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Narrative synthesis of health service accreditation literature

Citation

Hinchcliff, R and Greenfield, D and Moldovan, M and Pawsey, M and Mumford, V and Westbrook, J and Braithwaite, J, Narrative synthesis of health service accreditation literature, BMJ Quality and Safety, 21, (12) pp. 979-991. ISSN 2044-5415 (2012) [Refereed Article]

Copyright Statement

Copyright 2012, BMJ Publishing Group Ltd and The Health Foundation

DOI: doi:10.1136/bmjqs-2012-000852

Abstract

Aims To systematically identify and synthesise health service accreditation literature. Methods A systematic identification and narrative synthesis of health service accreditation literature published prior to 2012 were conducted. The search identified 122 empirical studies that examined either the processes or impacts of accreditation programmes. Study components were recorded, including: dates of publication; research settings; levels of study evidence and quality using established rating frameworks; and key results. A content analysis was conducted to determine the frequency of key themes and subthemes examined in the literature and identify knowledge-gaps requiring research attention. Results The majority of studies (n=67) were published since 2006, occurred in the USA (n=60) and focused on acute care (n=79). Two thematic categories, that is, ‘organisational impacts’ and ‘relationship to quality measures’, were addressed 60 or more times in the literature. ‘Financial impacts’, ‘consumer or patient satisfaction’ and ‘survey and surveyor issues’ were each examined fewer than 15 times. The literature is limited in terms of the level of evidence and quality of studies, but highlights potential relationships among accreditation programmes, high quality organisational processes and safe clinical care. Conclusions Due to the limitations of the literature, it is not prudent to make strong claims about the effectiveness of health service accreditation. Nonetheless, several critical issues and knowledge-gaps were identified that may help stimulate and inform discussion among healthcare stakeholders. Ongoing effort is required to build upon the accreditation evidence-base by using high quality experimental study designs to examine the processes, effectiveness and financial value of accreditation programmes and their critical components in different healthcare domains.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Other Medical and Health Sciences
Research Field:Medical and Health Sciences not elsewhere classified
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Health and Support Services not elsewhere classified
Author:Greenfield, D (Professor David Greenfield)
ID Code:110968
Year Published:2012
Web of Science® Times Cited:55
Deposited By:Tasmanian School of Business and Economics
Deposited On:2016-08-24
Last Modified:2017-11-03
Downloads:0

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