Stakeholders’ Perception of the Palestinian Health Workforce Accreditation and Regulation System: A Focus on Conceptualization, Influencing Factors and Barriers, and the Way Forward

Abstract

The Health Workforce Accreditation and Regulation (HWAR) is a key function of the health system and is the subject of increasing global attention. This study provides an assessment of the factors affecting the Palestinian HWAR system, identifies existing gaps and offers actionable improvement solutions. Data were collected during October and November 2019 in twenty-two semi-structured in-depth interviews conducted with experts, academics, leaders, and policymakers purposely selected from government, academia, and non-governmental organizations. The overall perceptions towards HWAR were inconsistent. The absence of a consolidated HWAR system has led to a lack of communication between actors. Environmental factors also affect HWAR in Palestine. The study highlighted the consensus on addressing further development of HWAR and the subsequent advantages of this enhancement. The current HWAR practices were found to be based on personal initiatives rather than on a systematic evidence-based approach. The need to strengthen law enforcement was raised by numerous participants. Additional challenges were identified, including the lack of knowledge exchange and salary adjustments. HWAR in Palestine needs to be strengthened on the national, institutional, and individual levels through clear and standardized operating processes. All relevant stakeholders should work together through an integrated national accreditation and regulation system.

Perceptions, Attitudes, and Barriers towards the Use of Central Board for Accreditation of Healthcare Institutions (CBAHI) Standards among Saudi Healthcare Providers

“…The healthcare providers, on the other hand, demonstrated that the main obstacles preventing the hospital from fully benefiting from the CBAHI accreditation were distributed as follows: inefficient IT tools, a lack of time, a lack of support from the top administration, a lack of communication at the hospital/ward, a lack of support from the administration department, and a lack of relevance for daily tasks. Previous research has shown that the claimed worker shortage and hiring difficulties [34], infrastructure gaps, low levels of physician engagement [24], limited financial support [35], and bureaucratic decisionmaking procedures [36] represent barriers to accreditation standards implementation [37]. Further future studies are required to confirm these findings on a larger scale and eliminate selection bias.…”

Determinan Kinerja Tenaga Kesehatan terhadap Akreditasi Puskesmas Sosopan Kecamatan Sosopan Kabupaten Padang Lawas

“…Pengaruh insentif terhadap tenaga kesehatan terhadap proses akreditasi puskesmas memiliki implikasi yang penting dalam meningkatkan kualitas layanan kesehatan di level primer (26). Insentif yang diberikan kepada tenaga kesehatan, baik dalam bentuk finansial maupun non-finansial, dapat menjadi pendorong utama bagi mereka untuk meningkatkan kinerja dan komitmen mereka terhadap standar-standar akreditasi yang ditetapkan.…”

“…Berdasarkan beberapa penelitian, Puskesmas dengan tenaga kesehatan yang memiliki masa kerja campuran yakni gabungan antara yang baru dan yang lama cenderung lebih berhasil dalam memenuhi standar akreditasi. Tenaga kesehatan yang lebih muda seringkali membawa energi baru dan keakraban dengan teknologi terkini, sedangkan mereka yang lebih berpengalaman memberikan pengetahuan mendalam tentang praktik medis dan pelayanan pasien (23,26,39). Masa kerja tenaga kesehatan memiliki pengaruh signifikan terhadap proses dan hasil akreditasi Puskesmas.…”