Objective: to analyze managers and professionals' perceptions on the changes in hospital
management deriving from accreditation.Method: descriptive study with qualitative approach. The participants were five hospital
quality managers and 91 other professionals from a wide range of professional
categories, hierarchical levels and activity areas at four hospitals in the South
of Brazil certified at different levels in the Brazilian accreditation system.
They answered the question "Tell me about the management of this hospital before
and after the Accreditation". The data were recorded, fully transcribed and
transported to the software ATLAS.ti, version 7.1 for access and management. Then,
thematic content analysis was applied within the reference framework of Avedis
Donabedian's Evaluation in Health.Results: one large family was apprehended, called "Management Changes Resulting from the
Accreditation: perspectives of managers and professionals" and five codes, related
to the management changes in the operational, structural, financial and cost; top
hospital management and quality management domains.Conclusion: the management changes in the hospital organizations resulting from the
Accreditation were broad, multifaceted and in line with the improvements of the
service quality.