ArticleQuality & safety in health care2005
Paradoxes of French accreditation.
Article in Quality & safety in health care, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- Sustaining quality accreditation in hospitals: a systematic review with narrative synthesis.BMC health services research · 2026Pooled it
- The impact of hospital accreditation on the quality of healthcare: a systematic literature review.BMC health services research · 2021Pooled it
- External inspection of compliance with standards for improved healthcare outcomes.The Cochrane database of systematic reviews · 2016Pooled it
- Accreditation in general practice in Denmark: study protocol for a cluster-randomized controlled trial.Trials · 2017Trial
- Accreditation of primary health care centres in the KSA: Lessons from developed and developing countries.Journal of Taibah University Medical Sciences · 2023Article
- Enabling Factors for the Successful Implementation of the CBAHI Accreditation Program.Journal of multidisciplinary healthcare · 2023Article
- What GPs do to meet accreditation standards - implementation activities and perceived improvements attributed to general practice accreditation.BMC primary care · 2022Article
- Key issues of health and safety for workers in residential aged care: An expert study.Frontiers in public health · 2022Article
- Involvement and skepticism towards the JCI Accreditation process among hospital's four sectors employees: suggestions for cultural change.Israel journal of health policy research · 2021Article
- Medical record documentation quality in the hospital accreditation.Journal of education and health promotion · 2021Article
- Introduction of safety and quality standards for private health care providers: a case-study from the Republic of Srpska, Bosnia and Herzegovina.International journal for equity in health · 2018Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The accreditation system introduced into the French healthcare system in 1996 has five particular characteristics: (1) it is mandatory for all healthcare establishments; (2) it is performed by an independent government agency; (3) surveyors have to report all instances of non-compliance with safety regulations; (4) the accreditation report is delivered to regional administrative authorities and a summary is made available to the public; and (5) regional administrative authorities can use the information contained in the accreditation report to revise hospital budgets. These give rise to a number of paradoxes: (1) the fact that accreditation is mandatory lends itself to ambiguity and likens the process to an inspection; (2) the fact that decision makers can use the information contained in the accreditation report for resource allocation can incite establishments to adopt strategic behaviours aimed merely at complying with the accreditation manual; and (3) there is a tendency for establishments to reduce quality processes to nothing more than the completion of accreditation and to focus efforts on standardizing practices and resolving safety issues to the detriment of organizational development. All accreditation systems must be aware of these paradoxes and decide on the level of government involvement and the relationship between accreditation and resource allocation. With time, accreditation in France could benefit from both a professionally driven system and from the increased amount of freedom to focus on quality improvement which is necessary for organizational development.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.