An Analysis of Hospital Accreditation Policy in Iran
Background: Public policymaking is complex and lacks research evidences, particularly in the Eastern Mediterranean Region (EMR). This policy analysis aims to generate insights about the process of hospital accreditation policy making in Iran, to identify factors influencing policymaking and to evalu...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2017-10-01
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| Series: | Iranian Journal of Public Health |
| Subjects: | |
| Online Access: | https://ijph.tums.ac.ir/index.php/ijph/article/view/11244 |
| _version_ | 1818772313511821312 |
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| author | Taraneh YOUSEFINEZHADI Ali Mohammad MOSADEGHRAD Mohammad ARAB Mozhdeh RAMEZANI Ali AKBARI SARI |
| author_facet | Taraneh YOUSEFINEZHADI Ali Mohammad MOSADEGHRAD Mohammad ARAB Mozhdeh RAMEZANI Ali AKBARI SARI |
| author_sort | Taraneh YOUSEFINEZHADI |
| collection | DOAJ |
| description | Background: Public policymaking is complex and lacks research evidences, particularly in the Eastern Mediterranean Region (EMR). This policy analysis aims to generate insights about the process of hospital accreditation policy making in Iran, to identify factors influencing policymaking and to evaluate utilization of evidence in policy making process.
Methods: The study examined the policymaking process using Walt and Gilson framework. A qualitative research design was employed. Thirty key informant interviews with policymakers and stakeholders were conducted. In addition hundred and five related documents were reviewed. Data was analyzed using framework analysis.
Results: The accreditation program was a decision made at Ministry of Health and Medical Education in Iran. Many healthcare stakeholders were involved and evidence from leading countries was used to guide policy development. Poor hospital managers’ commitment, lack of physicians’ involvement and inadequate resources were the main barriers in policy implementation. Furthermore, there were too many accreditations standards and criteria, surveyors were not well-trained, had little motivation for their work and there was low consistency among them.
Conclusion: This study highlighted the complex nature of policymaking cycle and highlighted various factors influencing policy development, implementation and evaluation. An effective accreditation program requires a robust well- governed accreditation body, various stakeholders’ involvement, sufficient resources and sustainable funds, enough human resources, hospital managers’ commitment, and technical assistance to hospitals. |
| first_indexed | 2024-12-18T10:07:22Z |
| format | Article |
| id | doaj.art-756b6056bb5a49f3860bcb73277ce42c |
| institution | Directory Open Access Journal |
| issn | 2251-6085 2251-6093 |
| language | English |
| last_indexed | 2024-12-18T10:07:22Z |
| publishDate | 2017-10-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Public Health |
| spelling | doaj.art-756b6056bb5a49f3860bcb73277ce42c2022-12-21T21:11:32ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932017-10-014610An Analysis of Hospital Accreditation Policy in IranTaraneh YOUSEFINEZHADI0Ali Mohammad MOSADEGHRAD1Mohammad ARAB2Mozhdeh RAMEZANI3Ali AKBARI SARI4Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranDept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranDept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranDept. of Community Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, IranDept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranBackground: Public policymaking is complex and lacks research evidences, particularly in the Eastern Mediterranean Region (EMR). This policy analysis aims to generate insights about the process of hospital accreditation policy making in Iran, to identify factors influencing policymaking and to evaluate utilization of evidence in policy making process. Methods: The study examined the policymaking process using Walt and Gilson framework. A qualitative research design was employed. Thirty key informant interviews with policymakers and stakeholders were conducted. In addition hundred and five related documents were reviewed. Data was analyzed using framework analysis. Results: The accreditation program was a decision made at Ministry of Health and Medical Education in Iran. Many healthcare stakeholders were involved and evidence from leading countries was used to guide policy development. Poor hospital managers’ commitment, lack of physicians’ involvement and inadequate resources were the main barriers in policy implementation. Furthermore, there were too many accreditations standards and criteria, surveyors were not well-trained, had little motivation for their work and there was low consistency among them. Conclusion: This study highlighted the complex nature of policymaking cycle and highlighted various factors influencing policy development, implementation and evaluation. An effective accreditation program requires a robust well- governed accreditation body, various stakeholders’ involvement, sufficient resources and sustainable funds, enough human resources, hospital managers’ commitment, and technical assistance to hospitals.https://ijph.tums.ac.ir/index.php/ijph/article/view/11244HospitalAccreditationPolicy analysisIran |
| spellingShingle | Taraneh YOUSEFINEZHADI Ali Mohammad MOSADEGHRAD Mohammad ARAB Mozhdeh RAMEZANI Ali AKBARI SARI An Analysis of Hospital Accreditation Policy in Iran Iranian Journal of Public Health Hospital Accreditation Policy analysis Iran |
| title | An Analysis of Hospital Accreditation Policy in Iran |
| title_full | An Analysis of Hospital Accreditation Policy in Iran |
| title_fullStr | An Analysis of Hospital Accreditation Policy in Iran |
| title_full_unstemmed | An Analysis of Hospital Accreditation Policy in Iran |
| title_short | An Analysis of Hospital Accreditation Policy in Iran |
| title_sort | analysis of hospital accreditation policy in iran |
| topic | Hospital Accreditation Policy analysis Iran |
| url | https://ijph.tums.ac.ir/index.php/ijph/article/view/11244 |
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