Department of Ophthalmology, P. E. S. Institute of Medical Sciences and Research, Kuppam, Andhra Pradesh, India.
Indian J Ophthalmol. 2021 Feb;69(2):337-342. doi: 10.4103/ijo.IJO_848_20.
National Accreditation Board for Hospitals and Healthcare Providers operates the health-care accreditation program in India. Research on impact of accreditation on eye-care centers is scarce. This article was conceptualized to scientifically evaluate the changes in documentation brought about by accreditation and its effects on staff in the Ophthalmology Department of an Indian Medical College.
This was conducted as a quasi-experimental study in four steps. First, a point-based evaluation of case sheets in both pre-accreditation and postaccreditation phase, along with statistical analysis of the results, was done. Step two involved analysis of quality indicators and patient safety indices in successive years from inception of data to post-accreditation phase. Step three comprised a survey of staff employing a validated tool, and finally, face-to-face semistructured interviews with designated authorities, including finance departmental head, completed the study.
A statistically significant difference was seen in scores achieved by the pre and postaccreditation case sheets, with the postphase case sheets achieving 15% increased scores over the prephase case sheets. Quality indicator indices displayed improvements post-accreditation. There was an accompanying increase in quantity of documentation. Financial data analysis showed increased expenditure for accreditation under multiple heads. Staff believed that accreditation led to increased workload but did not express decreased satisfaction and felt that accreditation was eventually beneficial. However, staff believed rewards for improving quality can be enhanced.
Accreditation increases quality and quantity of documentation, and staff workload. Increased financial costs also ensue.Staff believe that accreditation improves quality, is beneficial, but desire enhanced rewards.
印度的国家医院和医疗保健提供者认证委员会负责实施医疗保健认证计划。关于认证对眼科保健中心影响的研究很少。本文旨在科学评估认证带来的文件记录变化及其对印度医学院眼科部门员工的影响。
这是一项分四个步骤进行的准实验研究。首先，对认证前和认证后阶段的病例表进行基于点的评估，并对结果进行统计分析。第二步是分析从数据开始到认证后阶段连续几年的质量指标和患者安全指标。第三步包括使用经过验证的工具对员工进行调查，最后，与财务部门负责人等指定权威人士进行面对面的半结构化访谈，完成了这项研究。
认证前和认证后病例表的得分存在显著差异，认证后病例表的得分比认证前病例表提高了 15%。质量指标指数显示认证后有所改善。文件记录的数量也相应增加。财务数据分析显示，在多个项目下认证支出增加。员工认为认证导致工作量增加，但并不表示满意度降低，并认为认证最终是有益的。然而，员工认为可以提高提高质量的奖励。
认证增加了文件记录的质量和数量，以及员工的工作量。随之而来的还有更高的财务成本。员工认为认证可以提高质量，是有益的，但希望获得更多的奖励。
