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Stakeholder perspectives on implementing accreditation programs: a qualitative study of enabling factors


Hinchcliff, R and Greenfield, D and Westbrook, J and Pawsey, M and Mumford, V and Braithwaite, J, Stakeholder perspectives on implementing accreditation programs: a qualitative study of enabling factors, BMC Health Services Research, 13, (437) pp. 1-9. ISSN 1472-6963 (2013) [Refereed Article]

DOI: doi:10.1186/1472-6963-13-437


Background: Accreditation programs are complex, system-wide quality and safety interventions. Despite their international popularity, evidence of their effectiveness is weak and contradictory. This may be due to variable implementation in different contexts. However, there is limited research that informs implementation strategies. We aimed to advance knowledge in this area by identifying factors that enable effective implementation of accreditation programs across different healthcare settings.

Methods: We conducted 39 focus groups and eight interviews between 2011 and 2012, involving 258 diverse healthcare stakeholders from every Australian State and Territory. Interviews were semi-structured and focused on the aims, implementation and consequences of three prominent accreditation programs in the aged, primary and acute care sectors. Data were thematically analysed to distil and categorise facilitators of effective implementation.

Results: Four factors were identified as critical enablers of effective implementation: the accreditation program is valid and uses relevant standards; accreditation is favourably received by health professionals; healthcare organisations are capable of embracing accreditation; and accreditation is appropriately aligned with other regulatory initiatives and supported by relevant incentives.

Conclusions: Strategic implementation of accreditation programs should target the four factors emerging from this study, which may increase the likelihood of accreditation being implemented successfully.

Item Details

Item Type:Refereed Article
Keywords:Implementation research, Accreditation, Quality improvement, Quality and safety, Health services
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Greenfield, D (Professor David Greenfield)
ID Code:110811
Year Published:2013
Web of Science® Times Cited:37
Deposited By:TSBE
Deposited On:2016-08-15
Last Modified:2021-07-06

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