Challenges of implementation of hospital accreditation in Iran: an exploratory factor analysis.

J Egypt Public Health Assoc

Department of Health Services Management, School of Medical Sciences, Tehran Science and Research Branch, Islamic Azad University, Tehran, Iran.

Published: February 2020

AI Article Synopsis

  • This study explored the challenges of implementing hospital accreditation in Iran, emphasizing its importance for health assessment.
  • A cross-sectional study conducted with 200 managers from accredited hospitals in Tehran utilized exploratory factor analysis to identify six key dimensions of challenges, including implementation, evaluation, content, structural, psychological, and managerial.
  • The findings indicated significant issues affecting the accreditation process, highlighting the need for targeted actions from managers and policymakers to improve outcomes.

Article Abstract

Background: Today, accreditation is considered as the most commonly used health assessment approach. Considering the importance and application of the process of this approach in the hospital, this study aimed to investigate the challenges of implementation of hospital accreditation in Iran using exploratory factor analysis.

Methods: A cross-sectional study design was carried out from July to December 2017, consisting of 200 managers in the seven hospitals accredited by the MOH in Tehran, Iran. Samples were selected through the purposive sampling method, and data were collected using a structured questionnaire in which validity and reliability were confirmed. Likert's five-choice range was used for the rating of items. Exploratory factor analysis was used to categorize the identified challenges and extract the mathematical model on them.

Results: Exploratory factor analysis identified six dimensions (implementation, evaluation, content, structural, psychological, and managerial) with 40 items using a 5-point Likert scale. Each dimension accounted for greater than 63.20% of the total variance. The scale had strong content validity (indices = 0.84). Each dimension of Cronbach's alpha ranged from 0.74 to 0.94. Implementation, evaluation, content, structural, psychological, and managerial components also formed the final identified areas.

Conclusion: The present study showed that there were major challenges in the path to successful deployment of Iranian hospital accreditation, requiring serious action by managers and policymakers in this field.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7364711PMC
http://dx.doi.org/10.1186/s42506-019-0033-6DOI Listing

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