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AKREDİTASYONUN TIP LABORATUVARLARINDA HİZMET KALİTESİ ÜZERİNE ETKİSİ: ÜNİVERSİTE HASTANESİ PERSONEL GÖRÜŞLERİ

Yıl 2021, Cilt: 24 Sayı: 4, 729 - 746, 27.12.2021

Öz

Bu çalışmanın amacı, akreditasyonun tıbbi laboratuvarlarda hizmet kalitesi üzerindeki etkisini ve akreditasyonun hizmet kalitesini nasıl etkilediğini açıklayan faktörleri, laboratuvar personelinin bakış açısıyla incelemektir. Kesitsel bir anket formu El-Jardali ve ark. (2008), hastane akreditasyonunun bakım kalitesi üzerindeki etkisini araştırdıkları çalışmasına dayanarak tasarlanmıştır. Bu çalışma tıbbi laboratuvar personelinden örneklenmiştir. Katılımcıların demografik özelliklerini ve tıbbi laboratuvar personelinin görüşlerini analiz etmek için tanımlayıcı istatistikler kullanılmıştır. Faktör analizi ile tıbbi laboratuvarda akreditasyon sürecini etkileyen faktörler belirlenmiştir. Açıklayıcı faktör analizi, varyansın %75'ini açıklayan beş faktörlü bir model ortaya çıkarmıştır. Faktörler; Kalite Yönetimi, Akreditasyonun Faydaları, Akreditasyona Personeli Katılımı, Kalite Sonuçları ve İnsan Kaynakları Kullanımı olarak adlandırılmıştır. Cinsiyet, yaş, kadro durumu, mezuniyet durumu ve merkez laboratuvarındaki mevcut pozisyondaki çalışma süresinin tümü katılımcıların algılarını etkilemektedir. Tıbbi laboratuvar personelinin akreditasyon ve bunun tıbbi laboratuvar hizmet kalitesine etkisi konusunda olumlu görüşlere sahip olduğu görülmüştür. Bu çalışma, üniversite hastanesi tıbbi laboratuvar yöneticilerine akreditasyon ve akreditasyonun tıbbi laboratuvar hizmet kalitesi üzerindeki etkileri hakkında daha derin bir fikir vermektedir. Ayrıca sonuçlar, özel ve kamu hastaneleri yöneticilerinin, akreditasyondan daha fazla fayda sağlamak için organizasyonel değişkenleri yönetmelerine yardımcı olacaktır. Bu kesitsel çalışma, gelecekteki araştırmalar için ampirik kanıt sağlayan faktör analizi yoluyla tıbbi laboratuvarlarda akreditasyon sürecindeki kilit faktörleri incelemek için uygulanmıştır.

