Understanding the impact of accreditation on quality in healthcare: A grounded theory approach
| Autor: | Noah Ivers, Laura Desveaux, J I Mitchell, James Shaw |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Normalization process theory
Process management Quality management Quality Assurance Health Care Service delivery framework media_common.quotation_subject Context (language use) Grounded theory Accreditation 03 medical and health sciences 0302 clinical medicine Humans Medicine Quality (business) 030212 general & internal medicine Qualitative Research media_common Ontario business.industry Management science 030503 health policy & services Health Policy Public Health Environmental and Occupational Health General Medicine Grounded Theory 0305 other medical science business Delivery of Health Care Qualitative research |
| Zdroj: | International journal for quality in health care : journal of the International Society for Quality in Health Care. 30(3) |
| ISSN: | 1464-3677 |
| Popis: | Objective To explore how organizations respond to and interact with the accreditation process and the actual and potential mechanisms through which accreditation may influence quality. Design Qualitative grounded theory study. Setting Organizations who had participated in Accreditation Canada's Qmentum program during January 2014-June 2016. Participants Individuals who had coordinated the accreditation process or were involved in managing or promoting quality. Results The accreditation process is largely viewed as a quality assurance process, which often feeds in to quality improvement activities if the feedback aligns with organizational priorities. Three key stages are required for accreditation to impact quality: coherence, organizational buy-in and organizational action. These stages map to constructs outlined in Normalization Process Theory. Coherence is established when an organization and its staff perceive that accreditation aligns with the organization's beliefs, context and model of service delivery. Organizational buy-in is established when there is both a conceptual champion and an operational champion, and is influenced by both internal and external contextual factors. Quality improvement action occurs when organizations take purposeful action in response to observations, feedback or self-reflection resulting from the accreditation process. Conclusions The accreditation process has the potential to influence quality through a series of three mechanisms: coherence, organizational buy-in and collective quality improvement action. Internal and external contextual factors, including individual characteristics, influence an organization's experience of accreditation. |
| Databáze: | OpenAIRE |
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