Alhawajreh Mohammad J, Jackson William J, Paterson Audrey S
Health Services Management, Middel East University, Amman, Jordan.
Business School, University of Aberdeen, Aberdeen, Scotland, United Kingdom.
PLoS One. 2025 Mar 25;20(3):e0320664. doi: 10.1371/journal.pone.0320664. eCollection 2025.
This study aims to investigate the healthcare professionals' perceptions about the impact of accreditation as a strategy to improve the quality of healthcare services and organisational performance in public hospitals in Jordan.
A cross-sectional survey.
Four accredited public hospitals located in three different geographical regions in Jordan.
A total of 500 healthcare professionals, including both clinical and non-clinical staff, who worked at the selected hospitals. The data analysis included valid responses from 74.4% of the participants.
A web-based questionnaire was applied. To investigate the relationship between the quality results scale (dependent variable) and the other survey scales (independent variables), multiple regression analysis was performed.
The study showed that the impact of accreditation on the quality of healthcare services was almost high across all scales; the Quality Results and Accreditation Impact scales received the highest mean scores, suggesting that healthcare professionals have a positive perception towards accreditation. Healthcare professionals agree that accreditation has improved the quality of healthcare services and hospitals' performance in a wide range of clinical and administrative aspects. There was a significant positive correlation between healthcare professionals' perception of Quality Results (P < 0.001) (dependent variable) and their perception of all other accreditation survey scales (independent variables). Regression analysis showed a significant relationship between Quality Results and Customer or Patient Satisfaction (P < 0.001), Management and Leadership (P = 0.030), and Accreditation Impact (P = 0.001) scales, and these were the most important accreditation predictors of, better quality results.
The majority of healthcare professionals view accreditation positively, seeing its potential to improve the quality of healthcare and organizational performance. However, there are nuanced variations between administrative and clinical professionals about the aims and objectives of using accreditation as a strategy for healthcare quality improvement. Future research is needed to explore the long-term impact of accreditation and the contextual factors that impact the perceptions of healthcare professionals on accreditation, particularly among different healthcare professional groups. This will help provide policy direction and improve understanding of accreditation's impact.
本研究旨在调查医疗保健专业人员对认证作为一种提高约旦公立医院医疗服务质量和组织绩效的策略所产生影响的看法。
横断面调查。
约旦三个不同地理区域的四家获得认证的公立医院。
共有500名医疗保健专业人员，包括临床和非临床工作人员，他们在所选定的医院工作。数据分析纳入了74.4%参与者的有效回复。
采用基于网络的问卷。为了调查质量结果量表（因变量）与其他调查量表（自变量）之间的关系，进行了多元回归分析。
研究表明，认证对医疗服务质量的影响在所有量表中几乎都很高；质量结果和认证影响量表获得了最高平均分，这表明医疗保健专业人员对认证持积极看法。医疗保健专业人员一致认为，认证在广泛的临床和行政方面提高了医疗服务质量和医院绩效。医疗保健专业人员对质量结果的看法（因变量）与他们对所有其他认证调查量表（自变量）的看法之间存在显著正相关（P<0.001）。回归分析表明，质量结果与客户或患者满意度（P<0.001）、管理与领导力（P = 0.030）以及认证影响（P = 0.001）量表之间存在显著关系，而这些是质量结果更好的最重要认证预测因素。
大多数医疗保健专业人员对认证持积极看法，认为其有提高医疗质量和组织绩效的潜力。然而，行政和临床专业人员在将认证作为医疗质量改进策略的目标和目的方面存在细微差异。需要进一步研究来探讨认证的长期影响以及影响医疗保健专业人员对认证看法的背景因素，特别是在不同医疗专业群体中。这将有助于提供政策指导并增进对认证影响的理解。
