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Overall the views upon the effect of IHEAP on the hospitals were optimistic.
On average nearly 50% of respondents overall believed that the advantages were 'to a large degree' present in IHEAP in comparison with only 19% arguing that the benefits 'to a small degree' existed.
In some virtues such as 'tangible cost reduction' and 'raised staff satisfaction and morale' greater percentage opposed to these advantages to be generated by IHEAP, while approximately 10% did not consider such an effect.
Consistently, respondents were of similar opinions regarding IHEAP. This perception could arguably drive staff towards self-improvement in order to obtain more prestige.
Two weaknesses stood out in relation to IHEAP with 'over-reliance on the value judgment of the program's surveyors' on rating the hospitals', and 'routinization and bureaucratization' receiving nearly 45% of the views, as opposed to only one-fifth denying such a shortcoming.
Tunnel vision effect which happens when HCOs and their personnel time and concentration are directed to achieving measures of PMSs, while other, even important, clinical priorities not required by those systems are ignored (58) found to be less apparent in IHEAP. Thirty nine percent of respondents disagreed with such drawbacks as 'diverting resources from clinical concerns' or 'deviating hospitals from their main mission' by IHEAP.
The distribution of the views on the disadvantage 'discouraging hospitals by IHEAP from more efforts following an unsatisfactory rank' was somewhat balanced, in a way that no conclusion can be made on whether this program could give rise to such a downside.
Managers and decision-makers, associated with IHEAP, should attend to the insignificant advantages and highly emphasised downsides of program, in order to enhance its performance.
There are three main strengths of this research: 1) it identifies main advantages and disadvantages of an accreditation and evaluation program in generic terms; 2) it offers a perceptual evaluation of IHEAP performance, which could be utilised as a method for performance assessment of similar PMSs; and 3) the pros and cons of IHEAP are ranked based on their occurrence.
* Policy-makers and managers are informed of the strengths and weaknesses of Iranian Hospital Evaluation and Accreditation Program (IHEAP) and could re-work this program accordingly.
* IHEAP assessment results could be also considered whenever any new external evaluation programs for the hospitals are to be developed.
* IHEAP could be welcomed by hospitals when it is modified based on their feedback.
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- Ihechiowa Oil Palm Company
- Ihering, Rudolf Von