Strategic Faults in Implementation of Hospital Accreditation Programs in Developing Countries: Reflections on the Iranian Experience

Document Type : Editorial

Author

1 Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran

2 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran

Abstract

Establishment of hospital accreditation programs is increasingly growing across numerous developing nations. Such initiatives aim to improve quality of care. However, such establishments, mainly incentivized by successful and famous accreditation plans in developed countries, usually suffer from lack of necessary arrangements which, in turn, result in undesired consequences. Indeed, the first priority for such nations, including Iran, is not establishment of accreditation programs, yet strict licensing plans.

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  1. Patterson CH. Joint Commission on accreditation of healthcare organizations. Infect Control Hosp Epidemiol. 1995;16(1):36-42. doi:10.1086/647001
  2. Novaes HM. Hospital accreditation in developing countries. In: Al-Assaf  AF, ed. Health Care Quality: An International Perspective. New Delhi: WHO; 2001:241.  http://apps.searo.who.int/PDS_DOCS/B0110.pdf#page=245.
  3. El-Jardali F, Jamal D, Dimassi H, Ammar W, Tchaghchaghian V. The impact of hospital accreditation on quality of care: perception of Lebanese nurses. Int J Qual Health Care. 2008;20(5):363-371. doi:10.1093/intqhc/mzn023
  4. Galukande M, Katamba A, Nakasujja N, et al. Developing hospital accreditation standards in Uganda. Int J Health Plan Manage. 2015. doi:10.1002/hpm.2317
  5. Bateganya M, Hagopian A, Tavrow P, Luboga S, Barnhart S. Incentives and barriers to implementing national hospital standards in Uganda. Int J Qual Health Care. 2009;21(6):421-426. doi:10.1093/intqhc/mzp044
  6. Wilson R, Michel P, Olsen S, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. BMJ. 2012;344:e832. doi:10.1136/bmj.e832
  7. Harrison R, Cohen AW, Walton M. Patient safety and quality of care in developing countries in Southeast Asia: a systematic literature review. Int J Qual Health Care. 2015. doi:10.1093/intqhc/mzv041
  8. Hajizadeh M, Nghiem HS. Hospital care in Iran: an examination of national health system performance. International Journal of Healthcare Management. 2013;6(3):201-210. doi:10.1179/2047971913y.0000000042
  9. Hashjin AA, Kringos DS, Manoochehri J, Aryankhesal A, Klazinga NS. Development and impact of the Iranian hospital performance measurement program. BMC Health Serv Res. 2014;14:448. doi:10.1186/1472-6963-14-448
  10. Aryankhesal A, Sheldon T. Effect of the Iranian hospital grading system on patients' and general practitioners' behaviour: an examination of awareness, belief and choice. Health Serv Manage Res. 2010;23(3):139-144. doi:10.1258/hsmr.2009.009028
  11. Alkhenizan A, Shaw C. Impact of accreditation on the quality of healthcare services: a systematic review of the literature. Ann Saudi Med. 2011;31(4):407. doi:10.4103/0256-4947.83204
  12. Ministry of Health and Medical Education (MoHME). Hospital accreditation standards in Iran. Tehran: MoHME, Deputy of Curative Affairs; 2010.
  13. Agrizzi D, Agyemang G, Jaafaripooyan E. Conforming to accreditation in Iranian hospitals. Accounting Forum. 2016.        doi:10.1016/j.accfor.2016.02.002
  14. Aryankhesal A, Sheldon TA, Mannion R, Mahdipour S. The dysfunctional consequences of a performance measurement system: the case of the Iranian national hospital grading programme. J Health Serv Res Policy. 2015;20(3):138-145. doi:10.1177/1355819615576252
  15. Aryankhesal A, Sheldon TA, Mannion R. Role of pay-for-performance in a hospital performance measurement system: a multiple case study in Iran. Health Policy Plan. 2013;28(2):206-214. doi:10.1093/heapol/czs055
  16. Aryankhesal A, Sheldon TA, Mannion R. Impact of the Iranian hospital grading system on hospitals’ adherence to audited standards: an examination of possible mechanisms. Health Policy. 2014;115(2):206-214. doi:10.1016/j.healthpol.2013.11.004
  17. Aghaei Hashjin A, Delgoshaei B, Kringos DS, Tabibi SJ, Manouchehri J, Klazinga NS. Implementing hospital quality assurance policies in Iran: Balancing licensing, annual evaluation, inspections and quality management systems. Int J Health Care Qual Assur. 2015;28(4):343-355. doi:10.1108/ijhcqa-03-2014-0034
  18. Valentine B. Licensing, accreditation and quality improvement. Australian Journal of Public Administration. 2007;66(2):238-247. doi:10.1111/j.1467-8500.2007.00531.x
  19. Bukonda N, Tavrow P, Abdallah H, Hoffner K, Tembo J. Implementing a national hospital accreditation program: the Zambian experience. Int J Qual Health Care. 2002;14(Suppl 1):7-16. doi:10.1093/intqhc/14.suppl_1.7
  20. Sax S, Marx M. Local perceptions on factors influencing the introduction of international healthcare accreditation in Pakistan. Health Policy Plan. 2014;29(8):1021-1030. doi:10.1093/heapol/czt084
  21. El‐Jardali F, Ammar W, Hemadeh R, Jamal D, Jaafar M. Improving primary healthcare through accreditation: baseline assessment of readiness and challenges in lebanese context. Int J health Plan Manage. 2013;28(4):e256-e279. doi:10.1002/hpm.2170
  22. Bahadori M, Ravangard R, Alimohammadzadeh K. The accreditation of hospitals in iran. Iran J Public Health. 2015;44(2):295-296. doi:10.1136/bmj.h4407
  23. Centers for Medicare & Medicaid Services. Quality inititives - General information. https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/qualityinitiativesgeninfo/index.html. Accessed May 28, 2016. Published 2016.
  24. Davies HT, Nutley SM, Mannion R. Organisational culture and quality of health care. Qual Health Care. 2000;9(2):111-119. doi:10.1136/qhc.9.2.111
  25. Salmon JW, Heavens J, Lombard C, Tavrow P. The impact of accreditation on the quality of hospital care: KwaZulu-Natal province Republic of South Africa. Washington, DC: US Agency for International Development, Quality Assurance Project; 2003.
  26. Jafary FH, Ahmed H, Kiani J. Outcomes of primary percutaneous coronary intervention at a joint commission international accredited hospital in a developing country--can good results, possibly similar to the west, be achieved? J Invasive Cardiol. 2007;19(10):417-423.
  27. Smits H, Supachutikul A, Mate KS. Hospital accreditation: lessons from low-and middle-income countries. Globalization and health. 2014;10(1):1. doi:10.1186/s12992-014-0065-9
  28. Saleh SS, Alameddine MS, Natafgi NM. Beyond accreditation: a multi-track quality-enhancing strategy for primary health care in low-and middle-income countries. Int J Health Serv. 2014;44(2):355-372. doi:10.2190/hs.44.2.k