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Friday, April 2, 2010

BRAINSTORMING - Accreditation of Public Hospitals: Possibilities and Implications ??

Dr Deepthi Alle
mailed-bygmail.com

Accreditation of public hopitals, there are two basic things to be discussed
1) What are the standards that are to be reached?
2) What is that we are expecting out of it?

If what we are trying to achieve is public welfare, we can achieve that if our governments put in little more interest into public health setups, which starts with providing basic amenities. Well equipped and maintained PHCs alone can work wonders, not even to speak of teaching hospitals.And for governments to be serious about anything, it has to be an election issue, so if our population are informed about, and they become aware of their rights; may be things will take a different turn. So, what i feel is, accreditation is of-course good, but it's not a must.
Rather an integrated approach grounded to basics shall be our immediate remedy, accreditation being a long term goal.

Dr Sandeep moolchandani
mailed-bygmail.com

Hospital accreditation has been defined as “A self-assessment and external peer assessment process used by health care organisations to accurately assess their level of performance in relation to established standards and to implement ways to continuously improve”

-International Society for Quality in Health Care (ISQua)

If you ask me about accreditation of public hospitals, i will say that we should have a separate accreditation authority for public hospitals since the standards of quality for public hospitals can not be compared to private hospitals any day because of the big difference in case load and the administrative constraints. But some say accreditation and quality standards are not feasible in a public setup; but mates we should remember that quality is relative, it is an indicator of the efficiency of each unit of an organization and thus it should be monitored with help of suitable indicators both internally and externally where accreditation being an external solution. The data should also be disclosed for public scrutiny.

In short, better quality should be a persistent aim of any responsible organization; be it public or private.