Denetçilerin Bakış Açısıyla Sağlıkta Akreditasyon

Teknolojideki hızlı gelişmelerle birlikte sağlık hizmetlerinde beklentiler, kalite ve akreditasyona gösterilen ilgi artmıştır. Bu çalışma, Türkiye Sağlık Hizmetleri Kalite ve Akreditasyon Enstitüsü'nde (TUSKA) görev yapan Sağlık Akreditasyon Denetçilerinin (HAA'lar) sağlık hizmetlerinde akreditasyona bakış açılarını ortaya çıkarmayı amaçlamaktadır. TUSKA bünyesinde 2021 yılı öncesinde HAA unvanını almış 202 denetçi bulunmakta olup, şu ana kadar denetimlerde 57 HAA aktif görevlendirildi. Bu çalışmada katılımcılar, kartopu örnekleme yöntemiyle denetimlere aktif olarak katılan HAA'lar arasından seçilmiş ve 15 kişiyle görüşme yapılmıştır. Elde edilen veriler MAXQDA ile analiz edildi. HAA'ların bakış açılarını elde etmek amacıyla 17 koddan oluşan bir liste ve bu kodların incelenmesiyle 5 kapsayıcı tema oluşturulmuştur. Bu temalar; kurumsal katkı, kurumsal gelişim, gereklilik, finansal performans ve pratikliktir. HAA'lar, akreditasyon sürecinin sağlık kurumlarına olumlu katkı sağladığını, kurumsal gelişimi hızlandırdığını, gerekli olduğunu kanıtladığını, kurumların mali performansını olumlu etkilediğini ve her sağlık kuruluşuna kolaylıkla uygulanabileceğini açıkça ifade etmiştir. Öte yandan akreditasyonun hasta potansiyeline etkisi, yöneticilerin akreditasyona bakış açıları, sağlık kurumlarının akreditasyon standartlarını kabulü, standartların mali yükü ve başvuru maliyetleri konularında HAA'lar arasında görüş ayrılıkları bulunmaktadır.

Anahtar Kelimeler:

Akreditasyon, Denetçiler, Kalite, Sağlık

Accreditation in The Health Sector from The Perspective of Health-Accredited Auditors

Along with the quick developments in technology, expectations in health care services and attention to quality and accreditation has increased. This study aims to explore the perspectives of Health Accreditation Auditors (HAAs) who work for Turkish Health Care Quality and Accreditation Institute (TUSKA) on health care accreditation. There are 202 auditors within TUSKA who got their HAA title before 2021 and so far, 57 HAAs have been assigned for active duty in the audits. In this study, participants were chosen among the HAAs who attended audits actively via snowball sampling and 15 of them were interviewed. Obtained data were analyzed by MAXQDA. For the purpose of obtaining the perspectives of the HAAs, a list of 17 codes and with the review of these codes, 5 inclusive themes were created. These themes are institutional contribution, institutional development, necessity, financial performance and practicality. The HAAs clearly stated that accreditation process contributed to health care institutions positively, accelerated institutional development, proved to be necessary, affected institutions’ financial performance positively, and can be implied to any health care institution easily. On the other hand, there were some dissidences among the HAAs on the effect of accreditation on patient potential, perspectives of the managers on accreditation, health care institutions’ acceptance of accreditation standards, financial burden of the standards and the cost of applications.

Keywords:

Accreditation, Auditor, Quality, Health,

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