Enferm Clin. 2019;29(S2):315---320
www.elsevier.es/enfermeriaclinica
Impact of hospital accreditation on quality of care:
A literature review
Imelda Avia, Rr. Tutik Sri Hariyati
*
Faculty of Nursing Universitas Indonesia, Depok, West Java, Indonesia
Received 13 November 2018; accepted 17 April 2019
Available online 2 July 2019
KEYWORDS
Impact of
accreditation;
Hospital;
Quality of care
Abstract
Objective: To review and analyze the impact of hospital accreditation on quality of care.
Method: We reviewed articles of the hospital accreditation impact on quality of care which
had been published in English and Indonesian from 2008 to 2018. Comprehensive searches were
conducted in the online databases of ProQuest, CINAHL and ScienceDirect.
Results: A total of 11 articles were reviewed. We found that the hospital accreditation impacted
the quality of care through improved quality of management (81.81%), improved employee
participation (27.27%), and improved quality of results (54.54%). The articles studied nurses
and other health workers with consideration on their work experience, education, and age.
Conclusions: Hospital accreditation has positive impact in improving the quality of services
provided in the hospitals. The greatest impact was reflected by the hospitals that had been
accredited by the Joint Commission International. The perceptions on which the studies were
based came from various health care personnel and were not limited to professional nurses.
Therefore, further research is needed to understand the impact of accreditation on the quality
of care from the nurses’ perception.
© 2019 Elsevier Espa˜ na, S.L.U. All rights reserved.
Introduction
Hospital Accreditation is a standard compliance assessment
process conducted by an independent institution from within
or outside the country. In Indonesia, the gold standard
Peer-review under responsibility of the scientific committee of
the Second International Nursing Scholar Congress (INSC 2018) of
Faculty of Nursing, Universitas Indonesia. Full-text and the content
of it is under responsibility of authors of the article.
*
Corresponding author.
E-mail address: tutik@ui.ac.id (Rr.T.S. Hariyati).
of hospital Accreditation as mandated by the Indonesian
Ministry of Health is the accreditation carried out by the
Joint Commission International (JCI). JCI is an United States
based-international institution which was established in
1951.
1
This institution has been conducting the task of
establishing and evaluating the performance standards of
health care providers through its accreditation. However,
since 1995, Indonesia has set up the national accreditation
standards and in January 2018 had the 1st edition of the
National Hospital accreditation standard.
2
Indonesian Hos-
pital Accreditation Commission is an independent institution
in Indonesia that examines the functional and non-structural
https://doi.org/10.1016/j.enfcli.2019.06.003
1130-8621/© 2019 Elsevier Espa˜ na, S.L.U. All rights reserved.