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Health sector accreditation research: a systematic review
David Greenfield1, Jeffrey Braithwaite
1Centre for Clinical Governance Research in Health, Faculty of Medicine, University of New South Wales, Sydney NSW 2052, Australia. d.greenfield@unsw.edu.au
Summary
This systematic review analyzed 66 studies on healthcare accreditation, finding consistent evidence for promoting change and professional development. However, the impact on organizational factors and quality remains complex and requires further research.
Area of Science:
- Healthcare Management
- Quality Improvement
- Organizational Science
Background:
- Accreditation is a key process in healthcare, aiming to ensure and improve quality.
- Understanding the research landscape of accreditation is crucial for its effective implementation and evolution.
Purpose of the Study:
- To systematically identify and analyze existing research on healthcare accreditation processes and their impact.
- To synthesize findings on the effectiveness of accreditation across various domains.
Main Methods:
- A multi-method systematic review of the accreditation literature was conducted.
- Over 3000 abstracts were screened, with 66 empirical studies meeting the inclusion criteria.
- Data were extracted and synthesized into 10 distinct categories.
Main Results:
- Consistent positive findings were observed in promoting change and professional development.
- Inconsistent results were noted for studies examining attitudes, organizational impact, financial impact, quality measures, and program assessment.
- Insufficient data precluded conclusions on consumer views, public disclosure, and surveyor issues.
Conclusions:
- The healthcare accreditation industry is actively developing research to support its practices.
- Further research is needed to clarify the impact of accreditation on organizational outcomes and patient satisfaction.
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