Kaynakça

  • Ahire, S. L, Golhar D. Y. & Waller M. A. (1996). Development and validation of TQM implementation constructs. Decision Sciences, 27 (1), 23-56.
  • Al Tehewy, M., Salem B., Habil, I. & El Okda, S. (2009). Evaluation of accreditation program in non-governmental organizations' health units in Egypt: short-term outcomes. International Journal for Quality in Health Care, 21( 3), 183-189.
  • Algahtani, H., Aldarmahi, A., Manlangit J. & Bader Shirah B., (2017). Perception of hospital accreditation among health professionals in Saudi Arabia. Annals of Saudi Medicine, 37(4), 326-32.
  • Algunmeeyn, A., El-Dahiyat, F., Alfayoumi, I. & Alrawashdeh, M. (2020). Exploring staff perspectives of the barriers to the implementation of accreditation in Jordanian hospitals: Case study. International Journal of Healthcare Management, 1-7.
  • Alkhenizan, A. & Shaw, C., (2011). Impact of accreditation on the quality of healthcare services: a systematic review of the literature”. Annals of Saudi Medicine, 31(4), 407-416.
  • Avia, I. & Hariyati, R. T. S., (2019). Impact of hospital accreditation on quality of care: A literature review. Enfermeria Clinica, 29(2), 315-320.
  • Bahadori, M., Teymourzadeh, E., Ravangard, R. & Saadati M., (2018). Accreditation effects on health service quality: nurse viewpoints. International Journal of Health Care Quality Assurance, 31(7), 697-703.
  • Beaulieu, N. D. & Epstein, A. M, (2002), National Committee on Quality Assurance health-plan accreditation: predictors, correlates of performance, and market impact. Medical Care, 40(4), 325-337.
  • Bogh, S. B., Blom, A., Raben, D. C., Braithwaite, J., Thude, B., Hollnagel, E. & von Plessen, C., (2018). Hospital accreditation: staff experiences and perceptions. International Journal of Health Care Quality Assurance, 31(5), 420-427.
  • El-Jardali, F., Jamal, D., Dimassi, H., Ammar W. & Tchaghchaghian, V., (2008). The impact of hospital accreditation on quality of care: perception of Lebanese nurses. International Journal for Quality in Health Care, 20(5), 363-371.
  • Greenfield, D. & Braithwaite, J., (2008), Health sector accreditation research: A systematic review. International Journal for Quality in Health Care, 20(3), 172-183.
  • Hair, J. F, Anderson, R. E., Tatham, R. L. & Black, W. C., (2006). Multivariate data analysis. Pearson Education Hall, New Delhi.
  • Issac, G., Rajendran, C. & Anantharaman, R.N., (2004). A holistic framework for TQM in the software industry: a confirmatory factor analysis approach. Quality Management Journal, 11(3), 35-56.
  • Jaafaripooyan, E., Agrizzi, D. & Akbari-Haghighi, F., (2011). Healthcare accreditation systems: further perspectives on performance measures. International Journal for Quality In Health Care, 23(6), 645-656.
  • Joseph, I. N, Rajendran, C. & Kamalanabhan, T. J., (1999). An instrument for measuring total quality management implementation in manufacturing-based business units in India. International Journal of Production Research, 37(10), 2201-2215.
  • Jovanovic, B., (2005). Hospital accreditation as method for assessing quality in health care. Archive of Oncology, 13(3/4), 156.
  • Kakemam, E., Rajabi, M.R., Raeissi, P. & Ehlers, L. H., (2020). Attitudes towards accreditation and quality ımprovement activities among hospital employees in Iran: A quantitative study. Journal of Multidisciplinary Healthcare, 13, 799-807.
  • Karthiyayini, N. & Rajendran, C., (2017). Critical factors and performance indicators: accreditation of testing-and calibration-laboratories. Benchmarking: An International Journal, 24(7), 1814-1833.
  • Klazinga, N., (2000). Re-engineering trust: the adoption and adaption of four models for external quality assurance of health care services in western European health care systems. International Journal for Quality in Health Care, 12, 183-89.
  • Menachemi, N., Chukmaitov, A., Brown, L. S, Saunders, C. & Brooks, R. G., (2008). Quality of care in accredited and nonaccredited ambulatory surgical centers. The Joint Commission Journal on Quality and Patient Safety, 34(9), 546-551.
  • Montagu, D., (2003). Accreditation and other external quality assessment systems for healthcare. DFID Health Systems Resource Centre Working Paper, 1(1), 1-38.
  • Padma, P, Ganesh, L. S & Rajendran, C., (2008). A study on the critical factors of ISO 9001: 2000 and organizational performance of Indian manufacturing firms. International Journal of Production Research, 46(18), 4981-5011.
  • Peter, T. F, Rotz, P. D., Blair, D. H., Khine, A., Freeman, R. R. & Murtagh, M. M., (2010). Impact of laboratory accreditation on patient care and the health system”. American Journal of Clinical Pathology, 134(4), 550-555.
  • Pomey, M-S, Lemieux-Charles, L., Champagne, F., Angus, D., Shabah, A. & Contandriopoulos, A-P., (2010). Does accreditation stimulate change? A study of the impact of the accreditation process on Canadian healthcare organizations”. Implementation Science, 5(1), 1-14.
  • Rabinovitch, A., (2002). The College of American Pathologists laboratory accreditation program”. Accreditation and Quality Assurance, 7(11), 473-476.
  • Sadikoglu, E. & Temur T., (2012). The relationship between ISO 17025 quality management system accreditation and laboratory performance, in Kim-Soon Ng (Ed.). Quality Management and Practices, 13, 221-230.
  • Saleh, S. S, Bou Sleiman, J., Dagher, D., Sbeit, H. & Natafgi, N., (2013). Accreditation of hospitals in Lebanon: is it a worthy investment?. International Journal for Quality in Health Care, 25(3), 284-290.
  • Schmaltz, S. P, Williams, S. C., Chassin, M. R., Loeb, J. M & Wachter. R. M, (2011). Hospital performance trends on national quality measures and the association with Joint Commission accreditation. Journal of Hospital Medicine, 6(8), 454-461.
  • Seren, S. and Baykal, U., (2007). Relationships between change and organizational culture in hospitals. Journal of Nursing Scholarship, 39(2), 191-197.
  • Shaw, C. D., (2000). External quality mechanisms for health care: summary of the ExPeRT project on visitatie, accreditation, EFQM and ISO assessment in European Union countries”. International Journal for Quality in Health Care, 12 (3), 169-175.
  • Shaw, C. D, & World Health Organization, (2006). Developing hospital accreditation in Europe. (No. EUR/04/5051758) In.: Copenhagen: WHO Regional Office for Europe.
  • Shortell, S. M, O'Brien, J. L., Carman, J. M., Foster, R. W., Hughes, E. F., Boerstler, H. & O'Connor, E. J., (1995). Assessing the impact of continuous quality improvement/total quality management: concept versus implementation, Health Services Research, 30(2), 377-401.
  • Siverbo, K., Eriksson, H., Raharjo, H. & Moonen, M, (2014). Attitudes toward quality improvement among healthcare professionals. International Journal of Quality and Service Sciences, 6(2/3), 203-212.
  • Swathi, K. S, Barkur, G. & Somu, G., (2020). Impact of accreditation on performance of healthcare organizations. International Journal of Quality and Service Sciences, 12(1), 85-108.
  • Tamil Selvi, M. & Ankanagari S., (2019). Implementing QMS and Accreditation Standards in Medical Diagnostics for Quality of Services. Medical Laboratory Journal, 13(1), 37-41.
  • Turan, A. & Bozaykut-Bük, T., (2016). Analyzing perceived healthcare service quality on patient related outcomes. International Journal of Quality and Service Sciences, 8(4), 478-497.
  • Uras, F., (2009), Quality regulations and accreditation standards for clinical chemistry in Turkey. Clinical Biochemistry, 42(4-5), 263-265.
  • Verstraete, A., van Boeckel, E., Thys, M. & Engelen, F., (1998). Attitude of laboratory personnel towards accreditation. International Journal of Health Care Quality Assurance, 11(1), 27-30.
  • Yıldız, A. & Kaya, S., (2014). Perceptions of nurses on the impact of accreditation on quality of care. Clinical Governance, 19(2), 69-82.

