals of the Bangkok Metropolitan Administration). Sixty-three percent of the total DRLabs (245) were found to have nonconformities of less than 10 requirement items. The satisfaction questionnaire revealed that 70.2% were satisfied with the highest satisfaction rate being 88.0%. The average satisfaction levels of DRLabs among 5 groups showed no significant difference (p > 0.05 by one-way ANOVA). The established certification system could be applied to certify diagnostic radiology laboratories throughout the country to promote quality system of safe, efficient, and standardized services to both recipients and providers.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Journal of Health Systems Research is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license, unless otherwise stated.
References
Khumloyfa N, Rattana P. Reaccreditation among community hospital. Academic Journal of Community Public Health 2021;7(4):181-96. (in Thai)
Healthcare Accreditation Institute (Public Organization). Hospital and healthcare standards. 4th ed. Effectiveness for healthcare accreditation. Nonthaburi: Healthcare Accreditation Institute; 2018. (in Thai)
Sayumpoorujinan S, Sangtong A, Patthartum A. Development for radiation diagnostic laboratory in the hospitals under the Ministry of Public Health in health region 9. Bulletin of the Department of Medical Sciences 2016;58(3):180-8. (in Thai)
Siritunyanont R, Singkavongsay A. Establishment of MOPH X-ray standard and the approach for the quality system development of diagnostic radiology laboratory. The Journal of Chulabhorn Royal Academy 2023;5(4):191-203. (in Thai)
International Organization for Standardization. ISO/IEC 17011:2017. Conformity assessment-general requirements for accreditation bodies accrediting conformity assessment bodies. Geneva: International Organization for Standardization; 2017.
Netsawang P. Quality management of modern products and services standards. Journal of Management Science Review 2021;23(2):267-80. (in Thai)
Notification of the Ministry of Public Health on the determination of the characteristics of healthcare facilities and standards that are exempt from legal requirements. The Royal Government Gazette Volume 135, Special Section 89 Ngor. pp. 14-17. (Apr 19, 2018). (in Thai)
Strategy and Planning Division, Permanent Secretary Office, Ministry of Public Health. The number of healthcare facilities, classified by type, under the Ministry of Public Health [cited 2023 Jun 30]. Available from: http://203.157.10.8/hcode_2020/query_02.php. (in Thai)
Department of Health Service Support. Statistics of private hospitals, 2022 [cited 2023 Jun 30]. Available from: https://mrd.hss.moph.go.th/mrd1_hss/?p=7338. (in Thai)
Tansupaphon C. Legal analysis of the provision of high technology radiodiagnostic imaging in government healthcare centers. The Medical Journal of Regions 4-5 2017;36(2):101-4. (in Thai)
Bureau of Laboratory Quality Standards. Policy, terms, and conditions for certification of quality management systems for diagnostic radiology laboratories, Ministry of Public Health. Nonthaburi: Ministry of Public Health; 2019. 13 p. (in Thai)
Paramalingam R, England R, Mollura D, Koff D. Expanding the reach of global health radiology via the world’s first medical hybrid airship: a SWOT analysis. J Glob Health 2020 Jun;10(1):010374.
World Health Organization. Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies. Geneva: World Health Organization; 2010.
Jirojvanichakorn S. The effectiveness of dental public health activities in accordance with the guidelines of the six building blocks of health system among dental personnel in Ministry of Public Health hospitals, health region 12. Thai Dental Public Health Journal 2023;28:147-60. (in Thai)
Arora P. Quality assurance program in radiodiagnosis in a tertiary care hospital in India. Int J Res Foundation Hosp Healthc Adm 2013;1(1):8-12.
Singweratham N, Decha N, Waichompu N, Somnak S, Tamepattanapongsa A, Thongrod S, et al. Shortage and demand of radiologic technologists for health care settings under the Jurisdiction of the Office of the Permanent Secretary, Ministry of Public Health. The Southern College Network Journal of Nursing and Public Health 2021;8(1):115-26. (in Thai)
Sawaengdee K, Jaichuen W, Decha N. Workforce reform plan and service missions of the Ministry of Public Health. Nonthaburi: Office of the Permanent Secretary, Ministry of Public Health; 2019. (in Thai)
Aldosari H, Saddik B, Kadi Al K. Impact of picture archiving and communication system (PACS) on radiology staff. Informatics in Medicine Unlocked 2018;10:1–16.
Srisubat K, Chanyawattiwongse S, Khayankit K. Problems and problem management of PACS system in government and private hospital. Journal of The Department of Medical Services 2019;44(1):95-100. (in Thai)
Institute of Medical Research and Technology Assessment. Assessment of the utilization of high technology radiodiagnostic imaging in government healthcare centers. Nonthaburi: Department of Medical Services; 2012.
Suanchan P. Factors related to the quality development of medical technical laboratory according to the Ministry of Public Health’s standards: case study of hospitals under the Ministry of Public Health, Health Service Area 11. Ratanabuth Journal 2023;5(1):14-27. (in Thai)
Panhwar A, Memon AR, Naeem MA, Ibad SZ ul, Kandhro A, Jalbani N, et al. Responsibilities and qualities of an assessor/auditor as per ISO/IEC standards. International Journal of Current Research 2020;12(2):10223-6.
Tresirichod T, Chienwattanasook K, Dejprasert N, Sarinukul A. Service design thinking. Journal of Liberal Arts and Service Industry 2022;5(2):96-107. (in Thai)
Kulprayeepunya K, Amornchai R. Accreditation and certification: value-oriented evaluation from theory to practice. Nursing Journal of the Ministry of Public Health 2013;23(2):11-9. (in Thai)