Quality in a preaccreditation period as perceived by the healthcare professionals in hospitals in r. Macedonia

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Author: 
Petrusevska, A., Spasovski, M., Zisovska, E. and Isjanovska, R.
Subject Area: 
Health Sciences
Abstract: 

Background: Considerable amount of research has been done on the evaluation and improvement of the quality of health care delivery in the past 30 years. It seems likely that there will never be a solitary criterion by which to measure the quality of patient care One of the first steps to build quality in a healthcare organization is to evaluate the perceptions of the medical personell about quality issues. This would be the bases upon which interventions are to be made in order to reach the quality golas set by the organizations in accordance with the requirements of the healthcare sistem in which services are delivered. Objective: This study aims at evaluating the perceptions of the medical personel in healthcare organizations, concerning quality issues in a period just before starting national accreditation in hospitals in R. Makedonia and to interconnect certain variables regarding quality with the implementation of the accreditation process to be. Methods: A prospective cross-sectional study was conducted, performed in healthcare organizations in R. Makedonia. The study was conducted in 17 healthcare organizations and, 402 healthcare givers took part in the survey. The tool for the study was a questionnaire consisting of 4 questions of a closed type. Results: In our study the major percent of the respondants, agree that members of the staff are involved in designing, implementing and evaluating of quality improvement plans. Also, healthcare staff according to their answers (53,8% ) strongly agree that their organisation has set organizational improvement goals. The answers from the respondants regarding the question if individuals and teams that make significant contributions to quality improvement are effectivly rewarded are evenly distribted , that is unconclusive , between respondants that agree, do not agree and are without opinion Majority of the respondants, judging by their answers recognize and accept elements of quality as the basis for implementing accreditation Conclusion: These attitudes show the awareness of the healthcre professionals that quality and accreditation stand side by side on the road to achieving positive outcomes in terms of operating a healthcare

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