| Variable | Dimension | Item No | Cronbach Alpha coefficient |
1 | Independent variable Change management | cultural change | 7 | 0.884 |
2 | Technological change | 9 | 0.912 | |
3 | Structural change | 8 | 0.938 | |
4 | Tasks change | 8 | 0.987 | |
5 | Incentive systems change | 7 | 0.883 | |
| 39 | 0.970 | ||
6 | Dependent Variable quality of health service | Tangibles, | 9 | 0.910 |
7 | Reliability, | 8 | 0.880 | |
8 | Responsiveness | 7 | 0.854 | |
9 | Assurance | 7 | 0.947 | |
10 | Empathy | 9 | 0.948 | |
| 40 | 0.969 | ||
11 |
| Change Resistance Moderator | 14 | 0.935 |
| 93 | 0.983 |