Is there an association between hospital accreditation and patient satisfaction with hospital care? A survey of 37 000 patients treated by 73 hospitals

Sack, Cornelia; Scherag, André; Lütkes, P; Wolfram, G.; Jöckel, KH; Holtmann, Gerald

doi:10.1093/intqhc/mzr011

Cited by 108 publications

(121 citation statements)

References 27 publications

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“…Also, a survey type research, conducted by German and Australian researchers, with 37,000 patients from 73 hospitals, showed no significant association between patient satisfaction and hospital accreditation (25) . According to the above, the reflection of the panorama of Brazilian public hospitals is proven to be peculiar, facing constant problems related to the lack of various resources.…”

Section: Discussionmentioning

confidence: 93%

Acreditação em hospital público: percepções da equipe multiprofissional

et al. 2016

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Objective: to analyze the perceptions of the multidisciplinary team on Accreditation in a public hospital. Method: descriptive, exploratory, qualitative research, performed in May 2014, using recorded individual interviews. In total, 28 employees of a public hospital, Accredited with Excellence, answered the guiding question: "Tell me about the Accreditation system used in this hospital". The interviews were transcribed and subjected to content analysis. Results: of the speeches, three categories emerged: Advantages offered by the Accreditation; Accredited public hospital resembling a private hospital; Pride/satisfaction for acting in an accredited public hospital. Conclusion: participants perceived Accreditation as a favorable system for a quality management in the public service because it promotes the development of professional skills and improves cost management, organizational structure, management of assistance and perception of job pride/satisfaction. Descriptors: Accreditation; Patient Care Team; Management of Quality; Public Hospital; Nursing. RESUMO Objetivo: analisar as percepções da equipe multiprofi ssional sobre a Acreditação em um hospital público. Método: pesquisa descritiva, exploratória, de abordagem qualitativa, realizada em maio de 2014, por meio de entrevista individual gravada. Participaram 28 trabalhadores de um hospital público, Acreditado com Excelência, que responderam à questão norteadora: "Fale-me do sistema de Acreditação implantado neste hospital". As entrevistas foram transcritas na íntegra e submetidas a análise de conteúdo temática. Resultados: das falas, emergiram três categorias: Vantagens proporcionadas pela Acreditação; Hospital público acreditado assemelha-se com hospital privado e; Orgulho/satisfação por atuar em hospital público acreditado. Conclusão: os participantes percebiam a Acreditação como sistema favorável à gestão da qualidade no serviço público porque promove o desenvolvimento de competências profi ssionais e melhora a gestão de custos, a estrutura da organização, o gerenciamento da assistência e a percepção de orgulho/satisfação no trabalho. Descritores: Acreditação; Equipe de Assistência ao Paciente; Gestão da Qualidade; Hospital Público; Enfermagem. RESUMEN Objetivo: analizar las percepciones del equipo multiprofesional sobre la Acreditación de un hospital público. Método: investigación descriptiva, exploratoria, de abordaje cualitativo, realizada en mayo de 2014 a través de entrevistas individuales grabadas. Participaron 28 trabajadores de un hospital público, Acreditado con Excelencia, que respondieron a la cuestión orientadora: "Hábleme del sistema de Acreditación implantado en este hospital". Las entrevistas fueron transcriptas integralmente, y sometidas a análisis de contenido temático. 424Rev Bras Enferm [Internet

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Section: Discussionmentioning

confidence: 93%

Acreditação em hospital público: percepções da equipe multiprofissional

et al. 2016

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“…For all these reasons patient satisfaction is considered as one of the main categories of accreditation plans. In recent years there has been an evolving trend named "accreditation" which has been introduced as a practice for improving the quality of health care services and patient safety 9 . This process can be used as a criterion to evaluate the degree of achievement toward predetermined standards in health care organizations which one of the key ones is patient satisfaction 10 .…”

Section: Introductionmentioning

confidence: 99%

Association between Hospital Accreditation and Patient Satisfaction: A Survey in the Western Province of Iran

Mohebbifar

Rafiei

Asl

et al. 2017

Bangladesh J Med Sci

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Abstract:Background: In recent years accreditation programs have been developed to assess the quality of care and patient safety in hospitals. Quality is a multidimensional concept with patient satisfaction as one of the important facets. This study aimed to test any relationship between patient satisfaction and hospital accreditation. Material and Methods: A cross-sectional study of seven hospitals in Hamadan, Iran, was conducted in 2013. Patient satisfaction was analyzed through a self-made questionnaire and data on hospitals' accreditation scores were obtained from the Curative Deputy of Hamadan University of Medical Sciences. Statistical analysis was done using SPSS 20. Results: Our research found out a strong relation between satisfaction scores and length of stay, hospital type, human resources condition, information, communication and education, medical equipment and physical structure, accessibility to clinical services, emotional support, management and coordination of care. Findings also revealed a significant negative association between hospital accreditation and patient satisfaction except for the domain of emotional support. Conclusion: Findings support healthcare managers with helpful information about the variables that are related to patient satisfaction. This understanding will make them capable to meet needs and preferences of patients more effectively. Study also confirmed the importance of developing an accreditation system based on outcome parameters and providing responsive services to patients which can positively impact their satisfaction.

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“…They estimated total costs of accreditation as $48'005 which equalled to about 5 % of the clinic's annual operating costs. Sack et al [13] studied the association between hospital accreditation and patient satisfaction with hospital care. The authors could not find a link between hospital accreditation status and improved patient satisfaction (benefit).…”

Section: Related Literaturementioning

confidence: 99%

Analysis of costs and benefits of a re-accreditation of a Swiss acute care hospital

2016

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Background: Accreditation of hospitals and other institutions is a widely used instrument for the quality assurance in health care. However, relevant literature regarding the economic evaluation of hospital accreditation is still missing. To date no formal Cost-Benefit Analysis (CBA) or Cost-Utility Analysis (CUA) has been carried out. Methods: This study uses an existing framework specifically developed for the economic evaluation of hospital accreditation. Based on this framework, we identify and quantify the costs and selected benefits of the re-accreditation of a Swiss acute care hospital. Costs are identified and quantified by conducting key informant and expert interviews. Benefits are identified by hospital experts and rated using a newly developed validation tool. Results: Costs of the re-accreditation amount to about CHF 870'000 (internal and external costs). Benefits in quality management (QM) and in the critical incident reporting system (CIRS) are quantified and rated by the hospital experts in the following order: (1) development or promotion of a quality or safety culture, (2) implementation of a hospital-wide complaint management, (3) fulfillment of the hospital vision, (4) improved image upon stakeholders (patients, suppliers etc.), (5) improved image in policy, (6) quality dashboard, (7) preparation of centralized quality documents, and (8) avoidance of liability cases. Conclusion: This study provides detailed information about costs and selected benefits associated with the re-accreditation of a Swiss acute care hospital. As opposed to the costs, benefits could not be monetized but were quantified using an expert rating to illustrate the impacts of the re-accreditation. Overall, our study confirms the difficulties in the economic evaluation of hospital accreditation, but it makes a step towards a formal CUA.

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Is there an association between hospital accreditation and patient satisfaction with hospital care? A survey of 37 000 patients treated by 73 hospitals

Cited by 108 publications

References 27 publications

Acreditação em hospital público: percepções da equipe multiprofissional

Acreditação em hospital público: percepções da equipe multiprofissional

Association between Hospital Accreditation and Patient Satisfaction: A Survey in the Western Province of Iran

Analysis of costs and benefits of a re-accreditation of a Swiss acute care hospital

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