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

Document Type: Articles


1 PhD candidate in Health care services management, Science and Research Branch, Islamic Azad University, Tehran, Iran

2 Associate Professor ,Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran

3 Professor ,Department of Health Management, Iran University of Medical Sciences, Tehran, Iran


Introduction: There is much less attention to the structural, processing, and functionalstandards in accreditation of health care organizations. The purpose of this study was todetermine and prioritize the factors affecting the implementation of accreditation system inhospitals affiliated with the Social Security Organization in Tehran in 2016.Methods: This is a cross‐sectional quantitative study conducted among hospital staffrecruited through census sampling. To collect the data, a researcher-made questionnaireconsisting of 24 factors was designed using hierarchical analysis method. After collecting thequestionnaires, studying criteria and factors were analyzed and prioritized based on AnalyticHierarchy Process model (AHP) and inconsistency ratio (ICR) using the Super DecisionsSoftware. 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 restwere 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 documentsand evidence, as well as their integration with the opinions of domestic experts, resulted inachieving an effective model for establishing accreditation based on structural, processing,and output standards and considering the weight of each group of standards. The factorsaffecting the accreditation system take into account the constraints on the content andimplementation process of the current accreditation program and complements the existinggaps by adding the dimensions and components required. Using a simple, comprehensiveand efficient approach, it is possible to provide an opportunity to improve the status ofaccreditation and quality of services in hospitals of Tehran’s social security hospitals.Keywords: Accreditation, Donabedian Model, Hospital, Social Security

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