Clara Martínez Fuentes

Resistance to change: a literature review and empirical study

This paper examines organizational change, focusing on the distinction of changes according to their scope and presenting a typology of evolutionary and strategic changes. It also offers an in‐depth study of resistance to change. Through empirical research, the paper analyzes the importance of the sources of resistance to change defined theoretically, and considers both types of changes. The article shows which sources of resistance differ most, according to the scope of change, offering hints about where organizations should pay special attention when initiating a change process.

Analysis of the implementation of ISO 9000 quality assurance systems

Examines the literature relating to the implementation of quality assurance systems and then uses a questionnaire to a number of organisations and consultants to compare “practice” with “theory”. Analyses the implementation process for quality assurance systems designed to meet the requirements of the ISO 9000 standard to identify the role of the different “actors” to find out which factors facilitate the implementation or make it more difficult. Suggests that the primary motivation for introducing ISO 9000 systems is to improve image and reputation rather than processes.

Measuring hospital service quality: a methodological study

Quality in the service sector has been extensively researched during the last years. The publication of a sequence of measurement tools has allowed homogenizing the study of this issue. The object of the present work is to develop a methodological analysis for the use of the SERVQUAL measure scale in the Spanish public health sector. We analyse the reliability of this measure scale, its dimensionality, using comparison with other studies. Finally we consider the main criticism frequently made in the literature.

ISO 9000‐based quality assurance approaches and their relationship with strategic analysis

Many organisations use the ISO 9000 series as a reference framework to establish their quality assurance system. In doing so, most of them overlook the process of interpreting and adapting these standards to their own characteristics and capabilities. As a result, there is a misunderstanding with respect to the objectives of the standards. The correct implementation of the ISO 9000 series requires a preliminary analysis that facilitates the adaptation of them to the particular circumstances of a company. Therefore, this paper pays attention to the relationship existing between ISO 9000 implementation and the use of strategic diagnosis tools. The employment of such tools could be studied as an important facilitator for the ISO 9000 implementation process. However, this is not the aim of this research. Instead, the aim is threefold. First, the article analyses the use of strategic diagnosis tools by ISO 9000‐certified companies before and after the implementation process. Second, it examines how aspects relative to the management of processes, the organisational structure, and the relationship with suppliers and customers, are going to determine the quality approach resulting from the ISO 9000 implementation. Finally, the paper aims to analyse the influence of the development of strategic diagnosis activities, prior to the implementation, on the quality approach adopted by firms.