Saut Ana Maria, Berssaneti Fernando Tobal, Moreno Maria Carolina
Department of Production Engineering, University of São Paulo (USP), Polytechnic School, Av. Prof. Almeida Prado, Trav 2, 128 São Paulo, SP 05508-900, Brazil.
Guarulhos Municipal Heatlh Department, Rua Íris, 300 Guarulhos, SP 07051-080, Brazil.
Int J Qual Health Care. 2017 Oct 1;29(5):713-721. doi: 10.1093/intqhc/mzx094.
The aim of this study was to evaluate the impact of accreditation programs on Brazilian healthcare organizations.
A web-based questionnaire survey was undertaken between February and May 2016.
Healthcare organizations from the Federal District and from 18 Brazilian states.
The quality managers of 141 Brazilian healthcare organizations were the main respondents of the study.
The questionnaire was applied to not accredited and accredited organizations.
The main outcome measures were patient safety activities, quality management activities, planning activities-policies and strategies, patient involvement, involvement of professionals in the quality programs, monitoring of patient safety goals, organizational impact and financial impacts.
The study identified 13 organizational impacts of accreditation. There was evidence of a significant and moderate correlation between the status of accreditation and patient safety activities, quality management activities, planning activities-policies and strategies, and involvement of professionals in the quality programs. The correlation between accreditation status and patient involvement was significant but weak, suggesting that this issue should be treated with a specific policy. The impact of accreditation on the financial results was not confirmed as relevant; however, the need for investment in the planning stage was validated.
The impact of accreditation is mainly related to internal processes, culture, training, institutional image and competitive differentiation.
本研究旨在评估认证项目对巴西医疗保健机构的影响。
2016年2月至5月进行了一项基于网络的问卷调查。
来自巴西联邦区和18个州的医疗保健机构。
141家巴西医疗保健机构的质量管理人员是该研究的主要受访者。
问卷应用于未获认证和已获认证的机构。
主要结局指标包括患者安全活动、质量管理活动、规划活动——政策和策略、患者参与、专业人员参与质量项目、患者安全目标监测、组织影响和财务影响。
该研究确定了认证的13种组织影响。有证据表明认证状态与患者安全活动、质量管理活动、规划活动——政策和策略以及专业人员参与质量项目之间存在显著且中等程度的相关性。认证状态与患者参与之间存在显著但较弱的相关性，这表明该问题应通过特定政策来处理。认证对财务结果的影响未被确认为相关；然而，规划阶段投资的必要性得到了验证。
认证的影响主要与内部流程、文化、培训、机构形象和竞争差异化有关。
