Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Institute for Hospital Management, Tsinghua University, Shenzhen, China.
Front Public Health. 2023 Oct 30;11:1258600. doi: 10.3389/fpubh.2023.1258600. eCollection 2023.
Joint Commission International (JCI) accreditation plays a significant role in improving the quality of care and patient safety worldwide. Hospital leadership is critical in making international accreditation happen with successful implementation. Little is known about how Chinese hospital leaders experienced and perceived the impact of JCI accreditation. This paper is the first study to explore the perceptions of hospital leaders toward JCI accreditation in China.
Qualitative semi-structured interviews were used to explore the perceptions of the chief operating officers, the chief medical officers, and the chief quality officers in five JCI-accredited hospitals in China. Thematic analysis was used to analyze the interview transcripts and identify the main themes.
Fifteen hospital leaders participated in the interviews. Three themes emerged from the analysis, namely the motivations, challenges, and benefits related to pursuing and implementing JCI accreditation. The qualitative study found that eight factors influenced hospital leadership to pursue JCI accreditation, five challenges were identified with implementing JCI standards, and eight benefits emerged from the leadership perspective.
Pursuing JCI accreditation is a discretionary decision by the hospital leadership. Participants were motivated by prevalent perceptions that JCI requirements would be used as a management tool to improve the quality of care and patient safety in their hospitals. These same organizational leaders identified challenges associated with implementing and sustaining JCI accreditation. The significant challenges were a clear understanding of the foreign accreditation standards, making staff actively participate in JCI processes, and changing staff behaviors accordingly. The top 5 perceived benefits to JCI accreditation from the leaders' perspective were improved leadership and hospital safety, improvements in the care processes, and the quality of care and the learning culture improved. Other perceived benefits include enhanced reputation, better cost containment, and a sense of pride in the staff in JCI-accredited hospitals.
国际联合委员会（JCI）认证在提高全球医疗质量和患者安全方面发挥着重要作用。医院领导层在实现国际认证并成功实施方面至关重要。关于中国医院领导者如何体验和感知 JCI 认证的影响，知之甚少。本文是第一项探索中国医院领导者对 JCI 认证看法的研究。
采用定性半结构式访谈，探讨了中国五家 JCI 认证医院的首席运营官、首席医疗官和首席质量官的看法。采用主题分析方法对访谈记录进行分析，确定主要主题。
15 位医院领导参与了访谈。分析得出了三个主题，即追求和实施 JCI 认证相关的动机、挑战和收益。这项定性研究发现，有 8 个因素影响医院领导层追求 JCI 认证，实施 JCI 标准时存在 5 个挑战，从领导层的角度来看有 8 个收益。
追求 JCI 认证是医院领导层的自主决策。参与者的动机是普遍认为 JCI 要求将被用作管理工具，以提高其医院的医疗质量和患者安全。这些相同的组织领导者确定了与实施和维持 JCI 认证相关的挑战。最显著的挑战是对外国认证标准有清晰的理解，使员工积极参与 JCI 流程，并相应地改变员工行为。领导层从 JCI 认证中感知到的前 5 个收益是改善领导力和医院安全、改进护理流程以及提高护理质量和学习文化。其他感知到的收益包括增强声誉、更好地控制成本以及 JCI 认证医院员工的自豪感。
