An Analysis of Hospital Accreditation Policy in Iran

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 utilizat...

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Bibliographic Details
Published in:Iranian journal of public health 2017-10, Vol.46 (10), p.1347-1358
Main Authors: Yousefinezhadi, Taraneh, Mosadeghrad, Ali Mohammad, Arab, Mohammad, Ramezani, Mozhdeh, Sari, Ali Akbari
Format: Article
Language:English
Subjects:
Accreditation
Data processing
Decision analysis
Health care
Hospital
Human resources
Iran
Medical personnel
Motivation
Original
Physicians
Policy analysis
Qualitative research
Research design
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Summary: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. 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. 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. 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.
ISSN:2251-6085
2251-6093