Developing and validating a checklist for accreditation in leadership and management of hospitals in Iran
نویسندگان
1 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Department of Health Services Management, School of Health Management and Information, Iran University of Medical Sciences, Tehran, Iran
2 Health Management and Economic Research Center, Isfahan University of Medical Sciences, Isfahan
3 Department of Health Services Management, School of Health Management and Information, Iran University of Medical Sciences, Tehran, Iran
4 Health Management and Economic Research Center, Isfahan University of Medical Sciences, Isfahan
5 Department of Medical and Surgical, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord,
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چکیده
INTRODUCTION: In the Iranian Accreditation System, leadership and management standards havebeen almost ignored and not paid enough and necessary attention to the structural componentsand the infrastructures standards in management and leadership sections. Governing body, medicalstaff, chief executive officer (CEO), and nursing management standards are inadequate and lackaccountability. These standards could lead to reform and finally provide the context for accomplishmentof an appropriate accreditation program.MATERIALS AND METHODS: This is a descriptive, comparative, and qualitative study. It was donein two phases. The first phase included literature review of the standards of the selected countriesfollowed by comparison of the standards of the board of trustees, medical staff, CEOs, and nursingmanagement standards to develop the primary framework for Iranian hospitals. In phase two, theprimary framework was validated true three rounds of Delphi technique.RESULTS: Surveying the accreditation system standards in selected countries included the USA,Egypt, Malaysia, and Iran. It was found that the management and leadership standards were classifyas governing body, medical staff, CEOs, and nursing management standards. The result of this studyprovides a framework for improvement of the Iranian national accreditation program.CONCLUSION: In regarded to the importance of the leadership and management standards inreform and change and promotion of the health services quality, efficiency, and effectiveness, theresults of this study showed that the present standards of the Iranian accreditation assessmentsystem and guidelines lack the necessary infrastructures for implementing a successful nationalaccreditation program.
