scholarly journals Hospital accreditation impact on healthcare quality dimensions: a systematic review

2020 ◽  
Vol 32 (8) ◽  
pp. 531-544 ◽  
Author(s):  
Claudia A S Araujo ◽  
Marina Martins Siqueira ◽  
Ana Maria Malik

Abstract Purpose To systematically review the impact of hospital accreditation on healthcare quality indicators, as classified into seven healthcare quality dimensions. Data source We searched eight databases 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. Study selection We applied the PICO framework to select the articles according to the following criteria: Population—all types of hospitals; Intervention—hospital accreditation; Comparison—quantitative method applied to compare accredited vs. nonaccredited hospitals, or hospitals before vs. after accreditation; Outcomes—regarding the seven healthcare quality dimensions. After a critical appraisal of the 943 citations initially retrieved, 36 studies were included in this review. Results of data synthesis Overall results suggest that accreditation may have a positive impact on efficiency, safety, effectiveness, timeliness and patient-centeredness. In turn, only one study analyzes the impact on access, and no study has investigated the impact on equity dimension yet. Conclusion Mainly due to the methodological shortcomings, the positive impact of accreditation on healthcare dimensions should be interpreted with caution. This study provides an up-to-date overview of the main themes examined in the literature, highlighting critical knowledge-gaps and methodological flaws. The findings may provide value to healthcare stakeholders in terms of improving their ability to assess the relevance of accreditation processes.

2017 ◽  
Vol 6 (6) ◽  
pp. 20 ◽  
Author(s):  
Il-Tae Park ◽  
Yoen-Yi Jung ◽  
Seung-Han Suk

Objective: In order to encourage more hospitals to participate in the accreditation, there needs to be “substantial evidence of the effectiveness of accreditation”. The aim of this study was to identify and analyze healthcare employees’ perceptions of hospital accreditation and the impact of hospital accreditation on the quality of healthcare in Korea.Methods: Eight electronic databases were searched between June and July 2016. Of the initially identified 392 abstracts, 14 empirical studies on healthcare accreditation in Korea were selected based on the inclusion criteria. These were retrieved and analyzed.Results: The 14 studies assessed healthcare employees’ perception of hospital accreditation as well as the impact of hospital accreditation on the quality of healthcare. The results were classified into four categories according to perception (Need, Purpose, Intent, and Relevance of standards), and into five categories according to the impact of accreditation (Patient safety and healthcare quality, Satisfaction with hospital employees, Leadership, Organizational culture, and Managerial performance). Findings showed that healthcare employees’ had good understanding of the purpose, need, and intention of the healthcare accreditation system, but indicated that limitations exist with the accreditation standards. Moreover, evidence showed that healthcare accreditation in Korea has made a positive impact on “patient safety and healthcare quality”, “leadership” and “organizational culture”.Conclusions: Healthcare accreditation has had a positive overall impact on hospitals and has improved the quality of healthcare as well as patient safety. However, more rigorous research and more diverse research methods are required to determine its long-term effect.


2017 ◽  
Vol 4 (2) ◽  
pp. 13
Author(s):  
Jean Bosco Harelimana

The study analyzed the impact of ICT utilization on the financial performance of microfinance institutions inRwanda with case study of Réseau Interdiocesain de microfinance (RIM) Ltd undertaken within 5 years (2011-2015). The study adopted the use of descriptive survey using both qualitative and quantitative methods for a totalsample size of 132. Purporsive and simple random simpling was used for this purpose. Primary and Secondary datawere collected and thene analyzed using SPSS version 16.00. The study found that ICT has been introduced and usedabout 5 years and above. The study found that ICT impact firstly on financial sustainability and profitability (65.8%),secondly on financial efficiency and productivity (23.7) and finally on portfolio quality (5.3%). ICT utilization havea high influence to the RIM Ltd.’s financial performance compared to the previous situation.The correlation results imply that ICT usage has a positive impact on financial sustainability and profitability as theymove in the same direction (R=0.502). The strength of the impact was found to be low due to the low investments inICT among microfinance institutions.


2017 ◽  
Vol 16 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Dorthe Varning Poulsen