ACCREDITATION IMPACT ON SERVICE QUALITY IN MEDICAL LABORATORIES: UNIVERSITY HOSPITAL STAFF VIEWPOINTS

Yıl 2021, Cilt: 24 Sayı: 4, 729 - 746, 27.12.2021

Öz

The purpose of this study is to investigate the effect of accreditation on service quality in medical laboratories and the factors that explain how accreditation affects service quality through laboratory staffs’ viewpoints. A cross-sectional survey form was designed based on El-Jardali et al. (2008), who studied the impact of hospital accreditation on quality of care. This study sampled from medical laboratory staff. Descriptive statistics were used to analyze participants’ demographics and medical laboratory staffs’ views. Factor analysis was determined the factors effects on accreditation process in medical laboratory. Explanatory factor analysis revealed a five-factor model explaining 75% of the variance. The factors were named Quality Management, Benefits of Accreditation, Accreditation Staff Involvement, Quality Results, and Human Resources Utilization. Gender, age, employment status, degrees, and length of employment in present position at Central Laboratory all affected the participants’ perceptions. Medical laboratory staff had positive viewpoints about accreditation and its effect on medical laboratory service quality. This study gives university hospital medical laboratory managers a deeper insight into accreditation and its effects on medical laboratory service quality. Besides, the results will lead the way private and public hospital managers to conduct organizational variables for increase benefit from accreditation. This cross-sectional study was applied to examine the key factors in accreditation process at medical laboratories through factor analysis, which provided empirical evidence for future research.

