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Kazakistan'da Sağlık Hizmetlerinde Akreditasyon; Metodoloji ve Etkileri

Yıl 2016, Cilt: 3 Sayı: 2, 57 - 63, 01.04.2016

Öz

OzetGünümüzde sağlık arenasında sağlık hizmeti kullanıcıları ya da media tarafından sağlık alanında farklı tartışmalar gündeme getirilmektedir. İster sağlık hizmeti sunan, ister hizmet kullanıcısı ya da hizmeti sağlayan kurum olsun hepsinin de ortak amacı sağlık çıktılarının doğru bir biçimde ölçülmesi, raporlanması dolayısıyla kanıta dayalı bu çabalarla hizmetin iyileştirilmesidir. Bu alanda yıllardır Dünya Sağlık Örgütü kalite değerlendirme, performans iyileştirme ve çıktı değerlendirmeleri ile ilgili sayısız aktiviteler yerine getirirken, son yıllarda pek çok ülke ve kuruluşlarda bu çabalara ortak olmakta ve sağlık hizmetlerinde kaliteyi objektif olarak değerlendirmeye uğraşmaktadırlar.Bu bağlamda karşımıza tüm bunları gerçekleştirmede anahtar oluşumların sertifikasyon, ruhsatlandırma ve akreditasyon olduğu gerçeği çıkmaktadır. Bu makalede sağlık hizmetlerinde kalite yaklaşımı, kavramlar, tarihçesi ve sağlık kuruluşlarında uygulanan akreditasyon çalışmaları tartışılacaktır. Sağlık hizmetlerinde akreditasyon ve bazı akreditasyon modelleri Kazakistanda kurulan sağlık hizmetlerinde akreditasyon sistemi örnek alınarak detaylarıyla tartışılacaktır.

Kaynakça

  • Kueng, P., “Process performance measurement system: a tool to support process-based organizations” Total Quality Management, Jan 2000, 68 (2000).
  • Dale, B., Plunkett, J.J., Managing Quality, Philip Allan Co., New York, (1990).
  • Akgün S., Güray S., Erdal R.”Total Quality Management in Practice at Baskent University Ankara Hospital”. Quality for Business Transformation-Challenges of Sustainable Exellence in the 21st Century Editör-in-Chief J.S.Ahluwalia, Institute of Directors, India, Sayfa 394-400, Ocak 1999
  • Akgün S., Haksever A., Akyel S., Güray Ş., Erdal R. “Applying Quality Management to Healthcare Quality for Business Transformation-Challenges of Sustainable Exellence in the 21st Century”. Editör-in-Chief J.S.Ahluwalia, Institute of Directors,India, Sayfa 550-558, Ocak 1999
  • Akgün S., Haksever A. Haberal C .Tokalak İ. Erdal R. Haberal M.,.” Strategies and Obstacles in Quality Management: The Experience of a Hospital Network in Turkey”, Global Engagement in Creating Financially Viable Healthcare Systems Proceedings, pp: 195-203
  • Blumenthal, D., Applying Industrial Quality Management Science to Physicians’ Clinical Decisions, Improving Clinical Practice, Total Quality management and the Physician, Jossey-Bass Inc., New York, (1995).
  • Donobedian, A., Explorations in Quality Assessment and Monitoring, The Definition of Quality and Approaches to its Assessment, Mick: Health Administration Press, Ann Arbor, (1980).
  • Donobedian, A., “The quality of care, how can it be assessed?” JAMA, 260(12), ? (1988).
  • Comprehensive Accreditation Manual for Hospitals: The Official Handbook, CAMH Update 4, (November 2005)
  • Larson, J.S., The Measurement of Health, Concepts and Indicators-Measurement of Mortality, 17-21
  • Licensing and Certification of Health Facilities and Referral Agencies, Register 90, No 14-19; 90, pp=759838
  • Martin D. Merry, MD, & Michael G. Crago, PhD, The Past, Present and Future of Health Care Quality,Urgent need for innovative, external review processes to protect patients, September•October 2001, The PhysıcıanExecutıve.
  • A.F.Al-Assaf, Seval Akgün, Sağlık Hizmetlerinde Sertifikasyon, Ruhsatlandırma ve Akreditasyon, Hospital Life, Hastane forumu, Mart-Nisan 2006
  • WORLD HEALTH ORGANIZATION, FIFTY-FIFTH WORLD HEALTH ASSEMBLY A55/13,Provisional agenda item 13.9 23 March 2002, Quality of care: patient safety
  • JCAHO (1999). http://www.jcaho.org
  • NCQA (2003). The National Committee on Quality Assurance, Washington DC. http://www.ncqa.org
  • CMS(2003). The Centres for Medicare and Medicaid Managed Care, Rockville,Maryland. http://hcfa.gov
  • AAAHC (2003). The Accreditation Association for Ambulatory Health Care, Washington, DC. http:// www. aaahc.org
  • URAC (2003). American Accreditation Healthcare Commission, Washington. DC. http://www.urac.org
  • CCHSA (2003) canadian Council on Health Services Accreditation, Ottowa.Ontorio, canada.http:// www.cchsa. ca
  • ISQua (2003).International Society for Quality in Healthcare, Victoria, Australia .http://www.isqua.org.au

