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印度质量管理专业人员对医院认证影响的认知:一项基于调查的多中心研究

Perception of Hospital Accreditation Impact among Quality Management Professionals in India: A Survey-Based Multicenter Study.

作者信息

Joseph Lallu, Agarwal Vijay, Raju Umashankar, Mavaji Arun, Rajkumar Princy

机构信息

Quality Management Cell, Christian Medical College, Vellore, India.

Consortium of Accredited Healthcare Organizations, Delhi, India.

出版信息

Glob J Qual Saf Healthc. 2021 May 18;4(2):58-64. doi: 10.36401/JQSH-20-44. eCollection 2021 May.

Abstract

INTRODUCTION

Accreditation ensures the standard of healthcare, yet accreditation effects on service quality are much debated. Some perceive it as improving quality and organizational performance, whereas others see it as overly bureaucratic and time-consuming, so adding it has limited advantage. The aim of the present study was to understand the perception of hospital staff working in quality management (i.e., doctors, nurses, and administrators) on accreditation, and determine whether years of accreditation have had any impact on their perception.

METHODS

This was a cross-sectional, descriptive, data-based study initiated by the Consortium of Accredited Healthcare Organizations. It consisted of primary data obtained in form of responses to a 30-item questionnaire and collected from 415 respondents. A probability () value of less than 0.05 was considered statistically significant.

RESULTS

For all 30 items, a significantly greater number of participants had a favorable response ( < 0.001). A greater number of administrators, as compared with doctors and nurses, responded positively on the impact of accreditation ( < 0.05). Participants from hospitals with 1-4 years of accreditation, as compared with participants from hospitals with 4-12 years of accreditation, gave a favorable response ( < 0.05).

CONCLUSION

One of the most important hurdles to implementing accreditation programs is the dilemma of healthcare professionals, especially senior hospital staff, regarding the positive impact of accreditation. The need to educate healthcare professionals about the potential benefits of accreditation, which should resolve any cynical attitude of healthcare professionals towards accreditation, is of utmost importance.

摘要

引言

认证可确保医疗保健标准,但认证对服务质量的影响存在诸多争议。一些人认为它能提高质量和组织绩效,而另一些人则认为它过于官僚化且耗时,因此增加认证的优势有限。本研究的目的是了解从事质量管理工作的医院工作人员(即医生、护士和管理人员)对认证的看法,并确定认证年限是否对他们的看法产生了任何影响。

方法

这是一项由认可的医疗保健组织联盟发起的横断面、描述性、基于数据的研究。它包括以对一份30项问卷的回答形式获得的原始数据,共收集了415名受访者的数据。概率()值小于0.05被认为具有统计学意义。

结果

对于所有30项内容,持肯定回答的参与者数量显著更多(<0.001)。与医生和护士相比,更多的管理人员对认证的影响给出了积极回应(<0.05)。与有4至12年认证经历的医院的参与者相比,有1至4年认证经历的医院的参与者给出了肯定回答(<0.05)。

结论

实施认证计划的最重要障碍之一是医疗保健专业人员,尤其是医院高级工作人员,对认证的积极影响存在两难态度。对医疗保健专业人员进行认证潜在益处的教育至关重要,这应该能够消除医疗保健专业人员对认证的任何怀疑态度。

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