An international systems-theoretic comparison of hospital accreditation: developing an implementation typology.

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Sheuwen ChuangShawon S Gonzales

Abstract

The integration of quality indicators into the accreditation process has been recognized as a promising strategy worldwide. This study was to explore the implementation patterns of hospital accreditation through the lens of a systems-theory based model, and determine an international accreditation implementation typology. A qualitative comparative study of five established international hospital accreditation systems was undertaken based on a systems-theoretic holistic healthcare systems relationship model. A set of key attributes relevant to three systems-theoretic model relationships guided data collection, comparison and synthesis. Hospital accreditation systems in five countries: America, Canada, Australia, Taiwan and France. An accreditation implementation typology was developed based on the data synthesis of the similarities and differences among the relationships. A typology including five implementation types of hospital accreditation systems (TYPE I-V) was induced. TYPE I is a basic stand-alone accreditation system. The higher types represent stronger relationships among accreditation system, healthcare organizations and quality measurement systems. The five settings have shifted their accreditation approaches from the...Continue Reading

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Citations

Jul 9, 2020·Revista do Colégio Brasileiro de Cirurgiões·FlÁvio TomasichMaria Isabel Toulson Davisson Correia

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