Accreditation in The Health Sector from The Perspective of Health-Accredited Auditors

Year 2023, Volume: 9 Issue: 18, 70 - 79, 23.10.2023

Latif Karaca , Kubilay Özer

https://doi.org/10.48121/jihsam.1356622

Cited By: 1

Abstract

Along with the quick developments in technology, expectations in health care services and attention to quality and accreditation has increased. This study aims to explore the perspectives of Health Accreditation Auditors (HAAs) who work for Turkish Health Care Quality and Accreditation Institute (TUSKA) on health care accreditation.
There are 202 auditors within TUSKA who got their HAA title before 2021 and so far, 57 HAAs have been assigned for active duty in the audits. In this study, participants were chosen among the HAAs who attended audits actively via snowball sampling and 15 of them were interviewed. Obtained data were analyzed by MAXQDA.
For the purpose of obtaining the perspectives of the HAAs, a list of 17 codes and with the review of these codes, 5 inclusive themes were created. These themes are institutional contribution, institutional development, necessity, financial performance and practicality.
The HAAs clearly stated that accreditation process contributed to health care institutions positively, accelerated institutional development, proved to be necessary, affected institutions’ financial performance positively, and can be implied to any health care institution easily. On the other hand, there were some dissidences among the HAAs on the effect of accreditation on patient potential, perspectives of the managers on accreditation, health care institutions’ acceptance of accreditation standards, financial burden of the standards and the cost of applications.

Keywords

Accreditation, Auditor, Quality, Health

Denetçilerin Bakış Açısıyla Sağlıkta Akreditasyon

Abstract

Teknolojideki hızlı gelişmelerle birlikte sağlık hizmetlerinde beklentiler, kalite ve akreditasyona gösterilen ilgi artmıştır. Bu çalışma, Türkiye Sağlık Hizmetleri Kalite ve Akreditasyon Enstitüsü'nde (TUSKA) görev yapan Sağlık Akreditasyon Denetçilerinin (HAA'lar) sağlık hizmetlerinde akreditasyona bakış açılarını ortaya çıkarmayı amaçlamaktadır.
TUSKA bünyesinde 2021 yılı öncesinde HAA unvanını almış 202 denetçi bulunmakta olup, şu ana kadar denetimlerde 57 HAA aktif görevlendirildi. Bu çalışmada katılımcılar, kartopu örnekleme yöntemiyle denetimlere aktif olarak katılan HAA'lar arasından seçilmiş ve 15 kişiyle görüşme yapılmıştır. Elde edilen veriler MAXQDA ile analiz edildi.
HAA'ların bakış açılarını elde etmek amacıyla 17 koddan oluşan bir liste ve bu kodların incelenmesiyle 5 kapsayıcı tema oluşturulmuştur. Bu temalar; kurumsal katkı, kurumsal gelişim, gereklilik, finansal performans ve pratikliktir.
HAA'lar, akreditasyon sürecinin sağlık kurumlarına olumlu katkı sağladığını, kurumsal gelişimi hızlandırdığını, gerekli olduğunu kanıtladığını, kurumların mali performansını olumlu etkilediğini ve her sağlık kuruluşuna kolaylıkla uygulanabileceğini açıkça ifade etmiştir. Öte yandan akreditasyonun hasta potansiyeline etkisi, yöneticilerin akreditasyona bakış açıları, sağlık kurumlarının akreditasyon standartlarını kabulü, standartların mali yükü ve başvuru maliyetleri konularında HAA'lar arasında görüş ayrılıkları bulunmaktadır.

