NDLI: Hospitals accreditation status in Indonesia: associated with hospital characteristics, market competition intensity, and hospital performance?

Content Provider	Springer Nature : BioMed Central
Author	Wardhani, Viera van Dijk, Jitse Pieter Utarini, Adi
Abstract	Background Hospital accreditation is widely adopted as a visible measure of an organisation’s quality and safety management standards compliance. There is still inconsistent evidence regarding the influence of hospital accreditation on hospital performance, with limited studies in developing countries. This study aims to explore the association of hospital characteristics and market competition with hospital accreditation status and to investigate whether accreditation status differentiate hospital performance. Methods East Java Province, with a total 346 hospitals was selected for this study. Hospital characteristics (size, specialty, ownership) and performance indicator (bed occupancy rate, turnover interval, average length of stay, gross mortality rate, and net mortality rate) were retrieved from national hospital database while hospital accreditation status were recorded based on hospital accreditation report. Market density, Herfindahl-Hirschman index (HHI), and hospitals relative size as competition indicators were calculated based on the provincial statistical report data. Logistic regression, Mann-Whitney U-test, and one sample t-test were used to analyse the data. Results A total of 217 (62.7%) hospitals were accredited. Hospital size and ownership were significantly associated with of accreditation status. When compared to government-owned, hospital managed by ministry of defense (B = 1.705, p = 0.012) has higher probability to be accredited. Though not statistically significant, accredited hospitals had higher utility and efficiency indicators, as well as higher mortality. Conclusions Hospital with higher size and managed by government have higher probability to be accredited independent to its specialty and the intensity of market competition. Higher utility and mortality in accredited hospitals needs further investigation.
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-019-4187-x.pdf
Ending Page	10
Page Count	10
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-019-4187-x
Journal	BMC Health Services Research
Issue Number	1
Volume Number	19
Language	English
Publisher	BioMed Central
Publisher Date	2019-06-11
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Hospital accreditation External evaluation Organisational design factors Market competition Hospital performance Indonesia Developing countries Organizational factor Market intensity Determinant
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

The influence of hospital accreditation: a longitudinal assessment of organisational culture

A prospective, multi-method, multi-disciplinary, multi-level, collaborative, social-organisational design for researching health sector accreditation [LP0560737]

Development and impact of the Iranian hospital performance measurement program

Developing a hospital accreditation model: a Delphi study

Contextual factors favouring success in the accreditation process in Colombian hospitals: a nationwide observational study

The relationship between organisational characteristics and the effects of clinical guidelines on medical performance in hospitals, a meta-analysis

Organizational commitment and associated factors among health professionals working in public hospitals of southwestern Oromia, Ethiopia

Can hospital accreditation enhance patient experience? Longitudinal evidence from a Hong Kong hospital patient experience survey

Organisational change in hospitals: a qualitative case-study of staff perspectives

Hospitals accreditation status in Indonesia: associated with hospital characteristics, market competition intensity, and hospital performance?

Similar Documents

The influence of hospital accreditation: a longitudinal assessment of organisational culture

A prospective, multi-method, multi-disciplinary, multi-level, collaborative, social-organisational design for researching health sector accreditation [LP0560737]

Development and impact of the Iranian hospital performance measurement program

Developing a hospital accreditation model: a Delphi study

Contextual factors favouring success in the accreditation process in Colombian hospitals: a nationwide observational study

The relationship between organisational characteristics and the effects of clinical guidelines on medical performance in hospitals, a meta-analysis

Organizational commitment and associated factors among health professionals working in public hospitals of southwestern Oromia, Ethiopia

Can hospital accreditation enhance patient experience? Longitudinal evidence from a Hong Kong hospital patient experience survey

Organisational change in hospitals: a qualitative case-study of staff perspectives

Hospitals accreditation status in Indonesia: associated with hospital characteristics, market competition intensity, and hospital performance?