The Prerequisites of Executing the Accreditation Program for Primary Healthcare: A Systematic Review and Meta-Synthesis



Etemadi S¹ ; Dehnavieh R² ; Pour MH¹ ; Mehri M³ ; Behzadi A² Show Affiliations
Source: Iranian Journal of Public Health Published:2024

Abstract

Background: In Iran, the primary healthcare system is the front-line for society's encounter with healthcare. Health planners aim to enhance quality and administer an accreditation program. This study examined program administration prerequisites through systematic review and meta-synthesis. Methods: We conducted a systematic review and meta-synthesis of qualitative literature using Thomas and Hudson's framework. Peer-reviewed papers were searched in Scopus, PubMed, Web of Science, Google, and Google Scholar up to 2023. Results: The search found 1308 articles, with 37 relevant ones selected for review. Data extraction included set-ting, participants, study design, data collection, analysis, and themes. Thirteen qualitative subthemes were identified and were categorized under three elements of the Donabedian model. Conclusion: Before implementing a plan, it is crucial to consider its executive prerequisites. Revision and trial-and-error approaches can be costly and time-consuming, potentially hindering the plan's effectiveness and divert-ing organizations from their primary goal, leading to failure. © 2024 Etemadi et al. Published by Tehran University of Medical Sciences.