Association Between Hospital Accreditation and Outcomes: The Analysis of Inhospital Mortality From the National Claims Data of the Universal Coverage Scheme in Thailand

Sriratanaban, Jiruth; Ngamkiatpaisarn, Sureerat; Charoenmukayananta, Suwaree

doi:10.1097/qmh.0000000000000256

Cited by 3 publications

(6 citation statements)

References 24 publications

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“…Hospitals treating patients with acute ischemic stroke with rtPA must pass hospital accreditation. The treatment results to be better [12]. It was also found that if the patient had the number of microbleed lesions of more than 10 sites on the MRI brain, the mortality rate was higher [13].…”

Section: Discussionmentioning

confidence: 96%

Stroke Incidence, Rate of Thrombolytic Therapy, Mortality in Thailand from 2009 to 2021

Tiamkao

Ienghong

Cheung

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: Thrombolytic treatment is the main treatment of acute ischemic stroke. Thailand started thrombolytic treatment in 2008 only at university hospitals in Bangkok and gradually increased services in large provincial hospitals until widespread in 2014. However, no studies regard the services in stroke management in Thailand. AIM: This study aims to present data: incidence, rate of thrombolytic treatment, mortality rate of acute stroke in Thailand for 13 years METHODS: A study from the National Health Security Office's database between 2009 and 2021 was reported using percentage statistics, and the number of patients per 100,000 population. RESULTS: The overall incidence of acute stroke patients aged 15 years and over was 172.33- 328.00 per 100,000 population. The incidence of acute ischemic stroke patients aged 15 years and over was 90.37-222.73 per 100,000 population. The incidence of non-traumatic intracerebral hemorrhage patients aged 15 years and over was 55.77-87.63 per 100,000 population. Rate of acute ischemic stroke patients who treated with thrombolytic treatment was 0.18-8.04%. Mortality rate of acute stroke patients was 10.24-14.77%. Mortality rate of acute ischemic stroke patients who treated with thrombolytic treatment was 3.97-10.53%. CONCLUSIONS: Stroke incidence tends to increase over 13 years. Acute ischemic stroke patients receiving thrombolytic treatment tends to increase in number. The mortality rate in patients with acute stroke tends to decline. Especially in patients with acute ischemic stroke, the mortality rate was greatly reduced.

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Section: Discussionmentioning

confidence: 96%

Stroke Incidence, Rate of Thrombolytic Therapy, Mortality in Thailand from 2009 to 2021

Tiamkao

Ienghong

Cheung

et al. 2022

Open Access Maced J Med Sci

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“…The most recent systematic study discovered a link between accreditation and efficiency, effectiveness, timeliness, and safety [ 32 ]. Meanwhile, other research has shown a connection between accreditation and clinical outcome improvements such as decreased standardized mortality ratios for chronic illnesses [ 66 , 67 ] and other measures of service quality [ 68 ]. However, other studies have shown no correlation between accreditation and clinical outcomes [ 59 , 69 ].…”

Section: Discussionmentioning

confidence: 99%

Facebook Reviews as a Supplemental Tool for Hospital Patient Satisfaction and Its Relationship with Hospital Accreditation in Malaysia

Rahim

Ibrahim

Musa

et al. 2021

IJERPH

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Patient satisfaction is one indicator used to assess the impact of accreditation on patient care. However, traditional patient satisfaction surveys have a few disadvantages, and some researchers have suggested that social media be used in their place. Social media usage is gaining popularity in healthcare organizations, but there is still a paucity of data to support it. The purpose of this study was to determine the association between online reviews and hospital patient satisfaction and the relationship between online reviews and hospital accreditation. We used a cross-sectional design with data acquired from the official Facebook pages of 48 Malaysian public hospitals, 25 of which are accredited. We collected all patient comments from Facebook reviews of those hospitals between 2018 and 2019. Spearman’s correlation and logistic regression were used to evaluate the data. There was a significant and moderate correlation between hospital patient satisfaction and online reviews. Patient satisfaction was closely connected to urban location, tertiary hospital, and previous Facebook ratings. However, hospital accreditation was not found to be significantly associated with online reports of patient satisfaction. This groundbreaking study demonstrates how Facebook reviews can assist hospital administrators in monitoring their institutions’ quality of care in real time.

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“… 242 Hospital accreditation in Thailand reduced hospital mortality related to stroke and sepsis and significantly increased client volumes. 240 Client satisfaction levels were high in two studies. 233 239 The quality improvement support for private hospitals through the Manyata certification resulted in significant improvements in the overall quality scores of the facilities.…”

Section: Resultsmentioning

confidence: 92%

“…Eleven studies evaluated the impacts of various forms of regulation of health facilities on QoC 232–242. In South Africa, hospital accreditation was associated with improved compliance with quality standards.…”

Section: Resultsmentioning

confidence: 99%

“…In Turkey, accreditation improved quality management scores, improved infection prevention practices and improved hospital patient handling and medication practices 242. Hospital accreditation in Thailand reduced hospital mortality related to stroke and sepsis and significantly increased client volumes 240. Client satisfaction levels were high in two studies 233 239.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Impact of health system governance on healthcare quality in low-income and middle-income countries: a scoping review

George,

Jack,

Gauld

et al. 2023

BMJ Open

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IntroductionImproving healthcare quality in low-/middle-income countries (LMICs) is a critical step in the pathway to Universal Health Coverage and health-related sustainable development goals. This study aimed to map the available evidence on the impacts of health system governance interventions on the quality of healthcare services in LMICs.MethodsWe conducted a scoping review of the literature. The search strategy used a combination of keywords and phrases relevant to health system governance, quality of healthcare and LMICs. Studies published in English until August 2023, with no start date limitation, were searched on PubMed, Cochrane Library, CINAHL, Web of Science, Scopus, Google Scholar and ProQuest. Additional publications were identified by snowballing. The effects reported by the studies on processes of care and quality impacts were reviewed.ResultsThe findings from 201 primary studies were grouped under (1) leadership, (2) system design, (3) accountability and transparency, (4) financing, (5) private sector partnerships, (6) information and monitoring; (7) participation and engagement and (8) regulation.ConclusionsWe identified a stronger evidence base linking improved quality of care with health financing, private sector partnerships and community participation and engagement strategies. The evidence related to leadership, system design, information and monitoring, and accountability and transparency is limited.

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Association Between Hospital Accreditation and Outcomes: The Analysis of Inhospital Mortality From the National Claims Data of the Universal Coverage Scheme in Thailand

Cited by 3 publications

References 24 publications

Stroke Incidence, Rate of Thrombolytic Therapy, Mortality in Thailand from 2009 to 2021

Stroke Incidence, Rate of Thrombolytic Therapy, Mortality in Thailand from 2009 to 2021

Facebook Reviews as a Supplemental Tool for Hospital Patient Satisfaction and Its Relationship with Hospital Accreditation in Malaysia

Impact of health system governance on healthcare quality in low-income and middle-income countries: a scoping review

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