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KMID : 0926620170220040074
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Korean Journal of Hospital Management
2017 Volume.22 No. 4 p.74 ~ p.86
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The Effects of Hospital Accreditation Participation Factors on Hospital Management Performances
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Jung Yu-Min
Kim Kyung-Sook
Lee Sun-Hee
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Abstract
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Purposes: This study was performed to understand the recognition about accreditation motives, support within the hospital and accreditation survey process for the hospitals that participated in the accreditation program and to find out whether these factors are related to hospital management performances, so that the study can suggest plans for activation and development of the accreditation program.
Methodology: This study was performed targeting 98 hospitals answered th the survey among 189 acute care hospitals that acquired accreditation from December 2010 to February 2014. For data analysis, frequency analysis, χ2-test, reliability analysis, ANOVA, Kruskal-Wallis H test and multiple regression analysis with SPSS 21.0 were used.
Findings: The hospitals that had staff in charge of patient safety had bigger hospital culture change than those that didn't have(p＜.05). In addition, the hospital culture change was bigger as internal motives were bigger, and as CEO's will was bigger(p＜.05). Meanwhile, as maintenance rate of internal management after accreditation was higher, and as CEO's will was bigger, process improvement level was higher(p＜.05). The quality improvement and patient satisfaction level were higher as CEO's will was bigger, and as suitability of survey process was recognized to be high(p＜.05). As a result of analyzing the factors that affect hospital management performances with hospital culture change, process improvement and quality improvement combined, as internal management maintenance rate was higher, as CEO's will was bigger, and as suitability of survey process was higher, performances were higher(p＜.05).
Practical Implications: Hospitals need to reinforce internal motives to improve internal competences such as the whole system maintenance opportunity and staff training. In addition, the will of hospital director is most important, and if there is hospital director's interest in quality improvement and improvement intention definitely, employees voluntarily participate in and cooperate with the accreditation program, so that prompt medical service provision and high quality of medical services can be guaranteed, leading to hospitals' management performances.
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KEYWORD
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Accreditation Program, Participation Factors, Performance
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