Keywords

Akreditasyon, Denetçiler, Kalite, Sağlık

References

• Akar, Y., Gülhan, Y.B. ve Acar, P., (2015). Quality Management in Health Care Industry and Health Care Managers’ Perception Of Quality (Case Of Ankara Province). Health Care Academician Journal, 2(2), 76-81.
• Akıncı, S., (2016). Hospital Staff Members’ Thoughts on Accreditation Stuides and Safety: Example of Hacettepe University Adult Hospital, MSc. Thesis, Social Sciences Institute Ankara
• Akyurt, N., (2007). Accreditation Standards in Hospitals: A Research on the Opinions of Radiology Managers of Private Hospitals in Istanbul on the Extent to Which Standards are Met.PhD Thesis, Social Sciences Institute, İstanbul.
• Akyüz, S. ve Akyüz, F., (2015). Overview Of Hospital Employees About Quality And Accreditation Activities: A Comparative Analysis. Health care Academician Journal, 2(2), 90-97.
• Alshamsi, A.I.,Thomson, L. ve Santos A., (2020). What Impact Does Accreditation Have on Workplaces? A Qualitative Study to Explore the Perceptions of Healthcare Professionals About the Process of Accreditation. Front Psychol11.
• Avcı, K. ve Şenel, F.Ç., (2019). Health Services Accreditation: What is The Evidence That The Benefits, Value and Impact?. Online Turkish Journal of Health Sciences, 4(2), 221-234.
• Bayer, N., Zeybek Yılmaz, E. ve Baykal, Ü., (2019). The Health Workers’ Opinion on The Quality Certification Process. The Journal of Health Sciences and Life, 4(1), 0-0.
• Boyd, A.,Ross, S., Robertson, R., Walshe, K. ve Smithson, R., (2018). How Hospital Survey Teams Function: An Analysis of Care Quality Commission Inspections Of Acute Hospitals In England. Journal of Health Organization and Management, 32(2), 206-223.
• Braithwaite, J.,Shaw, C.D., Moldovan, M., Greenfield, D., Hinchcliff, R., Mumford, V., Kristensen, M.B., Westbrook, J., Nicklin, W., Fortune, T. ve Whittaker, S., (2012) Comparison of Health Service Accreditation Programs in Low- and Middle-İncome Countries With Those in Higher Income Countries: A Cross-Sectional Study. Int. J. Qual. HealthCare. 24(6), 568–577.
• Braun V. ve Clarke V, (2019) Reflecting on reflexive thematic analysis, Qualitative Research in Sport, Exercise and Health, 11:4, 589-597, https://doi.org/ 10.1080/2159676X.2019.1628806
• Boyd, A.,Ross, S., Robertson, R., Walshe, K. ve Smithson, R., (2018). How Hospital Survey Teams Function: An Analysis Of Care Quality Commission Inspections Of Acute Hospitals In England. Journal of Health Organizationand Management, 32(2), 206-223.
• Cengiz, C., (2018). Healthcare Accreditation Programs and TUSKA. Journal of Healht Institues of Turkey, 1(1), 21-26.
• Creswell J, W., (2013). Qualitative Research Methods: Qualitative research and research design according to five approaches. Los Angeles: SAGE
• Çayırtepe, Z. ve Özkoç, Ö., (2019). The Role Of Accreditation For Turkish And Foreigner Patients' Hospital Preference. Journal of Healht Institues of Turkey, 2(2), 7-22.
• Demirbilek, S. ve Çolak, M., (2008). The Quality in Health Services: The Example of Manisa. Kafkas University Journal of the Institute of Social Sciences, 1(2), 91-111.
• Doğan, İ.F., Bakan, İ. ve Hayva, S., (2017). Impact Of Competıtıve Strategy On Qualıty In Hospıtals Key Actors Of Health Sector. Electronic Journal of Social Sciences, 16(62), 817-835.
• Donabedian, A., (1980). Explorations in Quality Assessment and Monitoring, 1, The Definitions of Quality and Approaches to Its Assessment. Health Administration Press, 163, Michigan, USA.
• Ertaş, H., ve Çelik, Ö., (2018). A Qualitative Research On Health Qualıty Standarts. Journal of Health Management, 2(1), 18-40.
• Fossey, E., Harvey, C., McDermott, F. ve Davidson, L., (2002). Understanding And EvaluatingQualitative Research. Australian and New Zealand Journal of Psychiatry, 36(6), 717-732.
• Garvin, D,A., (1984). WhatDoes, Product Quality Really Mean?. Sloan Management Review, 25-43.
• Gentles, S. J., Charles, C., Ploeg, J. ve McKibbon, K. (2015). Sampling in Qualitative Research: Insights from an Overview of the Methods Literature. The Qualitative Report, 20(11), 1772-1789. https://doi.org/10.46743/2160-3715/2015.2373
• Greenfield, D. ve Braithwaite, J., (2008). Health Sector Accreditation Research: A Systematic Review. Int J Qual Health Care, 20(3), 172-183.
• Jafar, S.T., Saber, A.A., Leyla, A., Amin, D., Khadijeh, Y.F. ve Samaneh, V., (2015). Required Infrastructures to Implement Accreditation Iniran: The Perspective Of Top Managers Of The Teaching Hospitals in Tabrizand Ardabil University of Medical Sciences. Res J DecictH. 4(2), 29-34.
