Brasure M, Stensland J, Wellever A
Rural Health Research Center, 2221 University Avenue S.E., Suite 112, Minneapolis, MN 55414, USA.
J Rural Health. 2000 Fall;16(4):324-36. doi: 10.1111/j.1748-0361.2000.tb00483.x.
There is a large rural-urban disparity in the proportion of hospitals that are accredited by the Joint Commission on the Accreditation of Health Care Organizations (JCAHO). Several factors can influence whether a hospital participates in the accreditation process. A few of those factors include the hospital's size, case mix and ownership. However, even after controlling for many of these factors, hospitals in the most rural locations are less likely to be accredited by the JCAHO than urban hospitals. A survey was conducted to explore why rural hospitals are not participating in the accreditation process. Survey results show that the largest factor contributing to rural hospital deterrence to seeking accreditation is cost. Without accreditation by the JCAHO and compliance with their movement into performance measurement, quality monitoring of rural hospitals will fall further behind that of urban hospitals. Policy initiatives that make accreditation more financially feasible should be considered.
在获得医疗保健组织认证联合委员会（JCAHO）认证的医院比例方面，城乡存在巨大差距。有几个因素会影响医院是否参与认证过程。其中一些因素包括医院规模、病例组合和所有权。然而，即使控制了许多这些因素，最偏远地区的医院获得JCAHO认证的可能性仍低于城市医院。一项调查旨在探究农村医院不参与认证过程的原因。调查结果显示，导致农村医院不愿寻求认证的最大因素是成本。如果没有JCAHO的认证以及不遵守其向绩效评估的转变，农村医院的质量监测将进一步落后于城市医院。应考虑采取使认证在财务上更可行的政策举措。
