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The Prerequisites of Executing the Accreditation Program for Primary Healthcare: A Systematic Review and
Sina Etemadi1, Reza Dehnavieh2, Marjan Hedayati Pour1
1Healthcare Management, Faculty of Management and Medical Informatics, Kerman University of Medical Sciences, Kerman, Iran.
Understanding prerequisites for healthcare accreditation programs is vital for effective implementation. This study identifies key factors to ensure successful quality enhancement in primary healthcare settings.
Area of Science:
- Healthcare Management
- Quality Improvement
- Health Systems Research
Background:
- Primary healthcare in Iran serves as the main point of contact for citizens.
- Health planners are focused on improving healthcare quality and implementing accreditation programs.
- This study investigates the essential prerequisites for administering such programs.
Purpose of the Study:
- To systematically review and meta-synthesize existing qualitative literature on healthcare accreditation program prerequisites.
- To identify key factors influencing the successful administration of primary healthcare accreditation.
- To provide evidence-based recommendations for health planners in Iran.
Main Methods:
- A systematic review and meta-synthesis of qualitative studies was performed.
- Literature search was conducted across major databases (Scopus, PubMed, Web of Science, Google Scholar) up to 2023.
- Thomas and Hudson's framework guided the review process.
Main Results:
- Out of 1308 initial articles, 37 relevant qualitative studies were selected.
- Thirteen qualitative subthemes were identified from the selected literature.
- These subthemes were categorized according to the three elements of the Donabedian model (structure, process, outcome).
Conclusions:
- Identifying and addressing executive prerequisites before implementing healthcare plans is crucial.
- Proactive consideration of these prerequisites can prevent costly trial-and-error approaches.
- This approach enhances the effectiveness of accreditation programs and prevents potential failures.
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