an analysis of gap in tqm indicators in health care institutions (case: isfahan khorshid hospital)

introduction: many organizations, especially, service organizations, relative to their goals and mission, have a special view towards quality phenomena and its management and are turning to approaches such as tqm to help manage their business. this study examined the tqm indicators gap in isfahan khorshid hospital. as fuzzy set theory is better than the logical theory for estimating the linguistic factors, this paper tries to apply fuzzy approach to quality management in hospitals and analyzes the gap between personnel expectations and perception. methods: this paper analyzes medical total quality management in a case (internal section of khorshid hospital), based on gap analysis model and fuzzy logic. a questionnaire was therefore applied to measure expectations and perceptions of hospital personnel. results: this study results show that on the whole, there is a significant difference between tqm expectations and perceptions among k`horshid hospital personnel. conclusions: spurred by impressive results in other industries, this compelling and logical approach has begun to penetrate the thinking of health care accrediting agencies, business coalitions, private foundations and leading health care organizations. however, before making a commitment to tqm, hospital decision makers should thoroughly understand what it is they are committing to, and solve the main barriers such as the conflict between hospital management philosophies and tqm philosophies.