Health Services Accreditation: What is The Evidence That The Benefits, Value and Impact?

Yıl 2019, Cilt: 4 Sayı: 2, 221 - 234, 30.06.2019

Keziban Avcı , Figen Çizmeci Şenel

https://doi.org/10.26453/otjhs.525436

Cited By: 3

Öz

This study purposes to evaluate how the benefit, value
and impact of accreditation can be optimize the quality of patient care in a
health care organization and what kind of achievement for accreditation of
health services in Turkey. This study provides a thematic review of the
literature related to benefit, value and impact of health services
accreditation. At the same time, the literature search focused on these issues.
In this context, we searched well-known databases (i.e. EBSCOHOST,
ScienceDirect, ERIC, Springer LINK, Scopus, Web of Science) from 2003 until
2018 for English and Turkish language. Institutions and organizations seeking to provide
quality healthcare services should measure the quality of the service they
present, plan and implement improvements in the order of employee, clinic and
institutional level, and make the re-evaluation process continuous within a
system. The necessity of a reliable audit in health services
is important in terms of ensuring and maintaining confidence in health
professionals, experts and institutions. According to published evidence,
accreditation is one of the evaluating tools in health care organizations and
in the accreditation, by a third party confirms that the service is in
compliance with standards.

Anahtar Kelimeler

Accreditation, audit, impact of accreditation, benefit of accreditation, value of accreditation

Sağlık Hizmetleri Akreditasyonu: Faydası, Önemi ve Etkisi Nedir?

Öz

Bu çalışma, akreditasyonun yararı, önemi ve etkisinin
sağlık hizmeti sunan bir kuruluşta hasta bakım kalitesini nasıl
iyileştireceğini ve Türkiye’de sağlık hizmetleri akreditasyona yönelik ne tür
kazanımlar olduğunu değerlendirmek amacıyla yapılmıştır. Çalışma sağlık hizmetleri akreditasyonunun yararı,
değeri ve etkisi ile ilgili literatürün tematik bir incelemesini sunmaktadır.
Aynı zamanda literatür araştırması bu konulara odaklanmıştır. Bu kapsamda
2003'ten 2018'e kadar İngilizce ve Türkçe dillerinde iyi bilinen veri tabanları
(örn. EBSCOHOST, ScienceDirect, ERIC, Springer LINK, Scopus, Web of Science)
araştırılmıştır. Kaliteli sağlık hizmeti sunmak isteyen kurum ve
kuruluşlar, sunduğu hizmetin kalitesini ölçmek, çalışan, klinik ve kurum
düzeyinde iyileştirmeler planlayıp uygulamak ve yeniden değerlendirme sürecini
bir sistem dahilinde sürekli hale getirmek durumundadır. Sağlık hizmetlerinde güvenilir bir değerlendirmenin
gerekliliği; sağlık profesyonellerine, uzmanlarına ve kurumlarına güvenin
sağlanması ve sürdürülmesi açısından önemlidir. Yayınlanan kanıtlara göre
akreditasyon, sağlık kuruluşlarını değerlendirmede kullanılan araçlardan
birisidir ve akreditasyonda üçüncü bir taraf, standartlara uygun hizmet
sunulduğunu yapılan denetimlerle doğrulamaktadır. 

Anahtar Kelimeler

Akreditasyon, denetim, akreditasyonun etkisi, akreditasyonun faydası, akreditasyonun önemi

