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Vol. 35. Issue 1.
Pages 12-18 (January - February 2020)
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Vol. 35. Issue 1.
Pages 12-18 (January - February 2020)
Original Article
DOI: 10.1016/j.jhqr.2019.08.008
Evaluation results of national hospital accreditation program in Iran: The view of hospital managers
Resultados de la evaluación del programa nacional de acreditación hospitalaria en Irán: opinión de los directores de hospitales
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T. Yousefinezhadia,
Corresponding author
t.yousefinezhadi@gmail.com

Corresponding author.
, A.M. Mosadeghradb, R. Hinchcliffc, A. Akbari-Sarib
a Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
b Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
c School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Australia
Article information
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Figures (1)
Tables (3)
Table 1. Hospital type.
Table 2. Frequency distribution and the mean score of satisfaction of hospital managers in Iran from the dimensions of the accreditation system.
Table 3. Frequency distribution of Iran accreditation system challenges.
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Abstract
Background

Accreditation programs have a crucial role in improving the safety and effectiveness of hospital services. Many factors contribute to achieve accreditation goals. This study evaluated the national Iranian hospital accreditation program from the view of hospital managers in Iran.

Methods

The study was conducted in 2015 using a validated questionnaire designed to collect feedback concerning accreditation processes and impacts. In total, 547 managers were surveyed using a stratified random sampling method. A 5-degree scale Likert from totally disagree=1 to totally agree=5 has been used for the evaluation. Descriptive and inferential statistics were used to analyze the data.

Results

Approximately half of hospital managers were satisfied with the accreditation standards and surveying methods. The reason for their dissatisfaction was the high number of measures (2.38). The main challenges to the accreditation method were reported inadequate surveyor training (2.94) their satisfaction with the infrastructure was low because of a lack of hospital resources. Nonetheless, the accreditation program was perceived as being successful in improving patient safety (3.80), patient compliance (3.72), and error reduction (3.53).

Conclusion

An effective accreditation program requires reducing the number of standards and making them clearer as well as the infrastructure for the implementation of accreditation such as sufficient and sustainable funds, enough human resources and equipment should be provided. Appropriate surveyors should be selected and trained professionally to ensure inter-rater reliability among them.

Keywords:
Accreditation
Hospital evaluation
Quality standards
Iran
Resumen
Antecedentes

Los programas de acreditación juegan un papel esencial para mejorar la seguridad y la efectividad de los servicios hospitalarios. Son muchos los factores que contribuyen al logro de los objetivos de acreditación. Este estudio evaluó el programa nacional de acreditación hospitalaria de Irán desde la perspectiva de los directores de hospitales iranís.

Métodos

Este estudio fue realizado en 2015, utilizando un cuestionario validado, diseñado para recabar comentarios con relación a los procesos de acreditación y su impacto. En total, se encuestó a 547 directores, utilizando un método de muestreo aleatorio estratificado. Para la evaluación se utilizó una escala Likert de 5 grados para el total de desacuerdos =1 con respecto al total de acuerdos =5. También se utilizaron estadísticas descriptivas e inferenciales para analizar los datos.

Resultados

Aproximadamente la mitad de los directores hospitalarios estaban satisfechos con los estándares de acreditación y los métodos de inspección. El motivo de su insatisfacción fue el alto número de medidas (2,38). Las principales dificultades con respecto al método de acreditación fueron la formación inadecuada del inspector (2,94). Su satisfacción con la infraestructura fue baja debido a la falta de recursos hospitalarios. Sin embargo, el programa de acreditación se percibió satisfactorio para la mejora de la seguridad del paciente (3,8), cumplimiento del paciente (3,72) y reducción de errores (3,53).

Conclusión

Un programa de acreditación efectivo requiere la reducción de los estándares, que estos sean más claros, y la aportación de infraestructuras para la implementación de la acreditación con fondos suficientes y sostenibles, así como de recursos humanos y equipamientos suficientes. Deberán seleccionarse supervisores adecuados, formados profesionalmente, para garantizar la fiabilidad inter-evaluador entre los mismos.

Palabras clave:
Acreditación
Evaluación hospitalaria
Estándares de calidad
Irán

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