In general, the attitude of the health care professionals in the seventeen studies that had evaluated attitudes of health care professionals towards accreditation was supportive. In a few studies, the attitude to accreditation was negative because the participants did not believe that accreditation had a significant impact on the quality of health care services and also because of the significant additional cost involved.
The attitude of senior staffs, managers and owners towards accreditation was conflicting. In some studies, the attitude revealed was positive since to the participants, accreditation improved quality and could potentially be used as a marketing tool. In other studies, the attitude of hospital leaders was negative, for they thought that accreditation was neither worth its cost nor the demands on staff efforts and time. One explanation of these conflicting findings from leaders of health organizations was that the benefits of accreditation were not well-established. In general, the attitude of purchasers of health services was positive, which confirms the view of the owners of hospitals that accreditation could be used as a marketing tool. Studies involving a mixed group of health care professionals revealed a favorable attitude towards accreditation as they thought it produced beneficial changes at all levels of health organization. However, there were several concerns including the bureaucratic, prescriptive nature of the accreditation process, as well as the financial burden it imposed on health care facilities. The perception of nurses towards accreditation was generally favorable; however, physicians were skeptical of accreditation and raised concerns on how the quality indicators were measured. In contrast, radiologists were in favor of the accreditation. Physicians are known to resist clinical governance schemes. This resistance can be minimized when evidence is cited to prove that these schemes can improve the quality of health services.[21
] Two studies have shown that the attitude of laboratory personnel towards accreditation was positive as it increased the confidence of laboratory personnel with the procedures they follow. However, the majority thought that accreditation did not improve quality and viewed it as inefficient and expensive .
Summary of the results of the attitude towards accreditation
The cost of accreditation was a persistent concern of health care organizations especially in developing and low income countries. The concern of leaders of health care organizations was also that the benefits of accreditation might not be worth the cost and the effort involved in the process. These concerns can only be addressed by means of a rigorous cost-benefit analysis.[23