Pengaruh Akreditasi Rumah Sakit terhadap Angka Kematian, Lama Rawat, dan Kunjungan Ulang
DOI:
https://doi.org/10.32583/pskm.v13i3.1260Keywords:
akreditasi rumah sakit, angka kematian, kunjungan ulang, lama rawat inapAbstract
Akreditasi merupakan strategi tertua dan paling umum digunakan sebagai alat penilaian kualitas eksternal dalam perawatan kesehatan. Bertujuan memfasilitasi perubahan organisasi, meningkatkan kualitas layanan, dan berusaha membuat pelayanan rumah sakit memiliki standar Namun, kewajiban akreditasi ataupun re-akreditasi membuat membuat beberapa pelayanan kepada pasien sangat rawan terganggu. Oleh karena itu, tujuan tinjauan sistematis ini adalah untuk memberikan analisis kualitatif tentang pengaruh program akreditasi rumah sakit terhadap kualitas pelayanan kesehatan dengan indicator angka kematian, lama rawat inap, dan kunjungan ulang pasien. Tinjauan sistematis ini dilakukan dengan mencari artikel melalui basis data PUBMED dan Google Scholar. Sejak Mei-Juli 2022. Kata kunci yang digunakan adalah "Joint Commission on Accreditation of Healthcare Organizations"[Mesh] AND “hospitals accreditation” AND “hospitals accreditation AND quality service” AND “hospitals accreditation AND Quality care” AND “akreditasi rumah sakit DAN kualitas pelayanan”. Terdapat 10 artikel yang memenuhi kriteria inklusi, 5 artikel menyimpulkan bahwa akreditasi memberikan efek positif dalam peningkatan kualitas pelayanan rumah sakit yang ditandai dengan penurunan angka kematian, penurunan lama rawat inap, dan kunjungan ulang dalam 30 hari yang cukup rendah. Namun, 4 artikel menyatakan tidak ada perbedaan antara akreditasi dan kualitas pelayanan. 1 artikel melaporkan angka kematian yang lebih tinggi pada rumah sakit terakreditasi. Akreditasi masih memiliki pengaruh yang postif terhadap peningkatan kualitas pelayanan pada indicator angka kematian, lama rawat inap, dan kunjungan ulang.
References
Al Awa, B., De Wever, A., Almazrooa, A., Habib, H., al-Noury, K., El Deek, B., ... & Devreux, I. (2011). The impact of accreditation on patient safety and quality of care indicators at King Abdulaziz University Hospital in Saudi Arabia. Research Journal of Medical Sciences, 5(1), 43-51.
lmasabi, M., & Thomas, S. (2017). The impact of Saudi hospital accreditation on quality of care: a mixed methods study. The International journal of health planning and management, 32(4), e261-e278.
Al-Sughayir, M. A. (2014). Administered antipsychotic pro re nata medications in psychiatric inpatients. Pre-and post-accreditation comparison. Saudi Medical Journal, 35(2), 172-177.
Araujo, C. A., Siqueira, M. M., & Malik, A. M. (2020). Hospital accreditation impact on healthcare quality dimensions: a systematic review. International Journal for Quality in Health Care, 32(8), 531-544.
Atmojo, J. T., Iswahyuni, S., Rejo, R., Setyorini, C., Puspitasary, K., Ernawati, H., ... & Mubarok, A. S. (2020). Penggunaan masker dalam pencegahan dan penanganan covid-19: rasionalitas, efektivitas, dan isu terkini. Avicenna: Journal of Health Research, 3(2).
Barnett, M.L., Olenski, A.R. & Jena, A.B. (2017). Patient mortality during unannounced accreditation surveys at US Hospitals. JAMA Internal Medicine, 177(5), pp.693–700.
Bogh, S. B., Falstie-Jensen, A. M., Hollnagel, E., Holst, R., Braithwaite, J., Raben, D. C., & Johnsen, S. P. (2017). Predictors of the effectiveness of accreditation on hospital performance: a nationwide stepped-wedge study. International Journal for Quality in Health Care, 29(4), 477-483.
Devkaran, S., O’Farrell, P. N., Ellahham, S., & Arcangel, R. (2019). Impact of repeated hospital accreditation surveys on quality and reliability, an 8-year interrupted time series analysis. BMJ open, 9(2), e024514.