• Juran, J,M., (2000). Juran’s Quality Handbook, McGraw-Hill, 992, New York, USA.
• Kavak, D.,G., (2018). Turkish Health Care Quality and Accreditation Institute Health Accreditation Standards. Journal of Healht Institues of Turkey, 1(1), 14-20.
• Kilsdonk, M., Siesling, S., Otter, R. ve Harten, W., (2015). Evaluating The Impact of Accreditation and External Peer Review. International Journal of Health Care Quality Assurance, 28(8), 757-777.
• Kuckartz, U. ve Rädiker, S. (2019). Introduction: Analyzing Qualitative Data with Software. In: Analyzing Qualitative Data with MAXQDA. Springer, Cham. https://doi.org/10.1007/978-3-030-15671-8_1
• Lemieux-Charles, L.,Mcguire, W., Champagne, F. ve Barnsley J., (2003). Theuse of Multilevel Performance Indicators in Managing Performance in Health Care Organizations. Management Decision, 760-770.
• Maimaitireyimu, N. ve Arslanoğlu, A., (2019). A Qualitative Research on the Perspectives of Quality Directors on Accreditation Standards in Health. Journal of Healht Institues of Turkey, 2(1), 1-14.
• Mermer, B., (2016). Accreditation in Health Institutions in Turkey. Master Thesıs, Social Sciences Institute, Ankara.
• Ovretveit, J., (1998). Health Sevice Quality: An Intrıduction to Quality Methods for Health Services. Blackwell Scientific, 176, Oxford, England.
• Öz, M. ve Uyar, E., (2014). A Research on Determining the Impact of Word of Mouth Marketing on Percieved Service Quality and Customer Satisfaction. Karamanoğlu Mehmetbey University Journal of Social and Economic Research, 1, 123-132.
• Özdere, N.B., (2017). Empowerment Of The Healthcare Employees For Having Accreditation A Healthcare Instution. MSc. Thesis, Health Sciences Institute, Samsun.
• Öztaş, S., (2014). Quality Management Systems and Accreditation Studies Analysis in Health Institutions (Keçiören Training and Research Hospital, Ankara Numune Training and Research Hospital Example). M. Sc. Thesis, Social Sciences Institute, Ankara.
• Peşkircioğlu, N., (1999). ISO 9000 Applications in Quality Management, MPM Publications, 196, Ankara, Türkiye.
• Pomey, M.P., Contandriopoulos, A.P., Francois, P., ve Bertrand, D., (2004). Accred-İtation: A Tool For Organizational Change In Hospitals?. Int JHealth Care Qual Assur, 17, 113-124.
• Sağlık Bakanlığı (2018). Sağlıkta Akreditasyon Setleri. https://shgmkalitedb.saglik.gov.tr/TR-76711/saglikta-akreditasyon-setleri-sas.html. (accessed October 10, 2021)
• Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, Burroughs H, ve Jinks C., (2018) Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 52(4):1893-1907. doi: 10.1007/s11135-017-0574-8
• Shaw, C., Braithwaite, J., Moldovan, M., Nicklin, W., Grgic, I., Fortune, T. ve Whittaker, S., (2013). Profiling Health-Care Accreditation Organizations: An International Survey. International Journal for Quality in Health Care, 25(3), 222-231.
• Shaw, C.,Groene, O., Mora, N. ve Sunol, R., (2010). Accreditation And ISO Certification: Do They Explain Differences In Quality Management In European Hospitals?. International Journal for Quality in HealthCare, 22(6), 445-451.
• Timmons, K., (2004). Be Clear What Acreditation is Intaded to Accomplish, U.S.A.
• Uyguç, N., (1998). Quality Management in Service Sector. Nine September Publications, 110, İzmir, Türkiye.
• Uzunal, B. ve Uydacı, M. (2010). Word Of Mouth Marketıng In Health Care Organızatıons And A Pılot Study. Journal of Suggestion, 34, 87-95.
• Weber, S.A.D., (2005). Learning Organization: How Does The CCHSA Accreditation Process Health Care Organizations to Devolop Their Learning Processes? MSc. Thesis, University of Ottova, Canada.
• Yetkinlioğlu, Ö., (2009). Significance Of Quality And Accreditation Studies For Providing Patient Safety In Health Institutions: A Comparative Practice For The Evaluation Of Patient Safety Studies In Two Hospitals In Ankara. MSc. Thesis, Social Sciences Institute, Konya.
• Yıldız, A., (2010). Perception of Nurses Working in an Hospital with Accreditation Certificate about Effect of Accreditation on Service Quality. M. Sc. Thesis, Health Sciences Institute, Ankara.
• Yılmaz, E. (2011). Word Of Mouth Marketing In The Health Services. The Journal of Marmara Social Research, 1, 1-19.
• Yousefinezhadi, T.,Mosadeghrad, A.M., Akbari-Sari, A. ve Hinchcliff, R., (2020). Evaluation Results of National Hospital Accreditation Program in Iran: The View Of Hospital Managers. Journal of Healthcare Quality Research, 35(1), 12-18.