Nowadays, total quality management(TQM) is known as one of the best management innovation techniques to secure the competitive advantages in the medical market, and so this study attempts to search the effective ways of TQM implementation in medical institutions. This study attempted to find out the main variables to affect the TQM implementation of medical institutions by reviewing the previous studies, and so 5 main variables of TQM (CEO, organizational culture, empowerment, participation of employees, education training) were drawn out. As for the post of study result, group culture, quality result showed affirmative influence. As for the authority commission, quality result showed negative influence. As for the employee participation and the education training, quality result did not show influence. In addition, as for the post of group culture and the employee participation, administration result showed affirmative influence. However, as for the authority commission, administration result showed negative influence, as for the education training, administration result did not show influence.