Exploring the Relationship Between Accreditation and Hospital Performance: Using Data Mining Approach
Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Background And Aim
Hospital accreditation is a systematic external evaluation of a hospitals structures, processes and results (outputs/ outcome) by an independent professional accreditation body using pre-established optimum standards. This study aimed to examine the relationship between accreditation and hospital performance. In addition, the most important accreditation constructs affecting hospital performance were identified and ranked.Materials And Methods
This descriptive, correlational and cross-sectional study was conducted using the data related to accreditation scores and nine performance indicators of 121 hospitals in 2014 and 123 hospitals in 2015 in Tehran province, Iran. Shannon entropy method was used for calculating the weights of the hospital indicators. Then, Feature Selection method in data mining was used to explore the relationship between accreditation scores and hospital indicators. Data were analyzed using IBM SPSS Modeler software. Analyses were carried out at the 0.05 significance levelResults
The mean of hospitals accreditation scores were 61.98% and 69.56% in 2014 and 2015 respectively. All performance indicators except the number of outpatients were increased in 2015 compared to 2014. There was no significant difference in the scores between 2014 and 2015 data. Hospitals accreditation scores were not associated with their performances. However, accreditation scores of leadership and management; accident and emergency; and procurement departments had the most effect on hospitals performance.Conclusion
Accreditation was not correlated with hospital performance. Thus, improving accreditation system including standards, methods and surveyors and using quality management strategies in hospitals are necessary for improving hospital performance.Keywords:
Language:
Persian
Published:
Scientific Journal of School of Public Health and Institute of Public Health Research, Volume:16 Issue: 1, 2018
Pages:
33 to 50
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