Kaynakça

• KAYNAKÇA
• 1. Akdağ R. Türkiye Sağlıkta Dönüşüm Programı Değerlendirme Raporu (2003-2011), 2012. https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/SDPturk.pdf,Accessed February 02,2018.
• 2. Atun R, Aydın S, Chakraborty S, et al. Universal Health Coverage in Turkey: Enhancement of Equity. Lancet. 2013;382(6): 65-99.
• 3. Caldana G, Gabriel CS. Evaluation of the hospital accreditation program: face and content validation. Rev Bras Enferm. 2017;70(1):41-47. doi:http://dx.doi.org/10.1590/0034-7167-2016-0184.
• 4. Ebrahi Z, Nasiripour A A, Raeissi P. The impact of structure, process and output on the establishment of an accreditation system in social security hospitals in Tehran. International Journal of Health Studies. 2017; 3(3): 5-8.
• 5. Flodgren G, Pomey M P, Taber S A, Eccles M P. Effectiveness of external inspection of compliance with standards in improving healthcare organisation behaviour, healthcare professional behaviour or patient outcomes. Cochrane Database Syst Rev. 2014;9(11);1-47. doi:10.1002/14651858.CD008992.pub2.
• 6. Greenfield D, Hogden A, Hinchcliff R, et al. The impact of national accreditation reform on survey reliability: A 2-year investigation of survey coordinators’ perspectives. Journal of Evaluation in Clinical Practice. 2016;22(5):662–667.
• 7. Melo S. The Impact of accreditation on healthcare quality improvement: a qualitative case study. Journal of Health Organization and Management. 2016;30(8);1242-1258.
• 8. Resmi Gazete. Türkiye Sağlık Enstitüleri Başkanlığı Kurulması ile Bazı Kanun ve Kanun Hükmünde Kararnamelerde Değişiklik Yapılmasına Dair Kanun. http://www.mevzuat.gov.tr/MevzuatMetin/1.5.6569.pdf. Accessed January 19,2019.
• 9. OECD. OECD Reviews of Health Care Quality: Turkey 2014: Raising Standards, OECD Publishing. http://dx.doi.org/10.1787/9789264202054-en. Accessed January 19,2019.
• 10. Greenfield D, Braithwaite J. Health sector accreditation research: a systematic review. Int J Qual Health Care. 2008;20(3):172–183. doi:10.1093/intqhc/mzn005. 11. Shaw CD. ISQua Toolkit for accreditation programs. https://www.acep.org/uploadedFiles/ACEP/About_Us/Leadership/Committees/categorization_tf/ISQuaAccreditationToolkit.pdf. Accessed January 19,2019.
• 12. Rooney A L, Van Ostenberg P R. Licensure, Accreditation, and Certification: Approaches to Health Services Quality. Bethesda, Quality Assurance Project. https://www.usaidassist.org/sites/assist/files/accredmon.pdf. Accessed January 19,2019.
• 13. Kilsdonk M, Siesling S, Otter R, Harten W. Evaluating the impact of accreditation and external peer review. International Journal of Health Care Quality Assurance. 2015;28(8):757-777.
• 14. Boulet J, Van Zanten M. Ensuring high-quality patient care: the role of accreditation, licensure, specialty certification and revalidation in medicine. Medical Education. 2014;48(1):75–86.
• 15. Desveaux L, Mitchell J I, Shaw J, et al. Understanding the impact of accreditation on quality in healthcare: A grounded theory approach, International Journal for Quality in Health Care. 2017;29(7):941–947.
• 16. Pelberg A L. Utilization Measurement . P. Varkey içinde, Medical Quality Managenment Theory and Practice. USA: Jones and Barrlett Publishers. 2010:145-166.
• 17. Nekoei‐Moghadam M, Amiresmaili M, Iranemansh M, Iranmanesh M. Hospital accreditation in Iran: A qualitative case study of Kerman hospitals, Int J Health Plann Mgmt. 2018;33(2);426-433. https://doi.org/10.1002/hpm.2480.
• 18. World Health Organization Regional Office for Eastern Mediterranea. Technıcal Dıscussıons: Accredıtatıon Of Hospıtals And Medıcal Educatıon Instıtutıons–Challenges And Future Dırectıons. http://apps.who.int/medicinedocs/documents/s16608e/s16608e.pdf. Accessed January 19,2019.
• 19. Nicklin W, Fortune T, Van Ostenberg P, O'Connor E, McCauley N. Leveraging the full value and impact of accreditation, International Journal for Quality in Health Care. 2017;29(2): 310–312.
• 20. Chen J, Rathore SS, Radford M J, et al. JCAHO Accreditation and quality of care for acute myocardial infarction. Health Affairs. 2003;22(2):243–254. doi:10.1377/hlthaff.22.2.243.
• 21. El-Jardali F, Jamal D, Dimassi H, et al. The impact of hospital accreditation on quality of care: perception of Lebanese nurses. International Journal for Quality in Health Care. 2008;20(5): 363–371.
• 22. Devkaran S, O’Farrell P N. The impact of hospital accreditation on clinical documentation compliance: a life cycle explanation using interrupted time series analysis. BMJ Open. 2014; 4(8):1-9. doi:10.1136/bmjopen-2014-005240.
• 23. Greenfield D, Kellner A, Townsend K, Wilkinson A, Lawrence S A. Health service accreditation reinforces a mindset of high-performance human resource management: lessons from an Australian study, International Journal for Quality in Health Care. 2014;26(4):372–377.
