Ana Maria Saut1, Fernando Tobal Berssaneti1, Maria Carolina Moreno2. 1. Department of Production Engineering, University of São Paulo (USP), Polytechnic School, Av. Prof. Almeida Prado, Trav 2, 128 São Paulo, SP 05508-900, Brazil. 2. Guarulhos Municipal Heatlh Department, Rua Íris, 300 Guarulhos, SP 07051-080, Brazil.
Abstract
OBJECTIVE: The aim of this study was to evaluate the impact of accreditation programs on Brazilian healthcare organizations. DESIGN: A web-based questionnaire survey was undertaken between February and May 2016. SETTING: Healthcare organizations from the Federal District and from 18 Brazilian states. PARTICIPANTS: The quality managers of 141 Brazilian healthcare organizations were the main respondents of the study. INTERVENTION: The questionnaire was applied to not accredited and accredited organizations. MAIN OUTCOME MEASURES: The main outcome measures were patient safety activities, quality management activities, planning activities-policies and strategies, patient involvement, involvement of professionals in the quality programs, monitoring of patient safety goals, organizational impact and financial impacts. RESULTS: The study identified 13 organizational impacts of accreditation. There was evidence of a significant and moderate correlation between the status of accreditation and patient safety activities, quality management activities, planning activities-policies and strategies, and involvement of professionals in the quality programs. The correlation between accreditation status and patient involvement was significant but weak, suggesting that this issue should be treated with a specific policy. The impact of accreditation on the financial results was not confirmed as relevant; however, the need for investment in the planning stage was validated. CONCLUSIONS: The impact of accreditation is mainly related to internal processes, culture, training, institutional image and competitive differentiation.
OBJECTIVE: The aim of this study was to evaluate the impact of accreditation programs on Brazilian healthcare organizations. DESIGN: A web-based questionnaire survey was undertaken between February and May 2016. SETTING: Healthcare organizations from the Federal District and from 18 Brazilian states. PARTICIPANTS: The quality managers of 141 Brazilian healthcare organizations were the main respondents of the study. INTERVENTION: The questionnaire was applied to not accredited and accredited organizations. MAIN OUTCOME MEASURES: The main outcome measures were patient safety activities, quality management activities, planning activities-policies and strategies, patient involvement, involvement of professionals in the quality programs, monitoring of patient safety goals, organizational impact and financial impacts. RESULTS: The study identified 13 organizational impacts of accreditation. There was evidence of a significant and moderate correlation between the status of accreditation and patient safety activities, quality management activities, planning activities-policies and strategies, and involvement of professionals in the quality programs. The correlation between accreditation status and patient involvement was significant but weak, suggesting that this issue should be treated with a specific policy. The impact of accreditation on the financial results was not confirmed as relevant; however, the need for investment in the planning stage was validated. CONCLUSIONS: The impact of accreditation is mainly related to internal processes, culture, training, institutional image and competitive differentiation.
Authors: Amanda Carvalho Miranda; José Carlos Curvelo Santana; Charles Lincoln Kenji Yamamura; Jorge Marcos Rosa; Elias Basile Tambourgi; Linda Lee Ho; Fernando Tobal Berssaneti Journal: Air Qual Atmos Health Date: 2021-10-29 Impact factor: 3.763