Healthcare Accreditation in Kazakhstan: Methods and Impact

Yıl 2016, Cilt: 3 Sayı: 2, 57 - 63, 01.04.2016

Öz

AbstractIn today’s health care arena, a number of issues are being raised that have received more attention either from the health care consumers or the media. Whether as a provider, a consumer or a purchaser, each was looking for ways to satisfy the other through measuring and reporting on care outcomes. All of these activities were done in the effort to measure performance. WHO organized and facilitated a number of activities related to quality assessment, performance improvement and outcome measurement. A large number of countries and institutions participated in these activities and initiatives. And at the end, all agreed that there had to be an organized mechanism to account for quality, continuous measurement and improved performance in health care organizations. In order to do this a mechanism for certification, licensure or accreditation should be put in place. In this article we will discuss the importance and the components of quality in health care and accreditation. A detailed exploration of accreditation will take the majority of discussion of this article. The process and the methodology of accreditation will be discussed and a system for its implementation is presented as a case study of Republic of Kazakhstan.

Kaynakça

  • Kueng, P., “Process performance measurement system: a tool to support process-based organizations” Total Quality Management, Jan 2000, 68 (2000).
  • Dale, B., Plunkett, J.J., Managing Quality, Philip Allan Co., New York, (1990).
  • Akgün S., Güray S., Erdal R.”Total Quality Management in Practice at Baskent University Ankara Hospital”. Quality for Business Transformation-Challenges of Sustainable Exellence in the 21st Century Editör-in-Chief J.S.Ahluwalia, Institute of Directors, India, Sayfa 394-400, Ocak 1999
  • Akgün S., Haksever A., Akyel S., Güray Ş., Erdal R. “Applying Quality Management to Healthcare Quality for Business Transformation-Challenges of Sustainable Exellence in the 21st Century”. Editör-in-Chief J.S.Ahluwalia, Institute of Directors,India, Sayfa 550-558, Ocak 1999
  • Akgün S., Haksever A. Haberal C .Tokalak İ. Erdal R. Haberal M.,.” Strategies and Obstacles in Quality Management: The Experience of a Hospital Network in Turkey”, Global Engagement in Creating Financially Viable Healthcare Systems Proceedings, pp: 195-203
  • Blumenthal, D., Applying Industrial Quality Management Science to Physicians’ Clinical Decisions, Improving Clinical Practice, Total Quality management and the Physician, Jossey-Bass Inc., New York, (1995).
  • Donobedian, A., Explorations in Quality Assessment and Monitoring, The Definition of Quality and Approaches to its Assessment, Mick: Health Administration Press, Ann Arbor, (1980).
  • Donobedian, A., “The quality of care, how can it be assessed?” JAMA, 260(12), ? (1988).
  • Comprehensive Accreditation Manual for Hospitals: The Official Handbook, CAMH Update 4, (November 2005)
  • Larson, J.S., The Measurement of Health, Concepts and Indicators-Measurement of Mortality, 17-21
  • Licensing and Certification of Health Facilities and Referral Agencies, Register 90, No 14-19; 90, pp=759838
  • Martin D. Merry, MD, & Michael G. Crago, PhD, The Past, Present and Future of Health Care Quality,Urgent need for innovative, external review processes to protect patients, September•October 2001, The PhysıcıanExecutıve.
  • A.F.Al-Assaf, Seval Akgün, Sağlık Hizmetlerinde Sertifikasyon, Ruhsatlandırma ve Akreditasyon, Hospital Life, Hastane forumu, Mart-Nisan 2006
  • WORLD HEALTH ORGANIZATION, FIFTY-FIFTH WORLD HEALTH ASSEMBLY A55/13,Provisional agenda item 13.9 23 March 2002, Quality of care: patient safety
  • JCAHO (1999). http://www.jcaho.org
  • NCQA (2003). The National Committee on Quality Assurance, Washington DC. http://www.ncqa.org
  • CMS(2003). The Centres for Medicare and Medicaid Managed Care, Rockville,Maryland. http://hcfa.gov
  • AAAHC (2003). The Accreditation Association for Ambulatory Health Care, Washington, DC. http:// www. aaahc.org
  • URAC (2003). American Accreditation Healthcare Commission, Washington. DC. http://www.urac.org
  • CCHSA (2003) canadian Council on Health Services Accreditation, Ottowa.Ontorio, canada.http:// www.cchsa. ca
  • ISQua (2003).International Society for Quality in Healthcare, Victoria, Australia .http://www.isqua.org.au
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Derleme
Yazarlar

A. F. Al-assaf Bu kişi benim

H. Seval Akgün Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2016
Yayımlandığı Sayı Yıl 2016 Cilt: 3 Sayı: 2

Kaynak Göster

APA Al-assaf, A. F., & Akgün, H. S. (2016). Kazakistan’da Sağlık Hizmetlerinde Akreditasyon; Metodoloji ve Etkileri. Sağlık Akademisyenleri Dergisi, 3(2), 57-63. https://doi.org/10.5455/sad.13-1467268550
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