DOCTORS PERCEPTION TOWARDS IMPLEMENTATION OF HOSPITAL ACCREDITATION IN STATE HOSPITALS
The Ministry of Health had instructed all state hospitals to go for Accreditation. Accreditation is considered to be a more appropriate tool for quality assurance in a hospital setting than ISO 9000. The objective of this research was to study doctors perception towards the implementation of Accreditation in state hospital. Self administered questionnaires were sent through mail to doctors in eight clinical departments of all state hospitals. From 832 questionnaires sent, 297 responded(36%),i.e. 84 specialists and 212 medical officers. The study showed that 69% doctors knew that their hospital was implementing Accreditation. There were more clinical specialist (91%) who were involved in accreditation as compared to Medical Officers (73%). 83% of doctors believed that accreditation can assist in assuring quality in their hospital. Those who do not, thought that quality can be _assured if staffing was adequate (67%) and accreditation does not assess patient care (33%). The study also showed that 71% of doctors knew that their hospital was implementing MS ISO 9000. 77% of doctors believed that ISO 9000 can assist in assuring quality in their hospital. Those who do not, thought that quality can only be assured if staffing was adequate (27%) and ISO 9000 was only meant for industry (8%). In conclusion, doctors believed that Accreditation and MS ISO 9000 can assist in assuring quality in their hospitals. Amongst those who do not, majority thought that quality can only be assured if staffing was adequate.
2. Sykes, JB. The Concise Oxford Dictionary 7th ed. Oxford Clarendon press. I 982.
3. Lewis CE. Hospital Accreditation in New Zealand. Hospital 1984; 68: 15-17.
4. Robert JM. Quality Assessment in Health British Medical Journal 1984; 288: 470-1472.
5. Duckett, SJ., Coombs EM, Schmiede AM. Hospital Accreditation in New South Wales, Australia 1980.
6. Hemg CC., Chin CY. Hospital Accreditation in Taiwan, Taiwan Srudies in Hospital Setting, 1988.
7. Jacyna RM..Pros and Cons of Medical Audit: Hospital Update, Northwick Park Hospital, Harrow, UK. 1992; 512-518.
8. Lee,T.,Leung,HKN, Chan,KCC. The Hong Kong Quality Journey-Repo1t on a consultancy study on the effect and impact -of ISO 9000 certification on companies and organizations in Hong Kong. 1997.
9. Moore ML. High standards: ISO 9000 comes to health care. American Hospital Publishing, Inc. Chicago. 1999.
10. Nevalainen ED. The quality system approach. Abbott Quality Institute, 1999.
11. Earnshaw JJ. Auditing Audit: the cost of the emperors new clothes. Br J Hosp.Med. 1999: 58 (5).
12. Roberts C, Keloey NC. Microbiology accreditation and quality assessment schemes in the UK: measuring up to the standards. London: Association of Medical Microbiologists 1992; 2