Accreditation or accreditations? A comparative study about accreditation in France, United Kingdom and Cataluña

Fortes, Maria Thereza; Mattos, Ruben Araújo de; Baptista, Tatiana Wargas de Faria

doi:10.1016/s0104-4230(11)70050-1

Cited by 11 publications

(5 citation statements)

References 2 publications

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“…Thus, the Join Commission on Accreditation of Hospitals seeks to establish an international standard of safety and quality in care, besides aiming at continuously improving patient care through a high level of excellence and reliability in its processes [2][3] .…”

Section: Descriptoresmentioning

confidence: 99%

“…The history of quality care in Brazil began with the World Health Organization (WHO), which in 1989 began to address the subject and estimated that the accreditation process would be the strategy to encourage quality in health services 3 . It is estimated that in Brazil there are currently 64 JCI accredited hospitals, with the Hospital Israelita Albert Einstein in São Paulo in 1999 being the first to be accredited 5 .…”

Section: Descriptoresmentioning

confidence: 99%

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Hospital Accreditation in the Brazilian Context

Rodrigues¹,

Franco²,

Carbonezi³

et al. 2022

JHT

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Introduction: Hospital accreditation aims to promote patient care and assistance and quality in the institution's sectors, aiming at process safety, integrated management and continuous improvement. Objective: to identify in Brazil in 2021 the types of establishments certified in the country, as well as their respective states, type of management and certification seals in force in the national territory. Method: Descriptive and retrospective study with a quantitative approach. The search was carried out on the website of the National Accreditation Organization in October 2021. Variables of interest were considered: types of accredited health establishments, types of certifications in force in the national territory, type of management of the accredited establishment, state and city of establishments. Results: The analyzes identified that in the month of October 2021 there are 906 certifications in the Brazilian territory. Of these, 760 (84%) of the accreditations in the national territory are private institutions and 337 (37.2%) are hospital institutions. As for the certification seal, 201 (22.1%) of the institutions are accredited (level I) and 341 (37.6%) are located in the state of São Paulo. Conclusions: It was possible to obtain a view of the accreditation certifications in force in Brazil through their characterization, in order to visualize which types of seals, establishments and states are covered with health establishments committed to quality and excellence in care.

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Section: Descriptoresmentioning

confidence: 99%

Section: Descriptoresmentioning

confidence: 99%

Hospital Accreditation in the Brazilian Context

Rodrigues¹,

Franco²,

Carbonezi³

et al. 2022

JHT

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“…However, the complexity of adapting it to primary and specialized care decreases its applicability (Arcelay et al, 1998). Importantly, among the models for the accreditation of quality specific to the health sector, there is an important commitment to self-assessment as a cornerstone of the accreditation process, such as in the Australian Council on Healthacare Standards (Greenfield & Braithwaite, 2008 ), Haute Autorité de Santé (Fortes, Mattos & Baptista, 2011) and Accreditation Canada (McCurdy et al, 2009). As the result of a need for a model more suited to the healthcare reality, already demanded in public health organizations (Guix Oliver, 2005), and favoured by further development of specific continual improvement tools that enable management of healthcare quality , the ACSA accreditation model was born (Almazán-González, 2006).…”

Section: Self-assessment In Health Institutionsmentioning

confidence: 99%

Quality Assurance and Management

Savsar¹

2012

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“…Accreditation is a systematic assessment by an independent external organization to confirm the existence of pre-defined standards in the structure, process and outcomes with the aim of stimulating the culture of continuous improvement in the quality of medical and hospital care and protecting people's health (5). Furthermore, accreditation is an effective program for improving the quality of care, patient safety, service provider satisfaction, and improving financial performance and professional development (6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Hospital Accreditation: A solution for Iranian challenges or a challenge for the hospitals?

Bordbar

Manesh

Kavosi

et al. 2020

Preprint

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Background: Inasmuch as accreditation is of great significance for hospitals, this study aimed to explain the accreditation challenges of Iranian hospitals through a content analysis approach. Methods: A qualitative study was run through the content analysis method in 2018. 19 semi-structured interviews were conducted with experts and data were saturated. To increase the accuracy and precision of the study, Guba and Lincoln’s four criteria including credibility, dependability, conformability and transferability were used. MAX QDA 10 was used for data analysis via 5-step framework analysis approach. Results: The findings identify 5 main themes and 29 subthemes. The main themes included macro and policy making issues, evaluators' issues, structures and processes, executive issues, and accreditation measures. The macro policy making issues include: non-alignment of accreditation policies, waste of resources, lack of independent organization for accreditation, ignoring the stakeholders and contradictory regulations. Evaluators issues contain: shortage of evaluators, high current expenditures of evaluators, lack of motivation, irrelevancy of evaluators' expertise, conflict of interest and irregular and tight schedules of evaluations. Structural and process challenges involve: ignoring the infrastructures, unstandardized old hospital buildings, lack of competition between hospitals, Inconsistency of hospitals` strategic plan and instrumental use of accreditation by hospitals. Executive issues comprise high workload and dissatisfaction, lack of attention to main tasks, staff resistance against accreditation, lack of physicians` involvement and its time-consuming nature. And finally the last theme, Accreditation measures consist: Interference and parallel measures, ambiguity and unclearness of measures, using the same measures for different hospitals, weakness of measures, uniform weight of measures, inappropriate structure of scoring and failure to revise the measures. Conclusion: The results shed light on the fact that Iranian hospitals need to experience major changes in applying accreditation as a quality assurance mechanism. In other words, it seems necessary for policy makers affiliated with Ministry of Health and Medical education to revise accreditation measures according to hospital needs and try to clarify the structure and executive process of the accreditation. Moreover, improving and standardizing the evaluators` skills is recommended.

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Accreditation or accreditations? A comparative study about accreditation in France, United Kingdom and Cataluña

Cited by 11 publications

References 2 publications

Hospital Accreditation in the Brazilian Context

Hospital Accreditation in the Brazilian Context

Quality Assurance and Management

Hospital Accreditation: A solution for Iranian challenges or a challenge for the hospitals?

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