Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of Health Management and Economics. School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Int J Health Plann Manage. 2021 May;36(3):958-975. doi: 10.1002/hpm.3144. Epub 2021 Mar 13.
The purpose of this study was to identify the challenges of Iranian hospital accreditation standards and provide solutions.
A qualitative research design was used in this study. Open and semi-structured interviews were conducted in 2018. Thematic analysis was used to analyse qualitative data.
Public, private, semi-public, charity and military hospitals in Tehran, Iran.
A pluralistic evaluation approach was employed and 151 participants including policy makers, hospital management and staff, accreditation surveyors and university professors participated in this study.
Challenges of hospital accreditation standards were grouped into two groups: standards development process and standards content. Lack of an independent standards development committee, insufficient expertise of committee members, inconsistencies among the standards' constructs, inappropriate standard classification, ambiguity of standards, unmeasurable standards, vague and inflexible scoring system, and inability to use some standards were the main challenges of Iran hospital accreditation standards. Establishing a scientific committee consisting of representative from hospitals, health insurance companies, professional and scientific associations and universities for standard development, training the committee members, and utilizing hospital's feedback will help address these problems.
Iran's hospital accreditation standards face challenges that prevent them from achieving their goals, that is, improving the quality, safety, effectiveness and efficiency of hospital services. Necessary measures should be taken to solve these problems.
本研究旨在确定伊朗医院认证标准面临的挑战并提供解决方案。
本研究采用定性研究设计。2018 年进行了开放式和半结构式访谈。采用主题分析对定性数据进行分析。
伊朗德黑兰的公立、私立、半公立、慈善和军队医院。
采用多元化评估方法，包括政策制定者、医院管理人员和工作人员、认证调查员以及大学教授在内的 151 名参与者参与了本研究。
医院认证标准的挑战分为两个方面：标准制定过程和标准内容。缺乏独立的标准制定委员会、委员会成员专业知识不足、标准结构之间的不一致、标准分类不当、标准模糊、不可衡量的标准、模糊和不灵活的评分系统以及无法使用某些标准是伊朗医院认证标准面临的主要挑战。建立一个由医院、医疗保险公司、专业和科学协会以及大学的代表组成的科学委员会来进行标准制定、培训委员会成员，并利用医院的反馈，将有助于解决这些问题。
伊朗的医院认证标准面临着一些挑战，这些挑战阻碍了其实现提高医院服务质量、安全性、有效性和效率的目标。应采取必要措施来解决这些问题。
