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

Narges Tashayoei,Amir Ashkan Nasiripour,Pouran Raeissi

doi:10.1186/s42506-019-0033-6

Abstract

BackgroundToday, 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.MethodsA 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.ResultsExploratory 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.ConclusionThe 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.

Highlights

In today’s world, quality of health services is one of the main issues on the agenda of governments and health systems of different countries, especially in the countries of the Eastern Mediterranean [1]
A total of 40 challenges were identified for the implementation of hospital accreditation, which were entered into the final questionnaire after confirmation of validity and reliability
4 Discussion The purpose of this study was to analyze the challenges of establishing the accreditation program in Iranian hospitals

Summary

Introduction

In today’s world, quality of health services is one of the main issues on the agenda of governments and health systems of different countries, especially in the countries of the Eastern Mediterranean [1]. Accreditation programs are in use in all areas of the Accreditation is the process of self-assessment and external evaluation by professional counterparts on the basis of optimal standards, with the aim of accurately assessing and continuously improving the performance of health organizations [1]. This approach seeks to provide quality and safe healthcare services and subsequently improve health outcomes [8]. 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

Objectives

Methods

Results

Discussion

Conclusion