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The development of hospital accreditation in low- and middle-income countries: a literature review

Mansour, Wesam, Boyd, Alan and Walshe, Kieron (2020) 'The development of hospital accreditation in low- and middle-income countries: a literature review'. Health Policy and Planning, Vol 35, Issue 6, pp. 684-700.

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Hospital accreditation has been transferred from high-income countries (HICs) to many low- and middle-income countries (LMICs), supported by a variety of advocates and donor agencies. This re-view uses a policy transfer theoretical framework to present a structured analysis of the develop-ment of hospital accreditation in LMICs. The framework is used to identify how governments in LMICs adopted accreditation from other settings and what mechanisms facilitated and hindered the transfer of accreditation. The review examines the interaction between national and inter-national actors, and how international organizations influenced accreditation policy transfer. Relevant literature was found by searching databases and selected websites; 78 articles were included in the analysis process. The review concludes that accreditation is increasingly used as a tool to improve the quality of healthcare in LMICs. Many countries have established national hos-pital accreditation programmes and adapted them to fit their national contexts. However, the im-plementation and sustainability of these programmes are major challenges if resources are scarce. International actors have a substantial influence on the development of accreditation in LMICs, as sources of expertise and pump-priming funding. There is a need to provide a roadmap for the suc-cessful development and implementation of accreditation programmes in low-resource settings. Analysing accreditation policy processes could provide contextually sensitive lessons for LMICs seeking to develop and sustain their national accreditation programmes and for international organisations to exploit their role in supporting the development of accreditation in LMICs.

Item Type: Article
Subjects: W General Medicine. Health Professions > W 21 Medicine as a profession.
WA Public Health > Statistics. Surveys > WA 950 Theory or methods of medical statistics. Epidemiologic methods
WX Hospitals and Other Health Facilities > WX 100 General works
WX Hospitals and Other Health Facilities > Hospital Administration > WX 150 General works
WX Hospitals and Other Health Facilities > WX 40 Accreditation. Licensure. Standards
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI):
Depositing User: Jan Randles
Date Deposited: 09 Apr 2020 14:58
Last Modified: 10 Aug 2020 10:48


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