Kaynakça

  • Ahire, S. L, Golhar D. Y. & Waller M. A. (1996). Development and validation of TQM implementation constructs. Decision Sciences, 27 (1), 23-56.
  • Al Tehewy, M., Salem B., Habil, I. & El Okda, S. (2009). Evaluation of accreditation program in non-governmental organizations' health units in Egypt: short-term outcomes. International Journal for Quality in Health Care, 21( 3), 183-189.
  • Algahtani, H., Aldarmahi, A., Manlangit J. & Bader Shirah B., (2017). Perception of hospital accreditation among health professionals in Saudi Arabia. Annals of Saudi Medicine, 37(4), 326-32.
  • Algunmeeyn, A., El-Dahiyat, F., Alfayoumi, I. & Alrawashdeh, M. (2020). Exploring staff perspectives of the barriers to the implementation of accreditation in Jordanian hospitals: Case study. International Journal of Healthcare Management, 1-7.
  • Alkhenizan, A. & Shaw, C., (2011). Impact of accreditation on the quality of healthcare services: a systematic review of the literature”. Annals of Saudi Medicine, 31(4), 407-416.
  • Avia, I. & Hariyati, R. T. S., (2019). Impact of hospital accreditation on quality of care: A literature review. Enfermeria Clinica, 29(2), 315-320.
  • Bahadori, M., Teymourzadeh, E., Ravangard, R. & Saadati M., (2018). Accreditation effects on health service quality: nurse viewpoints. International Journal of Health Care Quality Assurance, 31(7), 697-703.
  • Beaulieu, N. D. & Epstein, A. M, (2002), National Committee on Quality Assurance health-plan accreditation: predictors, correlates of performance, and market impact. Medical Care, 40(4), 325-337.
  • Bogh, S. B., Blom, A., Raben, D. C., Braithwaite, J., Thude, B., Hollnagel, E. & von Plessen, C., (2018). Hospital accreditation: staff experiences and perceptions. International Journal of Health Care Quality Assurance, 31(5), 420-427.
  • El-Jardali, F., Jamal, D., Dimassi, H., Ammar W. & Tchaghchaghian, V., (2008). The impact of hospital accreditation on quality of care: perception of Lebanese nurses. International Journal for Quality in Health Care, 20(5), 363-371.
  • Greenfield, D. & Braithwaite, J., (2008), Health sector accreditation research: A systematic review. International Journal for Quality in Health Care, 20(3), 172-183.
  • Hair, J. F, Anderson, R. E., Tatham, R. L. & Black, W. C., (2006). Multivariate data analysis. Pearson Education Hall, New Delhi.
  • Issac, G., Rajendran, C. & Anantharaman, R.N., (2004). A holistic framework for TQM in the software industry: a confirmatory factor analysis approach. Quality Management Journal, 11(3), 35-56.
  • Jaafaripooyan, E., Agrizzi, D. & Akbari-Haghighi, F., (2011). Healthcare accreditation systems: further perspectives on performance measures. International Journal for Quality In Health Care, 23(6), 645-656.
  • Joseph, I. N, Rajendran, C. & Kamalanabhan, T. J., (1999). An instrument for measuring total quality management implementation in manufacturing-based business units in India. International Journal of Production Research, 37(10), 2201-2215.
  • Jovanovic, B., (2005). Hospital accreditation as method for assessing quality in health care. Archive of Oncology, 13(3/4), 156.
  • Kakemam, E., Rajabi, M.R., Raeissi, P. & Ehlers, L. H., (2020). Attitudes towards accreditation and quality ımprovement activities among hospital employees in Iran: A quantitative study. Journal of Multidisciplinary Healthcare, 13, 799-807.
  • Karthiyayini, N. & Rajendran, C., (2017). Critical factors and performance indicators: accreditation of testing-and calibration-laboratories. Benchmarking: An International Journal, 24(7), 1814-1833.
  • Klazinga, N., (2000). Re-engineering trust: the adoption and adaption of four models for external quality assurance of health care services in western European health care systems. International Journal for Quality in Health Care, 12, 183-89.
  • Menachemi, N., Chukmaitov, A., Brown, L. S, Saunders, C. & Brooks, R. G., (2008). Quality of care in accredited and nonaccredited ambulatory surgical centers. The Joint Commission Journal on Quality and Patient Safety, 34(9), 546-551.
