ArticleBMC health services research2020
Challenges of implementing the accreditation model in military and university hospitals in Iran: a qualitative study.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 20 citations in OpenAlex.
- The relationship between employee's perceptions of the accreditation impact with quality of care and organizational culture in Iranian teaching hospitals: A cross-sectional study.Journal of education and health promotion · 2026Article
- Barriers in Implementing the Accreditation Standards for a Safe Environment in Public Hospitals of Rwanda: A Qualitative Study.Rwanda journal of medicine and health sciences · 2025Article
- Challenges for health workforce in the Iranian healthcare system: a scoping review.BMC health services research · 2025Article
- The sustainability of hospital accreditation models: a cross-sectional study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- Explaining the barriers and facilitators of the accreditation process in maternity departments.BMC nursing · 2025Article
- Article
- Challenges of Implementing an Effective Primary Health Care Accreditation Program: a qualitative study in Iran.BMC primary care · 2023Article
- Accreditation of a molecular HIV diagnostic laboratory following the Strengthening Laboratory Management Towards Accreditation (SLMTA)-Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) approach in Kenya: an implementation science study.The Pan African medical journal · 2023Article
- Stakeholders' Perception of the Palestinian Health Workforce Accreditation and Regulation System: A Focus on Conceptualization, Influencing Factors and Barriers, and the Way Forward.International journal of environmental research and public health · 2022Article
- The association between first-time accreditation and the delivery of recommended care: a before and after study in the Faroe Islands.BMC health services research · 2021Article
- Medical colleges' challenges and coping strategies in implementing accreditation standards in Pakistan.Pakistan journal of medical sciencesArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to present challenges of implementing the accreditation model in university and military hospitals in Iran.
methodsIn this qualitative study, purposive sampling was used to select hospital managers and implementers of the model working in 3 hospitals affiliated to Kerman University of Medical Sciences and in 3 military hospitals in Kerman, Iran. A total of 39 participants were interviewed, and semi-structured questionnaires and thematic analysis were used for data collection and analysis, respectively.
resultsIn this study, 5 major codes and 17 subcodes were identified: (1) perspectives on accreditation model with 5 subcodes: a difficult and time-consuming model, less attention to the patient, accreditation as a way of money acquisition, not being cost-effective, and accreditation means incorrect documentation; (2) absence of appropriate executive policy, with 3 subcodes: lack of financial funds and personnel, disregarding local conditions in implementation and evaluation, and absence of the principle of unity of command; (3) training problems of the accreditation model, with 2 subcodes: absence of proper training and incoordination of training and evaluation; (4) human resources problems, with 3 subcodes: no profit for nonphysician personnel, heavy workload of the personnel, and physicians' nonparticipation; (5) evaluation problems, with 4 subcodes: no precise and comprehensive evaluation, inconformity of authorities' perspectives on evaluation, considerable change in evaluation criteria, and excessive reliance on certificates.
conclusionsThis study provided useful data on the challenges of implementing hospitals' accreditation, which can be used by health policymakers to revise and modify accreditation procedures in Iran and other countries with similar conditions. The accreditation model is comprehensive and has been implemented to improve the quality of services and patients' safety. The basic philosophy of hospital accreditation did not fully comply with the underlying conditions of the hospitals. The hospital staff considered accreditation as the ultimate goal rather than a means for achieving quality of service. The Ministry of Health and Medical Education performed accreditation hastily for all Iranian hospitals, while the hospitals were not prepared and equipped to implement the accreditation model.
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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.