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Revista de Salud Pública
Print version ISSN 0124-0064
Abstract
ZAPATA-VANEGAS, Mario A.. Comparative analysis of context factors for the accreditation of public and private hospitals in Colombia. Rev. salud pública [online]. 2019, vol.21, n.2, pp.168-174. ISSN 0124-0064. https://doi.org/10.15446/rsap.v21n2.75062.
Objective
To determine and compare the contextual elements and factors that may favor the achievement of accreditation of public and private healthcare hospitals.
Materials and Methods
Based on a source study of cases and controls conducted in medium and high complexity hospitals of Colombia, 16 accredited and 38 non-accredited, this auxiliary study investigated the 38 non-accredited hospitals according to their public or private nature. The MUSIQ instrument ("Model for Understanding Success in Quality") was used to collect data used as reference, while the dimensions "Environment-Macrosystem-Microsystems-Quality Equipment" of the elements and context factors underwent a comparative analysis by means of Chi square test and Student's t or Mann-Whitney's U test after distribution normality verification using the Shapiro-Wilk test. In all cases, a p-value equal to or less than 0.05 was considered significant.
Results
The 23 elements and factors that make up the 4 context dimensions for the achievement of accreditation in health in public and private hospitals were evaluated. It was found that tree had significant differences associated with greater progress in private hospitals, namely, the information systems to support the Quality Improvement (QI) and job stability in the macrosystem, and the motivation factor in the microsystem. The remaining 20 elements and factors evaluated in this study did not have significant differences.
Conclusion
There are differences in elements and factors of the context between public and private hospitals that can favor privates in the achievement of accreditation in health.
Keywords : Hospital accreditation; quality improvement; quality management (source: MeSH, NML).