ISSN:0749-6753    

DOI:10.1002/hpm.4740100302

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractAccreditation of hospitals began in the early part of the twentieth century in the USA as a mechanism to ensure an appropriate environment in which clinicians could practise effectively. It was adopted in Canada and Australia, where it conformed to the early design of standards to control the hospital environment. In the past decade, these accreditation systems have been forced to change in response to the decline in the role of the hospital in health care delivery; the demands of governments and the public for greater information about quality of health care. They have also responded to pressure for greater knowledge of clinical effectiveness by introducing indicators of clinical performance. Within the past 5 years, accreditation has been adopted in a number of other countries where governments have extended their role into assuring the quality of health care. Accreditation, originally perceived as a vehicle to enable organizational development, is increasingly an agent of government regulation.

ISSN:0749-6753    

DOI:10.1002/hpm.4740100303

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractThis paper examines the hospital accreditation system in Taiwan, Republic of China. The paper describes the historical evolution of accreditation; preliminary teaching hospital accreditation; hospital and teaching hospital accreditation; issues and problems; and perspectives and challenges.

ISSN:0749-6753    

DOI:10.1002/hpm.4740100304

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractThe profound political changes that followed the Spanish Constitution of 1978 have had a major influence in the healthcare offered to the Spanish population. The healthcare provision once centred in a single government agency, the Instituto Nacional de la Salud (INSALUD), is now being decentralized to the 17 autonomous regions established by the Constitution.Existing Spanish legislation, traditional accountability and established professional roles are determinant factors in defining the boundaries amongst the main stakeholders in the healthcare accreditation issue. Hospital accreditation has been traditionally understood by the central government agency as a way to assure regulated standards for licensing the operations of healthcare facilities.However, recent public concern over the quality of healthcare, health departments' accountability and health professional technical knowledge are now creating the search for a common approach to accreditation in Spain.

ISSN:0749-6753    

DOI:10.1002/hpm.4740100305

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractInformation about a hospital accreditation program generally goes unpublished, and when published, it is seldom used to analyse the quality performance in a group of hospitals. This article uses the information derived from the Accreditation Program of Hospitals in Catalunya to assess the quality of the performance of hospitals in this region. Catalunya's accreditation program is publicly administered, and the advantages and disadvantages of such a model in comparison to others will also be analysed.

ISSN:0749-6753    

DOI:10.1002/hpm.4740100306

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractThe Canadian Council on Health Services Accreditation has restructured its approach to health services accreditation, moving from a focus on hospital departments to what is termed a client‐centred approach. This was a response to the philosophy of Continuous Quality Improvement, which has caused a rethinking of the approach to accreditation. The process of change has required total revision of the standards used, moving the focus from individual hospital or health service departments, to standards which describe the main processes of patient care within the organization. This has resulted in the need for new survey techniques and award structure

ISSN:0749-6753    

DOI:10.1002/hpm.4740100307

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractThe Australian Council on Healthcare Standards (ACHS) has introduced clinical performance measures—clinical indicators—into the accreditation process. The indicators are developed with the assistance of the various medical colleges (professional associations of specialists). Sixteen such bodies are now in the program, with 150 draft indicators covering 90 areas of hospital practice. The development of a set of indicators passes through a number of stages to ensure their validity, and a process is in place to assess their reliability, reproducibility and responsiveness. The qualitative information available indicates a willingness on the part of health care facilities to address the indicators, and alter the process of care. It is anticipated that the quantitative information being collected in aggregate form will subsequently demonstrate an improvement in the outcome of care. Hospital specific information currently remains confidential to the ACHS and the particular health care facility. The public release of such information and the value of doing so remains undetermi

ISSN:0749-6753    

DOI:10.1002/hpm.4740100308

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractThe Joint Commission on Accreditation of Healthcare Organizations has attempted to move away from simple measures of organizational process to measures of organizational performance. As no measures of organizational performance existed, the Joint Commission was forced to embark upon a lengthy search for methodologies and technologies to measure organizational performance. In addition, an approach to the use of performance measures, which would be acceptable to the health service community, and which was compatible with the process of accreditation, had to be found.

ISSN:0749-6753    

DOI:10.1002/hpm.4740100309

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740100310

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740100301

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY