Reform follows failure: I. Unregulated private care in Lebanon

Lerberghe, Wim Van; Ammar, Walid; Rashidi, R El; Sales, Alessandra Santos; Mechbal, A

doi:10.1093/heapol/12.4.296

Cited by 26 publications

(13 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Beyond improved care quality and patient safety, accreditation has positioned the MoPH to influence and regulate the private sector 4 . This shift in the role of the MoPH represents a marked change from years past, where it exercised little influence over private health care institutions 7 . The current legislation entitles the MoPH “to evaluate, classify and accredit hospitals according to their status, field of specialty and range of services provided” (Article 7 of the amendment decree 1983 of the 1962 legislation) 5 …”

Section: Introductionmentioning

confidence: 99%

Occupational health and safety in hospitals accreditation system: the case of Lebanon

Habib

Ghandour

Souha

et al. 2016

International Journal of Occupational and Environmental Health

View full text Add to dashboard Cite

IntroductionHospital accreditation can be an incentive to improve occupational health and safety (OHS) performance.ObjectiveThis study assesses the relationship between status of accreditation among private Lebanese hospitals and compliance with OHS accreditation standards.MethodsA survey was administered to 68 private Lebanese hospitals to assess accreditation status and specific indicators related to each of the 9 OHS codes in the Lebanese accreditation manual. Chi-square, Fisher’s exact test, and independent sample t-tests compared the OHS standards between accredited and non-accredited hospitals.ResultsFifty-six percent of participating private hospitals were accredited. Accredited hospitals reported statistically better OHS performance than non-accredited hospitals based on the standards outlined in the accreditation manual. However, there was inconsistent performance on numerous OHS indicators among participating hospitals.ConclusionThe gaps in OHS performance suggest the need for strengthened OHS guidelines in the national accreditation process to safeguard workers’ health. Strategies to fortify OHS performance include tying service reimbursement to OHS compliance and linking OHS standards with national labor legislation.

show abstract

Section: Introductionmentioning

confidence: 99%

Occupational health and safety in hospitals accreditation system: the case of Lebanon

Habib

Ghandour

Souha

et al. 2016

International Journal of Occupational and Environmental Health

View full text Add to dashboard Cite

show abstract

“…Insurance schemes (largely government social security, other government, and private insurance) cover 42% of the population (Administration Centrale de la Statistique 1998). These insurers attempt to control costs by reducing the length of hospital stays, but have not instituted regulatory systems for monitoring quality (Van Lerberghe et al 1997). Hospital accreditation is not required, nor is continuing medical education.…”

Section: Introductionmentioning

confidence: 99%

Hospital practices in maternity wards in Lebanon

Khayat

Campbell²

2000

Health Policy and Planning

View full text Add to dashboard Cite

This study was conducted in Lebanon with the main objectives of acquiring baseline data on practices and routines applied in the obstetrics ward for women having normal delivery; estimating the frequency of certain practices; and assessing whether women are given choice in these practices. A national sample of 39 hospitals was selected. The director, head midwife, or head nurse of the obstetrics department was interviewed using a semi-structured questionnaire.The hospitals studied are largely equipped to cope with emergencies and services are available 24 hours a day. On average, the caesarean section rate is 18% and the stillbirth rate is 10 per 1000, but with considerable variability between facilities. The majority of hospitals do not have written policies or standard birth procedures and lack mechanisms for evaluation. Generally, minimal prenatal information is given to women. Companions are allowed during labour but this access is more restricted in delivery. The reported configuration of professional care during labour and delivery is favourable to high quality care. In terms of mobility during labour, most hospitals allow women to move. However, 31 hospitals set an i.v. drip to all women and some use continuous fetal monitoring method. Mobility is restricted in delivery; in 23 hospitals women are tied down. Nearly all hospitals give intra-muscular anaesthesia whereas epidurals are used less frequently. As for postpartum care, most hospitals do not initiate breastfeeding within one hour of birth and few have rooming in. The majority of hospitals do not provide women with family planning methods and a few do not even discuss methods with them.The approach used in this study constitutes a tool for understanding and assessing maternity services that should be applied in other settings. The tool is available from the authors.

show abstract

“…As a result, the country had no clear health policy, no means to implement it, no information database to work from, and no health workers—the classic profile of a country at war 3. The public sector shrank dramatically in quantity and quality.…”

Section: Development Of Health Servicesmentioning

confidence: 99%