Identifying and Prioritizing the Effective Factors on Establishing Accreditation System in Tehran Hospitals affiliated with the Social Security Organization in Tehran, 2016

Zahra Ebrahim, Amir Ashkan Nasiripour, Pouran Raeissi


Introduction: There is much less attention to the structural, processing, and functional
standards in accreditation of health care organizations. The purpose of this study was to
determine and prioritize the factors affecting the implementation of accreditation system in
hospitals affiliated with the Social Security Organization in Tehran in 2016.
Methods: This is a cross‐sectional quantitative study conducted among hospital staff
recruited through census sampling. To collect the data, a researcher-made questionnaire
consisting of 24 factors was designed using hierarchical analysis method. After collecting the
questionnaires, studying criteria and factors were analyzed and prioritized based on Analytic
Hierarchy Process model (AHP) and inconsistency ratio (ICR) using the Super Decisions
Software. To determine whether there is a significant difference between the respondents’
answers, we performed one-sample t-test using SPSS software.
Results: According to the findings, 49 out of the 170 participants were male and the rest
were female. In order to investigate the factors affecting the establishment of the accreditation system, we the ranking of factors showed that the output criterion with the weight of 0.443 had the highest priority, and then the criterion of the structure with a weight of 0.279 and the process criterion with a weight of 0.278 in the next priorities were placed.
Conclusion: The findings of the present study, scientifically through the review of documents
and evidence, as well as their integration with the opinions of domestic experts, resulted in
achieving an effective model for establishing accreditation based on structural, processing,
and output standards and considering the weight of each group of standards. The factors
affecting the accreditation system take into account the constraints on the content and
implementation process of the current accreditation program and complements the existing
gaps by adding the dimensions and components required. Using a simple, comprehensive
and efficient approach, it is possible to provide an opportunity to improve the status of
accreditation and quality of services in hospitals of Tehran’s social security hospitals.
Keywords: Accreditation, Donabedian Model, Hospital, Social Security

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