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International trends in accreditation.

E Scrivens1

  • 1Centre for Health Planning and Management, Keele University, UK.

The International Journal of Health Planning and Management
|July 1, 1995
PubMed
Summary

Hospital accreditation, initially for practice environments, now emphasizes quality and clinical performance. It has evolved from organizational development to a key government regulatory tool for healthcare quality assurance.

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Area of Science:

  • Healthcare Management
  • Health Services Research
  • Quality Improvement

Background:

  • Hospital accreditation originated in the early 20th century USA to ensure effective clinical practice environments.
  • Early adoption in Canada and Australia focused on controlling the hospital environment through standards.
  • Recent shifts reflect changes in healthcare delivery, government demands for quality information, and clinical effectiveness.

Purpose of the Study:

  • To analyze the evolution of hospital accreditation systems.
  • To examine the changing role of accreditation in healthcare.
  • To understand the transition from organizational development to government regulation.

Main Methods:

  • Historical analysis of accreditation systems in USA, Canada, and Australia.
  • Review of policy changes and adoption trends in other countries.
  • Examination of the integration of clinical performance indicators.

Main Results:

  • Accreditation systems have adapted to decreased hospital-centric care and increased demand for quality transparency.
  • Introduction of clinical performance indicators reflects a focus on clinical effectiveness.
  • Global adoption has accelerated, with governments increasingly using accreditation for quality assurance.

Conclusions:

  • Hospital accreditation has transformed from an internal development tool to an external regulatory mechanism.
  • The focus has shifted from the practice environment to measurable quality and clinical outcomes.
  • Accreditation now serves as a significant instrument for government oversight in healthcare quality.

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