Implementing hospital quality assurance policies in Iran
| Autor: | Seyed Jamaladin Tabibi, Asgar Aghaei Hashjin, Jila Manouchehri, Bahram Delgoshaei, Dionne S. Kringos, Niek S. Klazinga |
|---|---|
| Přispěvatelé: | Public and occupational health, Amsterdam Public Health |
| Rok vydání: | 2015 |
| Předmět: |
Quality Assurance
Health Care Hospital quality Legislation Iran Efficiency Organizational Hospital Administration Humans Medicine Operations management Program Development Grading (education) Quality policy Developing Countries Quality Indicators Health Care Licensure business.industry Health Policy Health Plan Implementation Monitoring system Quality Improvement General Business Management and Accounting Hospitals Organizational Policy Hospital care Quality management system Health Services Research business Program Evaluation |
| Zdroj: | International journal of health care quality assurance, 28(4), 343-355. Emerald Group Publishing Ltd. |
| ISSN: | 0952-6862 |
| Popis: | Purpose – The purpose of this paper is to provide an overview of applied hospital quality assurance (QA) policies in Iran. Design/methodology/approach – A mixed method (quantitative data and qualitative document analysis) study was carried out between 1996 and 2010. Findings – The QA policy cycle forms a tight monitoring system to assure hospital quality by combining mandatory and voluntary methods in Iran. The licensing, annual evaluation and grading, and regulatory inspections statutorily implemented by the government as a national package to assure and improve hospital care quality, while implementing quality management systems (QMS) was voluntary for hospitals. The government’s strong QA policy legislation role and support has been an important factor for successful QA implementation in Iran, though it may affected QA assessment independency and validity. Increased hospital evaluation independency and repositioning, updating standards, professional involvement and effectiveness studies could increase QA policy impact and maturity. Practical implications – The study highlights the current QA policy implementation cycle in Iranian hospitals. It provides a basis for further quality strategy development in Iranian hospitals and elsewhere. It also raises attention about finding the optimal balance between different QA policies, which is topical for many countries. Originality/value – This paper describes experiences when implementing a unique approach, combining mandatory and voluntary QA policies simultaneously in a developing country, which has invested considerably over time to improve hospital quality. The experiences with a mixed obligatory/voluntary approach and comprehensive policies in Iran may contain lessons for policy makers in developing and developed countries. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|