医疗保健专业人员对认证的态度：文献系统综述
The attitude of health care professionals towards accreditation: A systematic review of the literature.
作者信息
Alkhenizan Abdullah, Shaw Charles
机构信息
Department of Family Medicine and Polyclinic, King Faisal Specialist Hospital and Research Center, Saudi Arabia.
出版信息
J Family Community Med. 2012 May;19(2):74-80. doi: 10.4103/2230-8229.98281.
Abstract
Accreditation is usually a voluntary program, in which authorized external peer reviewers evaluate the compliance of a health care organization with pre-established performance standards. The aim of this study was to systematically review the literature of the attitude of health care professionals towards professional accreditation. A systematic search of four databases including Medline, Embase, Healthstar, and Cinhal presented seventeen studies that had evaluated the attitudes of health care professionals towards accreditation. Health care professionals had a skeptical attitude towards accreditation. Owners of hospitals indicated that accreditation had the potential of being used as a marketing tool. Health care professionals viewed accreditation programs as bureaucratic and demanding. There was consistent concern, especially in developing countries, about the cost of accreditation programs and their impact on the quality of health care services.
摘要
认证通常是一个自愿参与的项目，在该项目中，经授权的外部同行评审员会评估医疗机构是否符合预先制定的绩效标准。本研究的目的是系统回顾关于医疗保健专业人员对专业认证态度的文献。对包括Medline、Embase、Healthstar和Cinhalt在内的四个数据库进行系统检索后，共筛选出17项评估医疗保健专业人员对认证态度的研究。医疗保健专业人员对认证持怀疑态度。医院管理者表示，认证有可能被用作一种营销工具。医疗保健专业人员认为认证项目官僚作风严重且要求苛刻。特别是在发展中国家，人们一直对认证项目的成本及其对医疗服务质量的影响感到担忧。
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2
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Clin Radiol. 2007 Jul;62(7):651-9. doi: 10.1016/j.crad.2007.02.004. Epub 2007 Apr 6.
3
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Int J Qual Health Care. 2006 Oct;18(5):346-51. doi: 10.1093/intqhc/mzl031. Epub 2006 Sep 1.
4
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Int J Health Care Qual Assur Inc Leadersh Health Serv. 2004;17(2-3):113-24. doi: 10.1108/09526860410532757.
5
Influencing sceptical staff to become supporters of service improvement: a qualitative study of doctors' and managers' views.影响持怀疑态度的员工成为服务改进的支持者：一项关于医生和管理人员观点的定性研究
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6
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Health Aff (Millwood). 2004 Mar-Apr;23(2):103-15. doi: 10.1377/hlthaff.23.2.103.
7
Implementing clinical governance in English primary care groups/trusts: reconciling quality improvement and quality assurance.在英国初级保健团体/信托机构中实施临床治理：协调质量改进与质量保证。
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8
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9
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Int J Health Plann Manage. 2001 Jul-Sep;16(3):229-41. doi: 10.1002/hpm.629.
10
Quality oversight: why are rural hospitals less likely to be JCAHO accredited?质量监督：为什么农村医院获得联合委员会认证的可能性较低？
J Rural Health. 2000 Fall;16(4):324-36. doi: 10.1111/j.1748-0361.2000.tb00483.x.
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