Abstract
Background: In recent years various standards have been proposed for assessment and supervision of healthcare systems. One of the most popular of them in health care area is Joint Commission International (JCI) standards of US. This study has been conducted to investigate executive potentials related Accreditation Standards of Maternity and birth services of this commission in hospitals providing maternity and birth services in Ardebil Province. Methods: This is a descriptive-analytic study conducted as cross-sectional on 232 employees of three hospitals in Ardebil including Alavi, Arta and Sabalan who were randomly chosen. This is a multi-stage study that in stage 1, an accreditation tool for maternity and birth services was designed based on JCI standards. Validity and reliability of questionnaire was measured by Alpha Cronbach. In stage 2, score of different dimension of Accreditation Standards of MOS was calculated using data obtained from questionnaires distributed among a sample of 232 hospitals personnel; all of them were working in maternity and birth field. Statistical tests used are one-way analysis of variance (ANOVA), dunnets post hoc and correlation test that all of them were calculated by SPSS V. 18. Results: Result showed that all of the MOS accreditation standards components were capable in selected hospitals. Arta hospital earned the highest score of standards (mean = 149/4) and Alavi hospital received the lowest score (mean = 128/04) of the maximum attainable score (186). Also, significant difference was observed between selected hospitals in total score of MOS standards (F = 50/432, p < 0/00). Conclusion: Based on study findings, there is an inequality between Ardebils hospital in field of MOS accreditation standards. Public hospitals are in more difficult situation compared to private hospitals, therefore Health Care System policy makers must pay attention systematically and specially to implementation of international standards in order to improve health care impacts in public hospitals.
Highlights
Shortage of resources and constant change of environmental conditions makes it necessary to monitor and evaluate the way of using resources more than ever [1]
The study consisted of two consecutive steps in Phase I to determine the functionality of maternity and obstetric services, the Joint Commission International Accreditation Standards and secondly to determine the rating standards of the hospital study
Since the question of maternity and obstetric care quality improvement comes from the book “International Joint Commission accreditation standards” is, in order to eliminate possible deficiencies in comparison with the original version was done by the researcher and to evaluate the content validity of the questionnaire provided 10 professors and academic departments and experts were asked to comment on the questionnaire
Summary
Shortage of resources and constant change of environmental conditions makes it necessary to monitor and evaluate the way of using resources more than ever [1]. Government, service consumers, professional medicine associations, managers of insurance companies and other beneficiaries are all trying improve quality of providing health care services through accreditation of activities in order to respond the society [3]-[5]. Joint Commission International Accreditation Standards as an effective quality evaluation and management tool, has attracted worldwide attention [2] [4] [7] [10]. Methods: This is a descriptive-analytic study conducted as cross-sectional on 232 employees of three hospitals in Ardebil including Alavi, Arta and Sabalan who were randomly chosen This is a multi-stage study that in stage 1, an accreditation tool for maternity and birth services was designed based on JCI standards.
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