Document Type : Original Article


1 Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

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

3 Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran, Social Determinants of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran


BACKGROUND: Medical records constitute a legal and professional document regarding the activities
of medical staff in hospitals. This study was conducted with the aim of identifying the factors that
affect the quality of medical records by implementing the accreditation models in hospitals.
MATERIALS AND METHODS: This was a qualitative study. The data were collected via
28 semi‑structured interviews. The research population included administrators and supervisors
of nursing, medical records and accreditation in educational hospitals in Ahvaz, southwest Iran.
Content analysis method was used to analyze the data. Descriptive statistics were used to present
demographic characteristics of interviewees.
RESULTS: Facilitators and barriers to improve the quality of documentation were categorized into
three levels: organizational, environmental, and personal, all achieved after the implementation
of accreditation model in hospitals. Six facilitating factors were identified including organizational
structure, organizational culture, management support, individual characteristics, and perceived
benefits science and technology. The barriers included five factors including program structure,
organizational structure, beliefs, justice, and individual characteristics.
CONCLUSIONS: The identification of factors affects the quality of medical record documentation
and it seems that health managers and policymakers should take measures to improve the quality of
medical recording documentation through strengthening the facilitators and overcoming the barriers
in the program since the purpose of accreditation is to improve the quality in hospitals.


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