• 24. Lee E. Safety climate and attitude toward medication error reporting after hospital accreditation in South Korea. Int J Qual Health Care. 2016;28(4):508-14. doi: 10.1093/intqhc/mzw058. Epub 2016 Jun 9.
• 25. Bogh SB, Falstie-Jensen AM, Hollnagel E, et al. Improvement in quality of hospital care during accreditation: A nationwide stepped-wedge study. Int J Qual Health Care. 2016;28(6):715-720.
• 26. Aboshaiqah AE, Alonazi WB, Patalagsa JG. Patients' assessment of quality of care in public tertiary hospitals with and without accreditation: comparative cross-sectional study. Journal of Advanced Nursing. 2016;72(11): 2750–2761.
• 27. Al-Sughayir M A. Effect of accreditation on length of stay in psychiatric inpatients: pre-post accreditation medical record comparison. Int J Ment Health Syst. 2016; 10(1):1-5. doi: 10.1186/s13033-016-0090-6.
• 28. Shaikh ZM. The impact of hospital accreditation on the ambulance services satisfaction, International Journal of Emerging Research in Management &Technology. 2016;5(12):76-84.
• 29. Salim FM, Rahman M. The impact of Joint Commission International Healthcare Accreditation on Infection Control Performance: A study in Dubai Hospital, Global Journal of Business & Social Science Review. 2017;5(1); 37-45.
• 30. Park I, Jung Y, Suk S. The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea. Journal of Hospital Administration. 2017;6(6):20-27.
• 31. Ulusal Sağlık Politikası. Ulusal Sağlık Politikası 2001: Üçüncü Bin Yıla Hazırlanıyoruz, http://sbu.saglik.gov.tr/Ekutuphane/kitaplar/ulusalsaglikpolitikasi.pdf. Accessed January 19,2019.
• 32. Yıldız M S. Hastanelerde Kalite Yönetim Sistemlerinin Değerlendirilmesi: Kamu ve Özel Hastanelerde Bir Araştırma, Yayınlanmış Doktora Tezi, 2017. Ankara: Gazi Üniversitesi, Sosyal Bilimler Enstitüsü.
• 33. General Directorate of Health Services Ministry of Health, Standards of Accreditation in Health Hospital Kit – v1.1/2015. Ankara: Pozitif Printing Press Ltd. Co. 2015.
• 34. General Directorate of Health Services Ministry of Health, Standards of Accreditation in Health Assessor Training Programme Guide – v1.0/2015. Ankara: Pozitif Printing Press Ltd. Co. 2015.
• 35. Valori R, Rogers , Johnston D, Ingham J. Developing a strategy for accreditation of clinical services, Clinical Medicine. 2013;13(6): 538–42.
• 36. Türkiye Sağlık Hizmetleri Kalite ve Akreditasyon Enstitüsü, TÜSKA'dan Akredite Kuruluşlar, http://tuseb.gov.tr/tuska/tuskadan-akredite-kuruluslar Accessed January 19,2019.
• 37. Joint Comission International, JCI-Accredited Organizations, https://www.jointcommissioninternational.org/about-jci/jci-accredited-organizations/?c=Turkey&pg=1. Accessed January 19,2019.
• 38. Hinchcliff R, Greenfield D, Westbrook JI, et all. Stakeholder perspectives on implementing accreditation programs: a qualitative study of enabling factors. BMC health services research. 2013;13:1-9. doi.org/10.1186/1472-6963-13-437.
• 39. 39. Aryankhesal A, Sheldon TA, Mannion R. Impact of the Iranian hospital grading system on hospitals’ adherence to audited standards: An examination of possible mechanisms, Journal of Health Policy. 2014;115(2):206-214. doi: 10.1016/j.healthpol.2013.11.004.
• 40. Braithwaite J, Shaw CD, Moldovan M, et al. Comparison of health service accreditation programs in low-and middle-income countries with those in higher income countries: a cross-sectional study. International Journal for Quality in Health Care. 2012;24(6):568-77.
• 41. Resmi Gazete. Döviz Kazandırıcı Hizmet Sektörleri Markalaşma Destekleri Hakkında Para-Kredi ve Koordinasyon Kurulunun 26/5/2015 Tarihli ve 2015/9 Sayılı Kararı http://www.resmigazete.gov.tr/main.aspx?home=http://www.resmigazete.gov.tr/eskiler/2015/06/20150602.htm&main=http://www.resmigazete.gov.tr/eskiler/2015/06/20150602.htm, Accessed January 19,2019.
• 42. Resmi Gazete. Döviz Kazandırıcı Hizmet Ticaretinin Desteklenmesi Hakkında Para-Kredi ve Koordinasyon Kurulunun 26/5/2015 Tarihli ve 2015/8 Sayılı Kararı http://www.resmigazete.gov.tr/main.aspx?home=http://www.resmigazete.gov.tr/eskiler/2015/06/20150602.htm&main=http://www.resmigazete.gov.tr/eskiler/2015/06/20150602.htm. Accessed January 19,2019.
• 43. T.C. Ekonomi Bakanlığı. https://www.ekonomi.gov.tr/portal/faces/home/hizmetTicareti/dovizKazan/dovizkazandiricigenelbilgi?_afrLoop=22939776786544014&_afrWindowMode=0&_afrWindowId=1035ximh3j&_adf.ctrl-state=6drbxf26f_360#!%40%40%3F_afrWindowId%3D1035ximh3j%26_afrLoop%3D22939776786544014%26_afrWindowMode%3D0%26_adf.ctrl-state%3D6drbxf26f_364. Accessed January 19,2019.
• 44. Shaw CD, Braıthwaıte J, Moldovan M, et al. Profiling Health-Care Accreditation Organizations: An International Survey. International Journal for Quality in Health Care. 2013;25(3):222-231.
• 45. Heuvel J, Niemeijer G C, Does R J. Measuring healthcare quality: The challenges. International Journal of Health Care Quality Assurance. 2013;26(3);269-278.