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Hospital Accreditation Impact on Healthcare Quality Dimensions: a Systematic Review.
Author(s):
Araujo CA, Siqueira MM, Malik AM.
Journal:
International Journal for Quality in Health Care. 2020 Sep;32(8):531-44.
Year:
2020
Setting:
Hospital
Accreditation:
Hospital (HAP)
Certification:
Not applicable
International:
Yes
Purpose:
To systematically review the impact of hospital accreditation on seven dimensions of health care quality: efficiency, safety, effectiveness, timeliness, patient-centeredness, access, and equity.
Design:
Systematic Review
Methods:
An eight database search was conducted in June 2020: EBSCO, PubMed, Web of Science, Emerald, ProQuest, Science Direct, Scopus and Virtual Health Library. Search terms were conceptualized into three groups: hospitals, accreditation, and terms relating to healthcare quality. The eligibility criteria included academic articles that applied quantitative methods to examine the impact of hospital accreditation on healthcare quality indicators. After a critical appraisal of the 943 citations initially retrieved, 36 studies were included in this review.
Findings:
Overall results suggest that accreditation may have a positive impact on efficiency, safety, effectiveness, timeliness and patient-centeredness. Only one of the included studies analyzed the impact on access, and no study has investigated the impact on equity dimension yet. The authors note that the positive impact of accreditation on healthcare dimensions should be interpreted with caution, due to limitations in the study designs of included articles (generally observational) and considerable variation in accrediting organizations and hospital types included.
Data Year(s):
2020
Key Words:
accreditation, healthcare quality, healthcare quality dimensions, healthcare quality indicators, quality assessment
Impact:
Positive
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