Purpose The purpose of this paper is to provide a comprehensive argument for nature-based therapy (NBT) for veterans with post-traumatic stress syndrome. It is the aim to generate an overview of the evidence for NBT to the target group. A review of available scientific literature within the field, has been comprehensively conducted. This work is the foundation for the recommendations to decision makers and politicians. Design/methodology/approach This paper provides a conceptual analyses and a general review of the literature. Following steps have been conducted. Based on the research question, relevant work (scientific papers) have been identified using search terms in English within the three areas the target group (veterans), the diagnosis (post-traumatic stress disorder, PTSD) and treatment (NBT). Study-quality and evidence level have been assessed and discussed. Findings The findings show a wide variation according to the interventions the nature setting, the length and frequency of the NBT session as well as the health outcome measures. The studies demonstrated a positive impact on the PTSD symptoms, quality of life and hope. None of the studies found negative impact of the interventions. Being in a group of other veterans facing the same problems was highlighted as well. Some studies measured the ability to return to workforce for the veterans and found NBT beneficial in that process. Research limitations/implications The limitation of the research due to the methods of identifying studies. The purpose of this was to give an overview of existing literature, and there can be studies, that are not found in this process. Including qualitative and quantitative methods are useful in a process of understanding the impact of NBT for veterans with PTSD. The quantitative studies, which unfortunately are few, can give information of the extent to which the treatment affects the symptoms of PTSD. Seen in the perspective of the burden for the veterans suffering from PTSD and the economic burden for society, the process of synthesizing the research in the field in order to generate a fundament seems necessary. Practical implications This policy papers are useful in order to make recommendations for politicians and decision makers as well as practitioners. Social implications The burden of suffering from PTSD is heavy for the veterans and their family. The society must drive forward the development of new and better evidence-based treatment programs for veterans with PTSD. NBT might be a step in the right direction of this. Originality/value It is well-known that there are an increase in the number of veterans diagnosed with PTSD. Generally the drop-out rate of the veterans is high in conventional treatment and it is found that veterans experience some side effects from medical treatment. NBT is, in existing research, found to have a positive impact on the veterans, and therefore, it should be part of future treatment programs for veterans with PTSD.


2019 ◽  
Vol 33 (6) ◽  
pp. 774-781
Author(s):  
Michelle Chan ◽  
Christina Y. Le ◽  
Elizabeth Dennett ◽  
Terry Defreitas ◽  
Jackie L. Whittaker

2016 ◽  
Vol 3 (5) ◽  
pp. 29
Author(s):  
Martiah Akhdianti ◽  
Idiannor Mahyudin ◽  
Tri Dekayanti

Kintap coastal area is one of the areas that developed as a coastal fishery production.    Area-based coastal fisheries as Kintap Muara district is consisting of the main activities of fishing activity in the form of Fish Landing Base (PPI) with a variety of amenities. Coastal areas in the village of Muara Kintap pattern fisheries are people who are known to pattern  middlemen (Indonesian : penyambang) and developed since 2003. Study was conducted to see how the existence determines penyambang ships for fishing communities and the fishing estuary fishing port Kintap with : identifying the impact of fishing communities penyambang vessel catch and fishing port Muara Kintap; analyze business profits as penyambang ship; formulate strategy development as a fishing port economic zone fisheries. Technique uses qualitative and quantitative methods with a descriptive approach.The existence of the ship penyambang was a positive impact on fishermen catch. Fishermen catch will work more effectively and provide capital as a form of business development, while for the Port of Muara Kintap, penyambang ship has negatif impact on the port becauses penyambang ship can not be loading and unloading in the port. So that data from the catches of fishermen willnot be sould to penyambang as data the basis for determining the policy is difficult to know and retribution for PAD port no.  Average profit businesses penyambang vessel during fishing season is Rp. 2.773.611,00 per month while the crew (ABK) get Rp.1.386.806, 00 per month and crew still above the local minimum wage (UMR) South Kalimantan Province of  Rp. 1.337.500.00. Fishing harbor in the village of Muara Kintap, Tanah Laut District as district fisheries economy still needs a better development strategy so that the presence of the ship penyambang can contribute to Improved Income (PAD) Kintap Estuary Fishery Port.


PLoS ONE ◽  
2011 ◽  
Vol 6 (6) ◽  
pp. e20476 ◽  
Author(s):  
Rym Boulkedid ◽  
Hendy Abdoul ◽  
Marine Loustau ◽  
Olivier Sibony ◽  
Corinne Alberti

2021 ◽  
Vol 5 (1) ◽  
pp. 215-225
Author(s):  
IRFAN ULLAH ◽  
DR. MUHAMMAD ZAHID ◽  
ZAIN ULLAH

The main purpose of the current study is to investigate the impact of behavioural biases such as confidence, optimism, and pessimism on stock volatility evidence from Pakistan Stock Exchange (PSX). Prospect theory and overconfidence theory formed the foundation of this study. The methodology composed of positivist philosophical stance, deductive approach and quantitative methods with secondary data. Data analysis involved the use of descriptive statistics, correlation and regression. The study consists ofa 10-years analysis from June 2008 to June 2018 and includes daily trading volumes KSE-100 index in PSX. Results reveal that behavioral biases such as confidence have a positive impact on stock volatility. Similarly, optimism bias has also a positive impact on stock volatility. While pessimism bias has recorded a negative impact on stock volatility. Therefore, it is concluded that behavioural biases have an impact on stock volatility. The current study has a contribution to the body of knowledge on the ground that it attempts to change the traditional notion of society who believes in the efficient market hypothesis. The study has implications for different stakeholders of stock markets.


