Assessment and patients perception of the impact of accreditation on the quality of public healthcare delivery in primary and secondary healthcare settings

Introduction: Accreditation is a crucial component that stresses patient safety and service quality. The goal of this study was to fill in the gaps by evaluating the impact of accreditation in primary and secondary public health care settings. Materials and Methods: A survey questionnaire was used to perform this cross-sectional study from July 2017 to July 2018. The study used a positivist paradigm, examining quantitative indicators before and after the certification procedure to determine the influence of accreditation. Materials and Methods: Due to the fact that the data were not normally distributed, the variables were measured on an ordinal scale, the observations from both groups were independent of one another, and the distribution of the variable was similar in each group, the Kruskal– Wallis test was used to determine statistical significance. Results: The mean score for components spanning structural, procedural, and outcome domains has been calculated for certified and non-accredited hospitals. Certified hospitals have higher median values for all structures in primary health-care facilities than non-accredited hospitals. Most of the constructs have a lower or equal median value in accredited secondary care facilities than in non-accredited facilities. Conclusion: Accreditation has the potential to have a positive impact on the entire facility. Nonetheless, authorities must see accreditation as a way of holistic and continual reform if they are to ensure the intended outcome from this lengthy and costly procedure. Keywords: Accreditation, Healthcare, Hospitals, Certified hospitals