Topic | N (%)* |
---|---|
Benefits of accreditation | Â |
Documentation | 12(55%) |
   Recording minutes of meetings |  |
   Thoroughly completing medical records |  |
   Documenting rules and regulations |  |
Translation of theories of quality into actions | 9(41%) |
Introduction and reinforcement of quality standards | 7(32%) |
   Infection control |  |
   Occupational safety |  |
   Waste management |  |
   Fire management |  |
   Incident and accident reporting |  |
Enhanced employee awareness and involvement | 7(32%) |
   Giving guidance to employees |  |
   Empowering employees and engaging them in decision making |  |
   Developing a job description for employees and clarifying their tasks |  |
   Better evaluation of employees |  |
Better relationship between the centers and the communities they serves | 5(23%) |
   Role of social workers |  |
   Health awareness lectures and campaigns |  |
   Community needs assessment |  |
   Home visits |  |
Improved work conditions | 4(18%) |
   Work flow became more organized and systematic |  |
Enhanced role of management and leadership | 3(14%) |
   Forming interdisciplinary quality team |  |
   Strategic plans |  |
   Action plans |  |
Better relationship between the centers and patients | 3(14%) |
   Follow-up on patients |  |
   Taking client suggestions, complaints and compliments into consideration |  |
   Enhanced patient confidentiality |  |
Better relationship between the centers and local authorities | 2(9%) |
   Strengthened relationship with the Ministry of Public Health |  |
   Strengthened relationship with the Ministry of Social Affairs |  |
   Strengthened relationship with municipalities |  |
The effect of accreditation on staff | Â |
Staff training, education and development | 10(45%) |
   Staff perceived accreditation as an opportunity to develop themselves |  |
   Staff perceived accreditation as an opportunity to help the society |  |
   Accreditation made staff more aware about their rights |  |
Enhanced communication between staff and the management | 3(14%) |
   Engaging staff from the beginning of the process |  |
   Allowing staff to voice their opinions and concerns regarding accreditation |  |
Enhanced communication among staff | 3(14%) |
   The importance of teamwork was emphasized |  |
The effect of accreditation on patients | Â |
Increased patient satisfaction | 8(36%) |
   Increased satisfaction with the setting |  |
   Increased satisfaction with sanitation |  |
   Increased satisfaction with the quality of services |  |
   Increased patient trust in the center |  |
Number of patients increased | 7(32%) |
   Attracting more patients from neighboring villages and higher social class |  |
Enhanced relationship between patients and the medical team | 4(18%) |
   Physicians compliance to appointments |  |
   Nurses involvement in patient care |  |
Enabling and success factors | Â |
Commitment and support from the management | 7(32%) |
   Forming an accreditation committee |  |
   Distributing tasks |  |
   Good teamwork |  |
Continuous training sessions and workshops | 7(32%) |
Challenges | Â |
Financial barriers | 11(50%) |
Staff resistance | 11(50%) |
   Accreditation was a new and vague concept |  |
   Difficulty in communicating the importance of accreditation |  |
   Resistance more prevalent among older employees |  |
Staff shortages | 8(36%) |
   Heavy workload |  |
   Not able to ensure enough physicians and specialists |  |
   High turnover rate of staff |  |
   Physicians have limited time to assess medical history and complete medical record |  |
Not all the standards are applicable to the context of PHC centers in Lebanon | 7(32%) |
Referral system among centers and to hospitals is lacking | 3(14%) |
Strategies for improving implementation of accreditation | Â |
Financial support | 10(45%) |
   From Ministry of Public Health and international agencies |  |
Follow-up meetings and communication and collaboration with the MOPH, the accreditation team, and among PHC centers, and hospitals | 11(50%) |
Local experts are recommended to perform assessment | 4(18%) |
Practical training sessions and continuing education | 2(9%) |
Engaging municipalities to gain their support | 2(9%) |