의료기관인증의 효과에 대한 체계적 문헌고찰: Balanced Score Card 관점으로

박일태; 정연이; 박성희; 황정해; 석승한

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자료유형: 학술저널

저자정보: 박일태 (의료기관평가인증원) 정연이 (의료기관평가인증원) 박성희 (순천향대학교) 황정해 (한양사이버대학교) 석승한 (의료기관평가인증원)

저널정보: 한국의료질향상학회 한국의료질향상학회지 한국의료질향상학회지 제23권 제1호

발행연도: 2017.1

수록면: 69 - 90 (22page)

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Purpose: The purpose of this study was to analyze the impact of healthcare accreditation and to provide empirical evidence to validate positive effectiveness. Methods:Six electronic databases (KERIS, KoreaMed, NDSL, Ovid-medline, Embase, Cochrane library) were accessed in May 2016. Keywords used were 'accreditation' and 'Joint Commission on Accreditation of Healthcare Organization (JCAHO)'. Of the initially identified 3,008 articles, 60 studies on healthcare accreditation were selected based on inclusion criteria that are hospital accreditation, accreditation by disease and clinical center accreditation. These were retrieved and analyzed. Result: The 60 study results were on the impact of healthcare accreditation. Results were classified into four perspectives of Balanced Score Card (Financial, Customer, Internal Process, Learning & Growth). In internal process perspective, results revealed that healthcare accreditation has made a positive impact on "care process and procedure". In learning & growth perspective, healthcare accreditation has made a positive influence on "leadership", "organizational cultures" and "change mechanisms". However, it revealed that healthcare accreditation does not directly affect financial performance. It is also difficult to reach a definitive conclusion that healthcare accreditation programs affect patient satisfaction of customer and clinical outcome of the internal process. Conclusion: Healthcare accreditation programs provide positive impact on change of care process and building communication-oriented hospital culture. However, more rigorous and diverse research is needed on financial effects and clinical outcomes of healthcare accreditation.

#Accreditation #Healthcare quality #Access #Evaluation

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