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Area of Science:

  • Healthcare Management
  • Quality Improvement
  • Health Policy

Background:

  • Hospital accreditation (HA) involves external evaluation against standards.
  • The Iranian hospital accreditation system faces significant challenges.
  • A national hospital accreditation program model is needed.

Purpose of the Study:

  • To develop a comprehensive model for Iran's national hospital accreditation program.
  • To address existing challenges within the Iranian hospital accreditation system.

Main Methods:

  • Modified Delphi technique used for model development and verification.
  • Initial model draft based on review of 20 accreditation models and 151 interviews.
  • Three Delphi rounds with 28 experts to verify the proposed model.

Main Results:

  • A verified, comprehensive hospital accreditation model with ten constructs (7 enablers, 3 results).
  • Model includes 43 sub-constructs; enablers comprise 65% and results 35% of total scores.
  • Approximately 150 accreditation standards were written and verified.

Conclusions:

  • A comprehensive hospital accreditation model was successfully developed and verified.
  • The model emphasizes structures, processes, outcomes, and systemic thinking.
  • This model can guide the development or revision of hospital accreditation systems.