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Challenges of Implementing an Effective Primary Health Care Accreditation Program: a qualitative study in Iran
Social Determinants of Health Research Center, Semnan University of Medical Sciences, Iran.
Social Determinants of Health Research Center, Semnan University of Medical Sciences, Iran.
Academic Research Staff, Quality Improvement, Monitoring and Evaluation Department, Center of Health Network Management, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran.
University of Skövde, Digital Health Research (DHEAR). University of Skövde, School of Health Sciences. Division of Public Health Science, Department of health Sciences, Mid Sweden University, Sweden. (Medborgarcentrerad hälsa MeCH, Research on Citizen Centered Health, University of Skövde (Reacch US))ORCID iD: 0000-0001-7393-796X
2023 (English)In: BMC Primary Care, E-ISSN 2731-4553, Vol. 24, no 1, article id 270Article in journal (Refereed) Published
Abstract [en]

Background: Accreditation is a prerequisite for scientific management of the health system, owing to its numerous benefits on health centres’ performance. The current study examined Iran’s primary healthcare accreditation program to ascertain the challenges to its successful implementation. Methods: This qualitative study examined the perspectives of 32 managers and staff members in the pilot accreditation program (from the Ministry of Health and Medical Education, Semnan University of Medical Sciences, and Aradan District Health Network). Three in-depth group interviews were conducted using a semi-structured questionnaire, and the data obtained were assessed using thematic analysis. As a result of this investigation identified six themes, 29 sub-themes, and 218 codes as challenges to the successful accreditation of primary health care in Iran. Results: Six main themes, including “organisational culture”, “motivational mechanisms”, “staff workload”, “training system”, “information systems”, and “macro-executive infrastructure”, were identified as the main domain of challenges, with seven, five, two, four, three, and eight sub-themes respectively. Conclusion: Accreditation of PHC in Iran faces significant challenges and obstacles that, if ignored, can jeopardise the program’s success and effectiveness. By identifying challenges and obstacles and making practical suggestions for overcoming them, the findings of this study can aid in the program’s successful implementation and achievement of desired outcomes. 

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023. Vol. 24, no 1, article id 270
Keywords [en]
Accreditation, Primary Health Care, Public Health, Quality, Humans, Iran, Motivation, Qualitative Research, article, clinical article, health center, human, interview, male, medical education, organizational culture, structured questionnaire, thematic analysis, workload
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
URN: urn:nbn:se:his:diva-23492DOI: 10.1186/s12875-023-02232-0ISI: 001124800600003PubMedID: 38093194Scopus ID: 2-s2.0-85179674950OAI: oai:DiVA.org:his-23492DiVA, id: diva2:1822846
Funder
Mid Sweden University
Note

CC BY 4.0 DEED

© 2023, The Author(s).

© 2023 BioMed Central Ltd unless otherwise stated. Part of Springer Nature.

Correspondence Address: K. Dalal; Division of Public Health Science, Department of health Sciences, Mid Sweden University, Sweden and Institute for Health Sciences, University of Skovde, Skovde, Sweden; email: koustuv.dalal@miun.se

Open access funding provided by Mid Sweden University. The study did not receive any funding for the research project. However, all authors receive their salary from respective employer.

Available from: 2023-12-28 Created: 2023-12-28 Last updated: 2024-04-15Bibliographically approved

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