Development of a System Measurement Model of the Brazilian Hospital Accreditation System.

João Corrêa,Carlos Mello,João Turrioni,Carlos da Silva,Fabrício de Almeida,Ana Santos

doi:10.3390/ijerph15112520

Abstract

The purpose of this study is to develop and validate a measurement model that evaluates the Brazilian hospital accreditation methodology (ONA), based on a multivariate model using structural equation modeling (SEM). The information used to develop the model was obtained from a questionnaire sent to all organizations accredited by the ONA methodology. A model was built based on the data obtained and tested through a structural equation modeling (SEM) technique using the LISREL® software (Scientific Software International, Inc., Skokie, IL, USA). Four different tests were performed: Initial, calibrated, simulated, and cross-validation models. By analyzing and validating the proposed measurement model, it can be verified that the selected factors satisfy the required criteria for the development of a structural model. The results show that leadership action is one of the most important factors in the process of health services accredited by ONA. Although, leadership, staff management, quality management, organizational culture, process orientation, and safety are strongly linked to the development of health organizations, and directly influence the accreditation process.

Highlights

Accreditation is an approach established at international level and is a quality assurance system that adheres to a specific standard, approved by an accreditation body [1]
The results show that leadership action is one of the most important factors in the process of health services accredited by ONA
Some authors emphasize the importance of accreditation in health organizations, few studies propose models that measure the accreditation methodology

Summary

Introduction

Accreditation is an approach established at international level and is a quality assurance system that adheres to a specific standard, approved by an accreditation body [1]. The way in which these methodologies are proposed by different accreditation models is one of the points that has been debated at the international level and by the International Society for Quality in Health Care (ISQua) [3,4,5,6] In this context, hospital accreditation is becoming recognized as an important approach in quality assurance processes, few studies seek to analyze its performance and influence in organizations that adopt this type of methodology [7,8,9,10,11,12,13,14]

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Methods

Results

Discussion

Conclusion