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Accreditation as a path to achieving universal quality health coverage
Kedar S Mate1, Anne L Rooney2, Anuwat Supachutikul3
1Institute for Healthcare Improvement, 20 University Road, 7th Floor, Cambridge, MA, 02138, USA. kmate@IHI.org.
Globalization and Health
|May 1, 2015
Summary
Developing national accreditation systems is key for low- and middle-income countries (LMICs) to achieve universal health coverage (UHC). Thailand
Area of Science:
- Health Services Research
- Health Policy and Management
Background:
- Low- and middle-income countries (LMICs) are implementing health care reforms to achieve universal health coverage (UHC).
- National accreditation systems are increasingly adopted as a quality improvement strategy by payers, including Ministries of Health.
- Accreditation is recognized as a tool to enhance healthcare quality and support UHC goals.
Purpose of the Study:
- To outline key considerations for health system leaders in developing and implementing sustainable national accreditation programs.
- To use the 20-year evolution of Thailand's healthcare accreditation system as a model for LMICs.
- To demonstrate the integration of accreditation with health insurance and financing for UHC.
Main Methods:
- Case study analysis of Thailand's national healthcare accreditation system over two decades.
- Review of policy documents and implementation strategies related to healthcare accreditation in LMICs.
- Exploration of the interplay between accreditation, health financing, and universal health coverage.
Main Results:
- Thailand's accreditation system has evolved significantly over 20 years, demonstrating adaptability and sustainability.
- Successful national accreditation requires alignment with national health policies, financing mechanisms, and quality improvement goals.
- The Thai model highlights the importance of stakeholder engagement and continuous quality improvement.
Conclusions:
- National accreditation is a viable strategy for enhancing healthcare quality in LMICs pursuing UHC.
- Sustainable accreditation programs must be integrated with broader health system reforms, including financing.
- Lessons from Thailand's experience can guide other LMICs in developing effective national accreditation systems.
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