Narrative synthesis of health service accreditation literature

Hinchcliff, Reece; Greenfield, David; Moldovan, Max; Westbrook, Johanna I.; Pawsey, Marjorie; Mumford, Virginia; Braithwaite, Jeffrey

doi:10.1136/bmjqs-2012-000852

Cited by 164 publications

(195 citation statements)

References 118 publications

Supporting

Mentioning

171

Contrasting

Unclassified

Order By: Relevance

“…[23,30,31] In other systematic reviews, accreditation programs are consistently found to facilitate improvements in medical institutions and healthcare quality. [32][33][34] The standards included in this study are intended to determine whether the goals and purpose of the accreditation system are being achieved well. In the future, it will be necessary to carry out additional research to determine how accreditation affects patients' well-being as well as research to evaluate outcome indicators, and cost-effectiveness studies.…”

Section: Discussionmentioning

confidence: 99%

The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea

Park¹,

Jung²,

Suk

2017

JHA

View full text Add to dashboard Cite

Objective: In order to encourage more hospitals to participate in the accreditation, there needs to be "substantial evidence of the effectiveness of accreditation". The aim of this study was to identify and analyze healthcare employees' perceptions of hospital accreditation and the impact of hospital accreditation on the quality of healthcare in Korea. Methods: Eight electronic databases were searched between June and July 2016. Of the initially identified 392 abstracts, 14 empirical studies on healthcare accreditation in Korea were selected based on the inclusion criteria. These were retrieved and analyzed. Results: The 14 studies assessed healthcare employees' perception of hospital accreditation as well as the impact of hospital accreditation on the quality of healthcare. The results were classified into four categories according to perception (Need, Purpose, Intent, and Relevance of standards), and into five categories according to the impact of accreditation (Patient safety and healthcare quality, Satisfaction with hospital employees, Leadership, Organizational culture, and Managerial performance). Findings showed that healthcare employees' had good understanding of the purpose, need, and intention of the healthcare accreditation system, but indicated that limitations exist with the accreditation standards. Moreover, evidence showed that healthcare accreditation in Korea has made a positive impact on "patient safety and healthcare quality", "leadership" and "organizational culture". Conclusions: Healthcare accreditation has had a positive overall impact on hospitals and has improved the quality of healthcare as well as patient safety. However, more rigorous research and more diverse research methods are required to determine its long-term effect.

show abstract

Section: Discussionmentioning

confidence: 99%

The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea

Park¹,

Jung²,

Suk

2017

JHA

View full text Add to dashboard Cite

show abstract

“…24 However, the effect of such accreditation on healthcare quality is stated to be uncertain and warranting more study. 25 Our study is highly responsive to such a call. Physician certification in a specialty is also felt to be result in better health outcomes.…”

Section: Efficacy Effectiveness and Health Policymentioning

confidence: 99%

A Multicenter Prospective Comparative Effectiveness Study of the Effect of Physician Certification and Center Accreditation on Patient-Centered Outcomes in Obstructive Sleep Apnea

Parthasarathy

Subramanian²,

Quan

2014

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

than those who did not receive such sleep specialist consultation. 8 Recently, a randomized controlled non-inferiority trial reported that treatment of OSA by primary care physicians was non-inferior to that of sleep specialists with regard to resolution Objectives: To study the effect of sleep center accreditation and Sleep Medicine board certifi cation of physicians on patient-centered outcomes in obstructive sleep apnea (OSA). Design: Prospective, multicenter, comparative effectiveness study. Setting: Four sleep centers Patients: 502 patients with OSA. Interventions: None. Measurements and Results: Patients at two accredited and two non-accredited centers underwent polysomnography at participating locations and completed validated questionnaires, with objective measurement of positive airway pressure (PAP) therapy adherence performed three months after therapy initiation. The proportion of patients (age 53 ± 13[SD] years; 26% women; and body mass index 33.6 ± 7.2 kg/m 2 ) who were adherent to PAP therapy by Medicare guidelines (> 70% of nights with ≥ 4 h use over a 30-day period) was greater in accredited (79%) than non-accredited sites (64%; p = 0.004). After adjustment for confounding variables, patients who received care from accredited centers (odds ratio [OR] 2.2, 95% confi dence interval [CI], 1.2-4.2; p = 0.016) and certifi ed physicians (OR 2.3, 95% CI, 1.3-4.0; p = 0.005) were more likely to be adherent to PAP therapy than those who received care from non-accredited centers and non-certifi ed physicians. Patient satisfaction was associated with greater education received from physician (OR 4.6; 95% CI 2.3-9.3); greater risk perception (OR 2.7; 95% CI 1.0-7.4); physician certifi cation (OR 2.1; 95% CI 1.1-4.2); and inversely related to delays in care (OR 0.5; 95% CI 0.3-0.9; p < 0.05). Such delays were inversely related to accreditation-certifi cation status (p < 0.0001). Conclusions:In patients with OSA, accreditation-certifi cation status of sleep centers and physicians was associated with better PAP adherence, better patient education, better patient satisfaction, and greater timeliness. S C I E N T I F I C I N V E S T I G A T I O N SH ealth care delivery in many disease conditions including obstructive sleep apnea (OSA) will be increasingly driven by quality metrics.1-3 One of the important quality metrics for OSA-adherence to positive airway pressure (PAP) therapyremains a huge problem, with adherence of greater than four hours of daily use ranging from 46% to 83%. 4,5 There is much emphasis on patient-centered care that focuses on outcomes relevant to patients such as improving patient satisfaction and enhancing the patient experience. 6 We have previously shown that in a cross-sectional national survey, patients with OSA cared for by American Academy of Sleep Medicine (AASM) accredited sleep centers or Sleep Medicine board-certifi ed physicians had lower positive airway pressure (PAP) discontinuation rates and reported greater patient satisfaction than patients cared for by non-accredited cent...

show abstract

“…[14][15][16][17] With increasing financial constraints, questions about the value of the large sums invested in health service accreditation arose in recent years. [17][18][19][20] Hematopoietic stem cell transplantation (HSCT) is an established treatment for many patients with severe congenital or acquired disorders of the hematopoietic system. Despite major improvements, it remains associated with substantial morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

Use of the quality management system "JACIE" and outcome after hematopoietic stem cell transplantation

Gratwohl

Brand

McGrath³

et al. 2014

Haematologica

View full text Add to dashboard Cite

Narrative synthesis of health service accreditation literature

Cited by 164 publications

References 118 publications

The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea

The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea

A Multicenter Prospective Comparative Effectiveness Study of the Effect of Physician Certification and Center Accreditation on Patient-Centered Outcomes in Obstructive Sleep Apnea

Use of the quality management system "JACIE" and outcome after hematopoietic stem cell transplantation

Contact Info

Product

Resources

About