Thus the quality and performance of hospital staff would be determined by a dichotomy of perception, one by private enterprise and the other by the government. Along with these developments raining and development of skills in the healthcare sector would lead to a new dimension both in the sphere of motivation and performance.
Human Resource Training & Development (HRTD) policies and initiatives have received greater attention in the current period due to highly articulate employee skills training and development strategies at the individual healthcare sector. Thus the theoretical and empirical analysis of this paper is based on the available literature on the subject at a global level along with hospital's own training and quality improvement practices. This study basically draws on the hospitals' policy based convergence/divergence parameters for the continuous analysis for a proper articulation of the TQM strategy at broader level though its theoretical underpinnings are based on the need to focus attention on the evolving environment of competition.
TQM policy and initiative based analysis is a near approximation of an otherwise intractable continuum which lacks definable contours and a logical conceptual framework of reference. While theoretical constructs underlying this approach have been presented as a uniform analysis there is very little attention being focused on the qualitative paradigm shift caused by the a priori and a posteriori catalytic changes (Creech, 1995). Thus the qualitative shift in this study is essentially based on these outcomes and the latest calibrations and/or benchmarks enunciated by researchers to establish a conceptual framework for analysis.
As a business management strategy Six Sigma can be identified as a best practice in many industries including healthcare sector. Six Sigma simply defined as "a measure of quality for near perfection" (www.isixsigma.com). In fact some of the hospitals are focusing their attention on innovative ways to overcome some of the challenges in healthcare sector including create safety environment for patients and efficiency of the service delivery. Thus Six Sigma strategies can be used to enhance the quality of the service in the hospital by reducing the errors and variability in healthcare process. Therefore it can be used as a quality management method within the hospitals with sequence of steps to achieve desirable objectives such as improving the quality of the service, efficient service delivery, patient safety, reducing the cost and increasing the profits and so on. As a result hospital sectors are experiencing positive outcomes on patients, staff and the bottom line.
Training and development process of the hospital's staff
Physicians would not be the same after extensive training. Apparently they would be in a better position than now especially with regard to their ready involvement. The government bureaucracy that makes policy decisions now would be defunct and a new breed of decision makers who are practicing physicians at the same time would make important strategic decisions in the future. As for the private hospitals, physicians would also be substantial