This study examined the relationship between customer focus, teamwork, continuous improvement, and human resource performance evaluation in public healthcare facilities affiliated with the Palestinian Ministry of Health in the Gaza Strip. A descriptive-analytical cross-sectional design was employed. The study population comprised approximately 9,270 employees, from whom a simple random sample of 369 participants was selected. Data were collected using a structured questionnaire measuring customer focus, teamwork, continuous improvement, and human resource performance evaluation and were analyzed using the Statistical Package for the Social Sciences (SPSS). The descriptive findings showed that teamwork received the highest overall agreement level (73.9%), followed by customer focus (65.3%) and continuous improvement (62.3%), while 57.3% of participants reported positive perceptions of performance evaluation practices. Statistically significant differences were observed across job categories, with nursing and allied health staff generally reporting more favorable perceptions than several other occupational groups. The findings highlight the importance of strengthening responsiveness to service users, supporting interdisciplinary teamwork, and establishing systematic continuous improvement practices to promote clearer, fairer, and more development-oriented human resource performance evaluation in public healthcare institutions................. Keywords: ...........Total Quality Management; Customer Focus; Teamwork; Continuous Improvement; Human Resource Performance Evaluation; Public Healthcare.