Challenges of Implementing an Effective Primary Health Care Accreditation Program: a qualitative study in Iran
Abstract Background Accreditation is a prerequisite for scientific management of the health system, owing to its numerous benefits on health centres’ performance. The current study examined Iran’s primary healthcare accreditation program to ascertain the challenges to its successful implementation....
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | BMC Primary Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12875-023-02232-0 |
| _version_ | 1797388106513514496 |
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| author | Farid Gharibi Esmaeil Moshiri Masoumeh Ebrahimi Tavani Koustuv Dalal |
| author_facet | Farid Gharibi Esmaeil Moshiri Masoumeh Ebrahimi Tavani Koustuv Dalal |
| author_sort | Farid Gharibi |
| collection | DOAJ |
| description | Abstract Background Accreditation is a prerequisite for scientific management of the health system, owing to its numerous benefits on health centres’ performance. The current study examined Iran’s primary healthcare accreditation program to ascertain the challenges to its successful implementation. Methods This qualitative study examined the perspectives of 32 managers and staff members in the pilot accreditation program (from the Ministry of Health and Medical Education, Semnan University of Medical Sciences, and Aradan District Health Network). Three in-depth group interviews were conducted using a semi-structured questionnaire, and the data obtained were assessed using thematic analysis. As a result of this investigation identified six themes, 29 sub-themes, and 218 codes as challenges to the successful accreditation of primary health care in Iran. Results Six main themes, including “organisational culture”, “motivational mechanisms”, “staff workload”, “training system”, “information systems”, and “macro-executive infrastructure”, were identified as the main domain of challenges, with seven, five, two, four, three, and eight sub-themes respectively. Conclusion Accreditation of PHC in Iran faces significant challenges and obstacles that, if ignored, can jeopardise the program’s success and effectiveness. By identifying challenges and obstacles and making practical suggestions for overcoming them, the findings of this study can aid in the program’s successful implementation and achievement of desired outcomes. |
| first_indexed | 2024-03-08T22:36:02Z |
| format | Article |
| id | doaj.art-0bb770009259441f8397bf7d82e9bd18 |
| institution | Directory Open Access Journal |
| issn | 2731-4553 |
| language | English |
| last_indexed | 2024-03-08T22:36:02Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Primary Care |
| spelling | doaj.art-0bb770009259441f8397bf7d82e9bd182023-12-17T12:25:39ZengBMCBMC Primary Care2731-45532023-12-0124111310.1186/s12875-023-02232-0Challenges of Implementing an Effective Primary Health Care Accreditation Program: a qualitative study in IranFarid Gharibi0Esmaeil Moshiri1Masoumeh Ebrahimi Tavani2Koustuv Dalal3Social Determinants of Health Research Center, Semnan University of Medical SciencesSocial Determinants of Health Research Center, Semnan University of Medical SciencesAcademic Research Staff, Quality Improvement, Monitoring and Evaluation Department, Center of Health Network Management, Deputy of Public Health, Ministry of Health and Medical EducationDivision of Public Health Science, Department of health Sciences, Mid Sweden University, Sweden and Institute for Health Sciences, University of SkovdeAbstract Background Accreditation is a prerequisite for scientific management of the health system, owing to its numerous benefits on health centres’ performance. The current study examined Iran’s primary healthcare accreditation program to ascertain the challenges to its successful implementation. Methods This qualitative study examined the perspectives of 32 managers and staff members in the pilot accreditation program (from the Ministry of Health and Medical Education, Semnan University of Medical Sciences, and Aradan District Health Network). Three in-depth group interviews were conducted using a semi-structured questionnaire, and the data obtained were assessed using thematic analysis. As a result of this investigation identified six themes, 29 sub-themes, and 218 codes as challenges to the successful accreditation of primary health care in Iran. Results Six main themes, including “organisational culture”, “motivational mechanisms”, “staff workload”, “training system”, “information systems”, and “macro-executive infrastructure”, were identified as the main domain of challenges, with seven, five, two, four, three, and eight sub-themes respectively. Conclusion Accreditation of PHC in Iran faces significant challenges and obstacles that, if ignored, can jeopardise the program’s success and effectiveness. By identifying challenges and obstacles and making practical suggestions for overcoming them, the findings of this study can aid in the program’s successful implementation and achievement of desired outcomes.https://doi.org/10.1186/s12875-023-02232-0Public HealthPrimary Health CareQualityAccreditation |
| spellingShingle | Farid Gharibi Esmaeil Moshiri Masoumeh Ebrahimi Tavani Koustuv Dalal Challenges of Implementing an Effective Primary Health Care Accreditation Program: a qualitative study in Iran BMC Primary Care Public Health Primary Health Care Quality Accreditation |
| title | Challenges of Implementing an Effective Primary Health Care Accreditation Program: a qualitative study in Iran |
| title_full | Challenges of Implementing an Effective Primary Health Care Accreditation Program: a qualitative study in Iran |
| title_fullStr | Challenges of Implementing an Effective Primary Health Care Accreditation Program: a qualitative study in Iran |
| title_full_unstemmed | Challenges of Implementing an Effective Primary Health Care Accreditation Program: a qualitative study in Iran |
| title_short | Challenges of Implementing an Effective Primary Health Care Accreditation Program: a qualitative study in Iran |
| title_sort | challenges of implementing an effective primary health care accreditation program a qualitative study in iran |
| topic | Public Health Primary Health Care Quality Accreditation |
| url | https://doi.org/10.1186/s12875-023-02232-0 |
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