Voluntary accreditation in the United Kingdom is being used by health care providers to improve and market their services and by commissioners to define and monitor service contracts.
In a three year pilot scheme in the south west of England, 43 out of 57 eligible community hospitals volunteered to be surveyed ; 37 of them were ultimately accredited for up to two years by the hospital accreditation programme.
The main causes for non-accreditation related to safety, clinical records, and medical organisation.
Follow up visits in 10 hospitals showed that, overall, 69% of recommendations were implemented.
An independent survey of participating hospitals showed the perceived benefits to include team building, review of operational policies, improvement of data systems, and the generation of local prestige.
Purchasers are increasingly influenced by accreditation status but are mostly unwilling to finance the process directly.
None the less, the concept may become an important factor moderating the quality of service in the new NHS.
Mots-clés Pascal : Service santé, Programme sanitaire, Organisation santé, Gestion, Qualité, Efficacité, Evaluation, Hôpital, Recommandation, Etude critique, Angleterre, Grande Bretagne, Royaume Uni, Europe
Mots-clés Pascal anglais : Health service, Sanitary program, Public health organization, Management, Quality, Efficiency, Evaluation, Hospital, Recommendation, Critical study, England, Great Britain, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0266878
Code Inist : 002B30A04D. Création : 01/03/1996.