Hospital Accreditation and Its Impacts on Quality Culture

Terra, José Daniel Rodrigues; Berssaneti, Fernando Tobal

doi:10.1007/978-3-319-93488-4_36

Cited by 4 publications

(9 citation statements)

References 18 publications

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“…10 Women who give birth at a health facility are more likely to receive proper medical attention and care during delivery, as do their infants. 11 These outcomes are calculated by dividing the number of children ill with a cough accompanied by short and rapid breathing (for ARI), or ill with a fever (for fever), or ill with diarrhea (for diarrhea) at any ARI is the leading infectious cause of death in children worldwide. 12 Diarrheal diseases are the second leading cause of death in children under age five [38].…”

Section: Child Morbidity Prevalencementioning

confidence: 99%

“…Accreditation of healthcare providers has been established in many high-income countries and some low- and middle-income countries (LMICs) as an approach to improve the quality of care that combines the two elements of quality assurance and quality improvement [ 5 , 6 ]. There is consistent evidence that accreditation programs improve the process of care in all settings, especially those related to the quality of healthcare services [ 7 – 11 ]. However, there is limited evidence on the effectiveness of accreditation on patient-related outcomes in all settings [ 12 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…The majority of studies on accreditation in health care in LMICs report on its positive effects on process indicators. A recent study by Terra and Berssaneti [ 11 ] provides evidence that accreditation promoted healthcare processes in Brazilian hospitals, thus strengthening the culture for healthcare quality and increasing patients’ satisfaction. Similarly, in Brazil, Saut et al [ 10 ] indicates that accreditation mainly influenced the internal processes of healthcare organizations.…”

Section: Introductionmentioning

confidence: 99%

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Accreditation as a quality-improving policy tool: family planning, maternal health, and child health in Egypt

2020

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Accreditation of healthcare providers has been established in many high-income countries and some low- and middle-income countries as a tool to improve the quality of health care. However, the available evidence on the effectiveness of this approach is limited and of questionable quality, especially in low- and middle-income countries. We exploit the interventions introduced under Egypt’s health sector reform program between 2000 and 2014 to estimate the effect of health facility accreditation on family planning, maternal health, and child health outcomes. We use difference-in-differences fixed-effects and propensity score matching difference-in-differences models. To do so, we spatially link women to their nearest mapped health facilities using their global positioning system coordinates. We find that accreditation had multiple positive effects, especially on delivery care and child morbidity prevalence. The effects appear to weaken over time though. Our findings suggest that facility accreditation can be effective in improving family planning, antenatal care, delivery care, and child health, but stress the need to study how the effects can be sustained.

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Section: Child Morbidity Prevalencementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Accreditation as a quality-improving policy tool: family planning, maternal health, and child health in Egypt

2020

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“…Many countries have implemented health care accreditation and have achieved different results, and many others have implemented accreditation without strong evidence to prove that accreditation is the most appropriate source for improving the quality of health services [ 3 ]. Review of the literature on the impact of accreditation on quality of care does not provide strong evidence [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Challenges of implementing the accreditation model in military and university hospitals in Iran: a qualitative study

Vali

Mehrolhasani

Mirzaei

et al. 2020

BMC Health Serv Res

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Background The aim of this study was to present challenges of implementing the accreditation model in university and military hospitals in Iran. Methods In this qualitative study, purposive sampling was used to select hospital managers and implementers of the model working in 3 hospitals affiliated to Kerman University of Medical Sciences and in 3 military hospitals in Kerman, Iran. A total of 39 participants were interviewed, and semi-structured questionnaires and thematic analysis were used for data collection and analysis, respectively. Results In this study, 5 major codes and 17 subcodes were identified: (1) perspectives on accreditation model with 5 subcodes: a difficult and time-consuming model, less attention to the patient, accreditation as a way of money acquisition, not being cost-effective, and accreditation means incorrect documentation; (2) absence of appropriate executive policy, with 3 subcodes: lack of financial funds and personnel, disregarding local conditions in implementation and evaluation, and absence of the principle of unity of command; (3) training problems of the accreditation model, with 2 subcodes: absence of proper training and incoordination of training and evaluation; (4) human resources problems, with 3 subcodes: no profit for nonphysician personnel, heavy workload of the personnel, and physicians’ nonparticipation; (5) evaluation problems, with 4 subcodes: no precise and comprehensive evaluation, inconformity of authorities’ perspectives on evaluation, considerable change in evaluation criteria, and excessive reliance on certificates. Conclusions This study provided useful data on the challenges of implementing hospitals’ accreditation, which can be used by health policymakers to revise and modify accreditation procedures in Iran and other countries with similar conditions. The accreditation model is comprehensive and has been implemented to improve the quality of services and patients’ safety. The basic philosophy of hospital accreditation did not fully comply with the underlying conditions of the hospitals. The hospital staff considered accreditation as the ultimate goal rather than a means for achieving quality of service. The Ministry of Health and Medical Education performed accreditation hastily for all Iranian hospitals, while the hospitals were not prepared and equipped to implement the accreditation model.

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“…In addition, a qualitative study was carried out to examine the impact of accreditation on quality culture in the Brazilian health system. The results revealed that hospital accreditation promoted processes, which in turn developed a culture of quality and thus increased patient satisfaction (Terra and Berssaneti, 2017).…”

Section: Literature Reviewmentioning

confidence: 99%

The effect of accreditation on higher education performance through quality culture mediation: the perceptions of administrative and quality managers

Iqbal

Taib

Razalli

2023

TQM

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PurposeThis study aims to examine the effect of accreditation on higher education performance, directly and indirectly, through the quality culture as a mediator in the context of higher education, based on the perceptions of administrative and quality managers.Design/methodology/approachThis is a quantitative study using stratified random sampling techniques to collect data through a nationwide survey of universities in Pakistan. Of the 150 questionnaires distributed, 105 are found to be valid, while the data are analyzed by partial least squares structural equation modeling (PLS-SEM).FindingsThe results provide interesting insights, including significant effects of accreditation on quality culture and higher education performance, significant effects of quality culture on higher education performance and the mediating role of quality culture in relation to accreditation and higher education performance.Research limitations/implicationsLimitations of the study include a relatively smaller sample size and the selection of administrative managers as the sole respondents. This study extends the theoretical understanding by introducing several linkages, including the link between accreditation and higher education performance, accreditation and quality culture, and by introducing quality culture as a mediator. Furthermore, the study also provides empirical evidence for all proposed links in the university setting. This study has implications for administrative and quality managers, in terms of effectively implementing accreditation standards by cultivating a quality culture at their respective universities, resulting in improved university performance.Originality/valueThis study is the first to introduce quality culture as a mediator between accreditation and higher education performance and examines the effect of accreditation and quality culture on higher education performance in the university context. Also, the interdisciplinary nature of the study makes it relevant and interesting to administrative and quality managers in the fields of higher education and quality management.

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Hospital Accreditation and Its Impacts on Quality Culture

Cited by 4 publications

References 18 publications

Accreditation as a quality-improving policy tool: family planning, maternal health, and child health in Egypt

Accreditation as a quality-improving policy tool: family planning, maternal health, and child health in Egypt

Challenges of implementing the accreditation model in military and university hospitals in Iran: a qualitative study

The effect of accreditation on higher education performance through quality culture mediation: the perceptions of administrative and quality managers

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