  • Montagu, D., (2003). Accreditation and other external quality assessment systems for healthcare. DFID Health Systems Resource Centre Working Paper, 1(1), 1-38.
  • Padma, P, Ganesh, L. S & Rajendran, C., (2008). A study on the critical factors of ISO 9001: 2000 and organizational performance of Indian manufacturing firms. International Journal of Production Research, 46(18), 4981-5011.
  • Peter, T. F, Rotz, P. D., Blair, D. H., Khine, A., Freeman, R. R. & Murtagh, M. M., (2010). Impact of laboratory accreditation on patient care and the health system”. American Journal of Clinical Pathology, 134(4), 550-555.
  • Pomey, M-S, Lemieux-Charles, L., Champagne, F., Angus, D., Shabah, A. & Contandriopoulos, A-P., (2010). Does accreditation stimulate change? A study of the impact of the accreditation process on Canadian healthcare organizations”. Implementation Science, 5(1), 1-14.
  • Rabinovitch, A., (2002). The College of American Pathologists laboratory accreditation program”. Accreditation and Quality Assurance, 7(11), 473-476.
  • Sadikoglu, E. & Temur T., (2012). The relationship between ISO 17025 quality management system accreditation and laboratory performance, in Kim-Soon Ng (Ed.). Quality Management and Practices, 13, 221-230.
  • Saleh, S. S, Bou Sleiman, J., Dagher, D., Sbeit, H. & Natafgi, N., (2013). Accreditation of hospitals in Lebanon: is it a worthy investment?. International Journal for Quality in Health Care, 25(3), 284-290.
  • Schmaltz, S. P, Williams, S. C., Chassin, M. R., Loeb, J. M & Wachter. R. M, (2011). Hospital performance trends on national quality measures and the association with Joint Commission accreditation. Journal of Hospital Medicine, 6(8), 454-461.
  • Seren, S. and Baykal, U., (2007). Relationships between change and organizational culture in hospitals. Journal of Nursing Scholarship, 39(2), 191-197.
  • Shaw, C. D., (2000). External quality mechanisms for health care: summary of the ExPeRT project on visitatie, accreditation, EFQM and ISO assessment in European Union countries”. International Journal for Quality in Health Care, 12 (3), 169-175.
  • Shaw, C. D, & World Health Organization, (2006). Developing hospital accreditation in Europe. (No. EUR/04/5051758) In.: Copenhagen: WHO Regional Office for Europe.
  • Shortell, S. M, O'Brien, J. L., Carman, J. M., Foster, R. W., Hughes, E. F., Boerstler, H. & O'Connor, E. J., (1995). Assessing the impact of continuous quality improvement/total quality management: concept versus implementation, Health Services Research, 30(2), 377-401.
  • Siverbo, K., Eriksson, H., Raharjo, H. & Moonen, M, (2014). Attitudes toward quality improvement among healthcare professionals. International Journal of Quality and Service Sciences, 6(2/3), 203-212.
  • Swathi, K. S, Barkur, G. & Somu, G., (2020). Impact of accreditation on performance of healthcare organizations. International Journal of Quality and Service Sciences, 12(1), 85-108.
  • Tamil Selvi, M. & Ankanagari S., (2019). Implementing QMS and Accreditation Standards in Medical Diagnostics for Quality of Services. Medical Laboratory Journal, 13(1), 37-41.
  • Turan, A. & Bozaykut-Bük, T., (2016). Analyzing perceived healthcare service quality on patient related outcomes. International Journal of Quality and Service Sciences, 8(4), 478-497.
  • Uras, F., (2009), Quality regulations and accreditation standards for clinical chemistry in Turkey. Clinical Biochemistry, 42(4-5), 263-265.
  • Verstraete, A., van Boeckel, E., Thys, M. & Engelen, F., (1998). Attitude of laboratory personnel towards accreditation. International Journal of Health Care Quality Assurance, 11(1), 27-30.
  • Yıldız, A. & Kaya, S., (2014). Perceptions of nurses on the impact of accreditation on quality of care. Clinical Governance, 19(2), 69-82.
Toplam 39 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Nehir Balcı 0000-0002-9317-7491

