Introduction
Up to 70 per cent of organizations are not successful in implementing established
strategies and goals (Charan and Colvin, 1999). The reasons are not because they
did no have a strategy or the quality of the strategy is not good but because the
The current issue and full text archive of this journal is available at
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IJHCQA
24,5
348
Received 27 March 2009
Revised 23 September 2009
Accepted 22 November 2009
International Journal of Health Care
Quality Assurance
Vol. 24 No. 5, 2011
pp. 348-365
q Emerald Group Publishing Limited
0952-6862
DOI 10.1108/09526861111139188
Downloaded by BURAPHA UNIVERSITY At 19:26 13 November 2015 (PT)
organization did not have through enough execution to carry out the strategy. The
medical industry is a highly knowledge-intensive industry that could establish a
learning organization, implement KM and establish competitive edges. The hospital
operation strategy could have good effects because subordinates will follow the
example set by their boss. The research background is that under a global budget
system responding to the changes in the medical environment, hospital
policy-makers must maintain flexibility in policy adjustments to get the operation
right. The motivation of this research was to understand employees, policy-makers
and service organizations three sections of the connection. Using mixed
methodology, we explored the status of KM and the satisfaction of subordinates
from top to bottom levels using knowledge performance. This exploratory research
used both qualitative and quantitative methods at a regional hospital to study the
following questions:
(1) What are the KM characteristics that the policy-makers expect to see in their
subordinates?
(2) Do the subordinates agree with the KM characteristics expected by their
policy-makers?
(3) Is there a difference between the levels of cognition and demand for KM factors
and the activities of KM enablers expected by the hospital organization?
(4) What factors do the policy-makers expect in employee knowledge and attitudes
toward the work factor. What are cognition and personal KM factors predict the
activities of KM enablers using the hospital organization factor?
The paper is organized into four sections. The next section is the literature review. The
third section presents the methodology followed by the analyses and results. The final
section presents the conclusions.