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evaluation of hospital accreditation in indonesia by the hospital ...

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MATERIAL AND METHOD OF RESEARCH<br />

This study is a descriptive study. Subjects were KARS accredited<br />

<strong>hospital</strong>s <strong>in</strong> Indonesia. Data collection <strong>of</strong> <strong>the</strong> impact <strong>of</strong> <strong>hospital</strong> <strong>accreditation</strong><br />

on quality <strong>of</strong> <strong>hospital</strong>s conducted <strong>by</strong> mailed questionnaire that was developed<br />

from previous studies 7 and sent to 181 <strong>hospital</strong>s selected as a sample. This<br />

questionnaire also conta<strong>in</strong>ed open questions to obta<strong>in</strong> <strong>in</strong>formation about how<br />

<strong>accreditation</strong> <strong>in</strong>fluenced <strong>the</strong> quality <strong>of</strong> <strong>hospital</strong> and suggested improvements<br />

to <strong>the</strong> <strong>accreditation</strong> system developed <strong>by</strong> KARS.<br />

RESULTS AND DISCUSSION<br />

Respondents who responded to <strong>the</strong> questionnaires were 84 <strong>hospital</strong>s<br />

(46, 4%) out <strong>of</strong> 181 <strong>hospital</strong>s that were <strong>in</strong> <strong>the</strong> sample frame. Most <strong>of</strong> <strong>the</strong><br />

<strong>hospital</strong>s who returned <strong>the</strong> questionnaire were private ones (47 or 56%). Most<br />

<strong>of</strong> <strong>the</strong>m are type C <strong>hospital</strong>s (52.4%) while type A <strong>hospital</strong>s are least to return<br />

<strong>the</strong> questionnaire (4.8%) and most <strong>of</strong> <strong>the</strong>m (39.3%) are from <strong>hospital</strong>s that<br />

have 100 – 200 beds. In addition <strong>the</strong>re were 10 <strong>hospital</strong>s (11.9%) who<br />

decl<strong>in</strong>ed to provide answers <strong>in</strong> detail.<br />

RESULTS<br />

Impact <strong>of</strong> Accreditation<br />

Respondents generally agreed that <strong>the</strong> <strong>accreditation</strong> have an impact<br />

on <strong>hospital</strong> quality improvement. A total <strong>of</strong> 95.8% RS agreed that<br />

<strong>accreditation</strong> encourages <strong>the</strong> <strong>in</strong>volvement <strong>of</strong> <strong>hospital</strong> staff and 83.9% RS<br />

agreed <strong>the</strong> impact <strong>of</strong> <strong>accreditation</strong> on <strong>hospital</strong> quality efforts. But <strong>the</strong> number<br />

<strong>of</strong> <strong>hospital</strong>s that agree on <strong>the</strong> impact <strong>of</strong> <strong>hospital</strong> <strong>accreditation</strong> on cl<strong>in</strong>ical<br />

performance is only 61.5% (Table 1).<br />

Table 1. Average Hospital Perceptions on Impact <strong>of</strong> KARS Accreditation<br />

Statement Disagree Agree<br />

S % S %<br />

A. Hospital staff <strong>in</strong>volvement (Up to Executive) In <strong>the</strong> 4 4.2 80 95.8<br />

process <strong>of</strong> <strong>hospital</strong> <strong>accreditation</strong>.<br />

B. Impact <strong>of</strong> KARS Accreditation on Hospital Quality 13 16.1 70 83.9<br />

Efforts<br />

C.Impact Of Hospital KARS Accreditation on 32 38.5 52 61.5<br />

performance

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