A stakeholder approach towards hospital accreditation in India.
نویسندگان
چکیده
Accreditation has been recommended as a mechanism for assuring the quality of private sector health services in low-income countries, especially where regulatory systems are weak. A survey was conducted in Mumbai, India, in 1997-98 to elicit the views of the principal stakeholders on the introduction of accreditation and what form it should take. There was a high level of support for the classical features: voluntary participation, a standards-based approach to assessing hospital performance, periodic external assessment by health professionals, and the introduction of quality assurance measures to assist hospitals in meeting these standards. Hospital owners, professional bodies and government officials all saw potential - though different - advantages in accreditation: for owners and professionals it could give them a competitive edge in a crowded market, while government officials reckoned it could increase their influence over an unregulated private market. Areas of disagreement emerged; for example, hospital owners were opposed to government or third party payment bodies having a dominant role in running an accreditation system. The growing strength of a health service user representative lobby in Mumbai is an additional reason why this would be a suitable place for piloting such a system. The biggest obstacle to introducing accreditation in poorly resourced settings, such as India, is in how to finance it. The provisional support of the principal stakeholders for such a development, demonstrated in this study, will require a commitment from government and policymakers if the potential benefits of accreditation to the health of the population are to be realised.
منابع مشابه
Challenges and Potential Drivers of Accreditation in the Iranian Hospitals
Background and objectives: Accreditation is a widely used mechanism to keep organization adherent to the established standards. The aim of the study was to identify barriers towards promotion of accreditation in the Iranian hospitals, and exploring the potential overcoming strategies. Methods: A qualitative study design was adopted. Data were collected using a questionnaire with open questi...
متن کاملCounting the costs of accreditation in acute care: an activity-based costing approach
OBJECTIVES To assess the costs of hospital accreditation in Australia. DESIGN Mixed methods design incorporating: stakeholder analysis; survey design and implementation; activity-based costs analysis; and expert panel review. SETTING Acute care hospitals accredited by the Australian Council for Health Care Standards. PARTICIPANTS Six acute public hospitals across four States. RESULTS Ac...
متن کاملIran hospital accreditation governance: Challenges and solutions
Background and Aim: Hospital accreditation is “an external evaluation of a hospital’s structures, processes, outputs and outcomes by an independent professional accreditation body using pre-established optimum standards”. Accreditation is a strategy for ensuring the quality and, safety of hospital services. An accreditation program’s efficacy depends on the validity of its governance, methods, ...
متن کاملComments on “Iran Hospital Accreditation System”
The paper lacks reliable, credible and trusted evidences to support the claims that the authors made. For instance, the authors claimed, " In Iran, at first, the hospital ac-creditation system had only focused on the structural standards and it was a lot of criticism. " No evidences for such a claim have been provided. The authors also wrote, " The hospital accredita-tion system in Iran emphasi...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Health policy and planning
دوره 16 Suppl 2 شماره
صفحات -
تاریخ انتشار 2001