Evidence map›Paper›PMID 32268354›Full record

ReviewHealth policy and planning2020

The development of hospital accreditation in low- and middle-income countries: a literature review.

Wesam Mansour, Alan Boyd, Kieran Walshe

Abstract readReview
In one paragraph

Review in Health policy and planning, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Hospital accreditation: an umbrella review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023
    Pooled it
  3. Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis.International journal of environmental research and public health · 2022
    Pooled it
  4. Mitigating climate-related health risks in Lebanon: implementation of national standards for climate-ready hospitals.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Article
  5. Equity in basic medical education accreditation: A scoping review.Journal of Taibah University Medical Sciences · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Wesam MansourLiverpool School of Tropical Medicine, Department of International Public Health, Pembroke Place, Liverpool L3 5QA, UK.
Alan BoydAlliance Manchester Business School, Innovation, Policy and Management Department, University of Manchester, Booth Street West, Manchester M15 6PB, UK.
Kieran WalsheAlliance Manchester Business School, Innovation, Policy and Management Department, University of Manchester, Booth Street West, Manchester M15 6PB, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hospital accreditation has been transferred from high-income countries (HICs) to many low- and middle-income countries (LMICs), supported by a variety of advocates and donor agencies. This review uses a policy transfer theoretical framework to present a structured analysis of the development of hospital accreditation in LMICs. The framework is used to identify how governments in LMICs adopted accreditation from other settings and what mechanisms facilitated and hindered the transfer of accreditation. The review examines the interaction between national and international actors, and how international organizations influenced accreditation policy transfer. Relevant literature was found by searching databases and selected websites; 78 articles were included in the analysis process. The review concludes that accreditation is increasingly used as a tool to improve the quality of healthcare in LMICs. Many countries have established national hospital accreditation programmes and adapted them to fit their national contexts. However, the implementation and sustainability of these programmes are major challenges if resources are scarce. International actors have a substantial influence on the development of accreditation in LMICs, as sources of expertise and pump-priming funding. There is a need to provide a roadmap for the successful development and implementation of accreditation programmes in low-resource settings. Analysing accreditation policy processes could provide contextually sensitive lessons for LMICs seeking to develop and sustain their national accreditation programmes and for international organizations to exploit their role in supporting the development of accreditation in LMICs.

Indexed as

AccreditationDeveloping CountriesHospitalsPolicy MakingQuality ImprovementQuality of Health CareHospital accreditationlesson drawinglow- and middle-income countries (LMICs)policy learningpolicy transfer

Identifiers

PMID32268354
PMCPMC7294243

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.