Impacts of accreditation on the performance of primary health care centres: A systematic review

Q3 Nursing

Malaysian Family Physician Pub Date : 2023-10-27 DOI:10.51866/rv.274

Jafar Sadegh Tabrizi, Atefeh As’habi, Maryam Nazari, Masoumeh Ebrahimi Tavani, Mehdi Haghi, Farid Gharibi

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引用次数: 0

Abstract

Introduction: Evidence on the impacts of accreditation on primary health care (PHC) services is inconsistent. Thus, this study aimed to assess the impacts of accreditation on the performance of PHC centres. Methods: This study systematically reviewed articles published from 2000 to 2019 in the Web of Science, Scopus, ScienceDirect, Springer, PubMed and ProQuest. The following keywords were used: ((primary care OR primary health care) AND (accreditation) AND (impact OR effect OR output OR outcome OR influence OR result OR consequences)). The database search yielded a total of 41256 articles, among which 30 articles were finally included in the review. Results: Accreditation showed the most positive impacts on the quality, effectiveness, human resource management and strategic management of PHC services. Accreditation also positively affected safety, responsiveness, accessibility, customer satisfaction, documentation, leadership, efficiency and continuity of care. Few negative impacts were noted, including the possibility of accreditation being used as a bureaucratic tool, high cost of acquiring accreditation, difficulties in understanding the accreditation process, high staff turnover rate in accredited PHC centres and weak sustainability of some accreditation programmes. Conclusion: Given its numerous positive impacts, accreditation could be used to effectively improve the performance of PHC centres.

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认证对初级卫生保健中心绩效的影响:系统审查

关于认证对初级卫生保健(PHC)服务影响的证据不一致。因此，本研究旨在评估认证对初级保健中心绩效的影响。方法:本研究系统回顾了2000 - 2019年在Web of Science、Scopus、ScienceDirect、Springer、PubMed和ProQuest上发表的文章。使用了以下关键词:(初级保健或初级卫生保健)和(认证)和(影响或效果或输出或结果或影响或结果或后果))。数据库检索共检索到41256篇文章，其中30篇文章最终纳入综述。结果:认证对初级保健服务的质量、有效性、人力资源管理和战略管理产生了最积极的影响。认证还对安全、响应能力、可及性、客户满意度、文件、领导、效率和护理的连续性产生积极影响。几乎没有注意到负面影响，包括认可可能被用作官僚工具、获得认可的费用高、难以了解认可程序、认可的初级保健中心的工作人员流失率高以及一些认可方案的可持续性弱。结论:鉴于其众多的积极影响，认证可以用来有效地提高初级保健中心的绩效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Malaysian Family Physician Medicine-Family Practice

CiteScore

1.20

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： The Malaysian Family Physician is the official journal of the Academy of Family Physicians of Malaysia. It is published three times a year. Circulation: The journal is distributed free of charge to all members of the Academy of Family Physicians of Malaysia. Complimentary copies are also sent to other organizations that are members of the World Organization of Family Doctors (WONCA).