Abstract

This research evaluates the influence of the Brazilian accreditation methodology on the sustainability of the organizations. Critical factors for implementing accreditation were also examined, including measuring the relationships established between these factors in the organization sustainability. The present study was developed based on the survey methodology applied in the organizations accredited by ONA (National Accreditation Organization); 288 responses were received from the top level managers. The analysis of quantitative data of the measurement models was made with factorial analysis from principal components. The final model was evaluated from the confirmatory factorial analysis and structural equation modeling techniques. The results from the research are vital for the definition of factors that interfere in the accreditation processes, providing a better understanding for accredited organizations and for Brazilian accreditation.

Highlights

  • Health managers are increasingly concerned with issues related to improving the quality of services provided and improving care processes

  • The management of accreditation quality and effectiveness has been a subject of great interest by researchers in the health care area, since reliable and consistent research is an important factor in the development of the accreditation process in organizations

  • Before the above steps could be developed, it was necessary to make some procedural decisions that resulted in the following information: the software chosen for the analyses of this study was LISREL, using the data obtained from a covariance matrix, through of the estimation technique: maximum likelihood (ML), with the level of abstraction: partial aggregation

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Summary

Introduction

Health managers are increasingly concerned with issues related to improving the quality of services provided and improving care processes. With an increasingly competitive market, several hospitals, public and private, are facing great challenges in their management In view of these uncertainties, there is a need to seek solutions to improve quality and cost-effectiveness [1]. In this context, hospital accreditation appears as an approach for improving the quality of health services [2]. The success in identifying factors that directly affect the quality management process and accreditation is seen as crucial for sustainable performance, given that “most health care managers” are seeking to adopt new strategies and management tools that enable organizations to be more competitive, meeting customer expectations, and avoid costs by reducing errors and waste and enabling improved organizational performance [3]. Several factors have contributed to the adoption of quality management strategies by the organizations in order to improve their performance and obtain greater market share [4]

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