Document Type : Original Article

Authors

1 Associate Professor, Health Information Management, Health Management and Economic Research Center AND Department of Health Services Management, School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor, Health Services Management, Health Management and Economics Research Center AND Department of Health Services Management, School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran

3 MSc Student, Health Services Management, Department of Health Services Management, School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Introduction: Accreditation is one of the evaluation tools of health care systems, especially hospitals, which is one of the priorities of the Ministry of Health in Iran as well. The third generation of accreditation of Iranian hospitals was developed in the academic year 2016. This study endeavored to determine the challenges of the third generation of hospital accreditation from the perspective of accreditation officials in Isfahan City, Iran.Methods: The qualitative study was conducted through semi-structured interviews with accreditation officials in academic year of 2018 in Isfahan. Ten individuals (due to data saturation) were interviewed in a targeted manner. Data analysis was performed through guided content analysis.Results: Third-generation accreditation challenges were categorized into three areas: structural, process, and outcome challenges. The structural challenges were related to requirements, culture building, localization, training, metrics, and evaluators. Process challenges were related to how to evaluate, commit, and do teamwork and staff work processes during accreditation, and the resulting challenges were related to service quality and patient satisfaction after accreditation.Conclusion: In the third generation of accreditation, structural challenges were especially emphasized by the interviewees, especially in terms of program requirements. Removing these obstacles and challenges can make this plan more successful.

Keywords

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