Falstie-Jensen, A.M., Bogh, S.B. & Johnsen, S.P.(2018). Consecutive cycles of hospital accreditation: Persistent low compliance associated with higher mortality and longer length of stay. International Journal for Quality in Health Care, 30(5), pp.382–389.
Greenfield, D., Hinchcliff, R., Hogden, A., Mumford, V., Debono, D., Pawsey, M., ... & Braithwaite, J. (2016). A hybrid health service accreditation program model incorporating mandated standards and continuous improvement: interview study of multiple stakeholders in Australian health care. The International journal of health planning and management, 31(3), e116-e130.
Hussein, M., Pavlova, M., Ghalwash, M., & Groot, W. (2021). The impact of hospital accreditation on the quality of healthcare: a systematic literature review. BMC health services research, 21(1), 1-12.
Jha, A. K. (2018). Accreditation, quality, and making hospital care better. Jama, 320(23), 2410-2411.
Lam, M. B., Figueroa, J. F., Feyman, Y., Reimold, K. E., Orav, E. J., & Jha, A. K. (2018). Association between patient outcomes and accreditation in US hospitals: observational study. bmj, 363.
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P., ... & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Annals of internal medicine, 151(4), W-65.
Lichtman, J. H., Allen, N. B., Wang, Y., Watanabe, E., Jones, S. B., & Goldstein, L. B. (2009). Stroke patient outcomes in US hospitals before the start of the Joint Commission Primary Stroke Center certification program. Stroke, 40(11), 3574-3579.
Mahmoud Salim, F., & Rahman, M. (2017). The impact of joint commission international healthcare accreditation on infection control performance: a study in Dubai hospital. Global Journal of Business & Social Science Review, 5(1), 37-45.
Miller, M. R., Pronovost, P., Donithan, M., Zeger, S., Zhan, C., Morlock, L., & Meyer, G. S. (2005). Relationship between performance measurement and accreditation: implications for quality of care and patient safety. American journal of medical quality, 20(5), 239-252.
Moffett, M. L., & Bohara, A. (2005). Hospital quality oversight by the Joint Commission on the Accreditation of Healthcare Organizations. Eastern Economic Journal, 31(4), 629-647.
Oliveira, J. L. C. D., Magalhães, A. M. M. D., Bernardes, A., Haddad, M. D. C. F. L., Wolff, L. D. G., Marcon, S. S., & Matsuda, L. M. (2019). Influence of hospital Accreditation on professional satisfaction of the nursing team: mixed method study. Revista Latino-Americana de Enfermagem, 27.
Petrovic, G. M., Vuković, M., & Vraneš, A. J. (2018). The impact of accreditation on health care quality in hospitals. Vojnosanitetski pregled, 75(8).
Rokhmatun, P. N., Maesaroh, S., Putri, I. R. R., Salmah, S., Kurnianingsih, S. A., Fauziah, A. N., ... & Widiyanto, A. (2023). The Relationship between Hospital Administration and Quality of Services: Meta-Analysis. Journal of Health Policy and Management, 8(1), 39-47.
Sack, C., Scherag, A., Lütkes, P., Günther, W., Jöckel, K. H., & Holtmann, G. (2011). Is there an association between hospital accreditation and patient satisfaction with hospital care? A survey of 37 000 patients treated by 73 hospitals. International Journal for Quality in Health Care, 23(3), 278-283.
Towers, T. J. (2014). Pressure and performance: buffering capacity and the cyclical impact of accreditation inspections on risk-adjusted mortality. Journal of Healthcare Management, 59(5), 323-337.
Wardhani, V., Van Dijk, J.P. & Utarini, A., (2019). Hospitals accreditation status in Indonesia: Associated with hospital characteristics, market competition intensity, and hospital performance? BMC Health Services Research, 19(1).
Zamani, A., Rokhmatun, P. N., Maesaroh, S., Widiyanto, A., & Atmojo, J. T. (2023). Peningkatan Motivasi Kerja Tenaga Kesehatan dengan Administrasi Rumah Sakit: Meta-Analisis. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 13(2), 443-452.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
