Journal of Education and Health Promotion

Developing and validating a checklist for accreditation in leadership and management of hospitals in Iran

Document Type : Original Article

Authors

. Hamid Jafari 1
. Ahmad Reza Raeisi 2
. Mohammad Hossein Yarmohammadian 2
. Mohammad Heidari 3
. Noureddin Niknam 4

1 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Department of Health Services Management, School of Health Management and Information, Iran University of Medical Sciences, Tehran, Iran

2 Health Management and Economic Research Center, Isfahan University of Medical Sciences, Isfahan

3 Department of Medical and Surgical, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord,

4 Department of Health Services Management, School of Health Management and Information, Iran University of Medical Sciences, Tehran, Iran

Abstract
INTRODUCTION: In the Iranian Accreditation System, leadership and management standards have
been almost ignored and not paid enough and necessary attention to the structural components
and the infrastructures standards in management and leadership sections. Governing body, medical
staff, chief executive officer (CEO), and nursing management standards are inadequate and lack
accountability. These standards could lead to reform and finally provide the context for accomplishment
of an appropriate accreditation program.
MATERIALS AND METHODS: This is a descriptive, comparative, and qualitative study. It was done
in two phases. The first phase included literature review of the standards of the selected countries
followed by comparison of the standards of the board of trustees, medical staff, CEOs, and nursing
management standards to develop the primary framework for Iranian hospitals. In phase two, the
primary framework was validated true three rounds of Delphi technique.
RESULTS: Surveying the accreditation system standards in selected countries included the USA,
Egypt, Malaysia, and Iran. It was found that the management and leadership standards were classify
as governing body, medical staff, CEOs, and nursing management standards. The result of this study
provides a framework for improvement of the Iranian national accreditation program.
CONCLUSION: In regarded to the importance of the leadership and management standards in
reform and change and promotion of the health services quality, efficiency, and effectiveness, the
results of this study showed that the present standards of the Iranian accreditation assessment
system and guidelines lack the necessary infrastructures for implementing a successful national
accreditation program.

Keywords

Accreditation
hospital
leadership
management
standard
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Journal of Education and Health Promotion
Volume 8, Issue 10
October 2018
Pages 1-6

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