Mehmet Aksaraylı 0000-0003-1590-4582

Pınar Tuncel Bu kişi benim 0000-0002-3807-3008

Gözde Türköz Bakırcı Bu kişi benim 0000-0001-9910-3314

Yayımlanma Tarihi 27 Aralık 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 24 Sayı: 4

Kaynak Göster

APA Balcı, N., Aksaraylı, M., Tuncel, P., Türköz Bakırcı, G. (2021). ACCREDITATION IMPACT ON SERVICE QUALITY IN MEDICAL LABORATORIES: UNIVERSITY HOSPITAL STAFF VIEWPOINTS. Hacettepe Sağlık İdaresi Dergisi, 24(4), 729-746.
AMA Balcı N, Aksaraylı M, Tuncel P, Türköz Bakırcı G. ACCREDITATION IMPACT ON SERVICE QUALITY IN MEDICAL LABORATORIES: UNIVERSITY HOSPITAL STAFF VIEWPOINTS. HSİD. Aralık 2021;24(4):729-746.
Chicago Balcı, Nehir, Mehmet Aksaraylı, Pınar Tuncel, ve Gözde Türköz Bakırcı. “ACCREDITATION IMPACT ON SERVICE QUALITY IN MEDICAL LABORATORIES: UNIVERSITY HOSPITAL STAFF VIEWPOINTS”. Hacettepe Sağlık İdaresi Dergisi 24, sy. 4 (Aralık 2021): 729-46.
EndNote Balcı N, Aksaraylı M, Tuncel P, Türköz Bakırcı G (01 Aralık 2021) ACCREDITATION IMPACT ON SERVICE QUALITY IN MEDICAL LABORATORIES: UNIVERSITY HOSPITAL STAFF VIEWPOINTS. Hacettepe Sağlık İdaresi Dergisi 24 4 729–746.
IEEE N. Balcı, M. Aksaraylı, P. Tuncel, ve G. Türköz Bakırcı, “ACCREDITATION IMPACT ON SERVICE QUALITY IN MEDICAL LABORATORIES: UNIVERSITY HOSPITAL STAFF VIEWPOINTS”, HSİD, c. 24, sy. 4, ss. 729–746, 2021.
ISNAD Balcı, Nehir vd. “ACCREDITATION IMPACT ON SERVICE QUALITY IN MEDICAL LABORATORIES: UNIVERSITY HOSPITAL STAFF VIEWPOINTS”. Hacettepe Sağlık İdaresi Dergisi 24/4 (Aralık 2021), 729-746.
JAMA Balcı N, Aksaraylı M, Tuncel P, Türköz Bakırcı G. ACCREDITATION IMPACT ON SERVICE QUALITY IN MEDICAL LABORATORIES: UNIVERSITY HOSPITAL STAFF VIEWPOINTS. HSİD. 2021;24:729–746.
MLA Balcı, Nehir vd. “ACCREDITATION IMPACT ON SERVICE QUALITY IN MEDICAL LABORATORIES: UNIVERSITY HOSPITAL STAFF VIEWPOINTS”. Hacettepe Sağlık İdaresi Dergisi, c. 24, sy. 4, 2021, ss. 729-46.
Vancouver Balcı N, Aksaraylı M, Tuncel P, Türköz Bakırcı G. ACCREDITATION IMPACT ON SERVICE QUALITY IN MEDICAL LABORATORIES: UNIVERSITY HOSPITAL STAFF VIEWPOINTS. HSİD. 2021;24(4):729-46.