Investigating the challenges of physicians' participation in accreditation programs from the perspective of physicians in public hospitals

Abstract

Background and Objec ti ve: Due to the increasing pressure on hospitals to increase the quality of services, the need for physicians to par ti cipate in quality improvement programs, especially hospital accredita ti on, has become more important. Therefore, the present study was conducted to determine the challenges of physicians’ par ti cipa ti on in accredita ti on programs in Mashhad city, eastern Iran Materials and Methods: This descrip ti ve-analy ti cal cross-sec ti onal study was conducted in 1399 using a ques ti onnaire in 12 hospitals in the east of the country that performed accredita ti on. This ques ti onnaire examined the challenges of physicians’ par ti cipa ti on in accredita ti on programs in hospitals. Finally, 445 physicians par ti cipated in the study and the par ti cipa ti on rate was reported to be about 24%. Data analysis was performed at two levels of descrip ti ve and inferen ti al sta ti s ti cs using STATA V.14. Results: The fi ndings of the present study showed that among the challenges of physicians’ par ti cipa ti on in accredita ti on programs in hospitals, the strongest challenge from the perspec ti ve of physicians is related to the dimensions of e ff ec ti ve communica ti on (4.05± 0.74) and the empowering physicians about accredita ti on and quality improvement (3.89±0.59). Also, the weakest of them was related to the dimension of ambiguity in role (0.96±2.86). Among the studied challenges, only the score of pa ti ent demand dimension showed a sta ti s ti cally signi fi cant di ff erence between di ff erent medical special ti es (p<0.05). Conclusion: The implementa ti on of this program can be improved through Culture building, proper accredita ti on training and quality improvement ac ti vi ti es in the medical community helped to implements.