2020 ◽  
Vol 22 (5/6) ◽  
pp. 437-453
Author(s):  
Kriti Priya Gupta ◽  
Harshit Maurya

Purpose This study aims to understand the role of access convenience of common service centres (CSCs) in determining the e-government continuance intention from the perspective of citizens who are dependent on these centres for using e-government services, in developing countries such as India. The study uses the DeLone and McLean’s information systems (IS) success model as a theoretical basis and analyses the effect of access convenience of CSCs (AC), on the three quality dimensions (namely, information quality [IQ], system quality [SyQ] and service quality [SQ]), and the e-government continuance intention. The effects of the three quality dimensions on continuance intention are also analysed. Design/methodology/approach The primary data were collected from the field surveys conducted at various CSCs in Uttar Pradesh state of India using convenience sampling technique. The study sample included 358 respondents who use e-government services through CSCs. Structural equation modelling was used to test the hypothesized relationships in the proposed model. Findings The findings of the study suggest that CSCs’ access convenience has a significant positive impact on the e-government continuance intention. The findings also confirm the significant positive impact on all the three quality dimensions of e-government i.e. IQ, SyQ and SQ. Though the findings do not provide support for the impact of IQ and SyQ on the e-government continuance intention but the impact of SQ on the e-government continuance intention is found to be significantly positive. Research limitations/implications The explanatory power of the model indicates the scope of including more variables in determining the continued usage of e-government. Future studies may extend the present study by including concepts such as trust, satisfaction and security/privacy concerns of citizens. The present study has failed to support the impact of IQ and SyQ on the intention to continue using e-government services. Future studies may test the model in different contexts with different respondents to further examine these relationships. Future studies may also see the association between the continuance intention and actual use of e-government services. Practical implications The government should provide accessible CSCs to the citizens which are conveniently available to them. To diffuse the e-government services successfully among all citizens, the government needs to see that sufficient numbers of CSCs are available in the areas where people lack the required infrastructure for using the e-government services. The government also needs to ensure that the CSCs are fully functional and equipped with facilities for providing the best quality services. Originality/value The study combines the quality constructs from the IS success model with AC, for predicting the e-government continuance intention. The joint use of these constructs has provided a model with high explanatory power, which is able to explain 76.6% variation in the continued usage of e-government services. The study also contributes to the existing literature by presenting AC as a strong determinant of the e-government quality dimensions.


2021 ◽  
pp. 1-8
Author(s):  
Khamis Al-Alawy ◽  
Immanuel Azaad Moonesar ◽  
Hanan Ali Mubarak Obaid ◽  
Ehab Ismail Al-Abed Bawadi ◽  
Reem Gaafar

<b><i>Background:</i></b> Hospitals are increasingly under pressure to provide safe and high-quality care at an affordable cost. In response to this challenge, many have adopted accreditation as an internationally recognized tool to facilitate improvements in healthcare quality and patient safety. The objectives of the study were to (a) evaluate the impact of international hospital accreditation in Dubai and (b) inform policy decision-making. <b><i>Methods:</i></b> We adopted a literature review, analysis of violation data, and clinical performance measures. <b><i>Results:</i></b> The literature review suggests insufficient evidence to link accreditation to healthcare outcomes. We report a gradual increase in hospital violations and an improvement of clinical outcomes over three years, however the improvement in clinical outcome measures were not statistically significant. <b><i>Conclusions:</i></b> There is limited evidence to determine the impact of international hospital accreditation. Performance measures for accreditation are needed to validate the contribution accreditation may have on reducing non-compliance and improving clinical performance measures. Further research is needed to explore how well accreditation models fit within the Donabedian framework for healthcare quality.


2020 ◽  
Vol 28 (3) ◽  
pp. 98-126
Author(s):  
Tetiana Paientko ◽  
Valeriy Oparin

Purpose: To determine the impact of changes in tax burden in Ukraine on the country’s economic freedom. Methodology: The study applies qualitative methods for historical analysis, periodization of reforms, and classification of their key priorities and influences. Quantitative methods are applied to compare tax burden (tax-to-GDP ratio) in Ukraine and OECD countries. The overall success and failure of tax reforms was measured by the index of economic freedom, including its component, the index of tax burden (fiscal freedom). The first hypothesis suggested that a reduction in tax burden positively impacted the level of economic freedom in Ukraine; the second hypothesis stated that a reduction in tax burden positively affected the fiscal freedom of Ukraine. Regressions in average tax burden and the index of economic freedom, including the index of tax burden, were built in R software. Findings: Regression analysis did not confirm the first hypothesis. The second hypothesis was confirmed. Reduced tax burden does not affect the level of economic freedom of Ukraine. This is explained by the slow progress of institutional reforms in Ukraine. The reduction of tax burden has a significant positive impact on the level of fiscal freedom. Practical Implications: The results obtained have practical relevance for the elaboration of fiscal policies in developing countries, in accordance with the country’s economic and political development priorities. Research Limitations/Implications: Future research will include a more in-depth comparative analysis of tax reforms in Ukraine, focusing on the key taxes.


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