Document Detail

Quality oversight: why are rural hospitals less likely to be JCAHO accredited?
MedLine Citation:
PMID:  11271467     Owner:  NLM     Status:  MEDLINE    
There is a large rural-urban disparity in the proportion of hospitals that are accredited by the Joint Commission on the Accreditation of Health Care Organizations (JCAHO). Several factors can influence whether a hospital participates in the accreditation process. A few of those factors include the hospital's size, case mix and ownership. However, even after controlling for many of these factors, hospitals in the most rural locations are less likely to be accredited by the JCAHO than urban hospitals. A survey was conducted to explore why rural hospitals are not participating in the accreditation process. Survey results show that the largest factor contributing to rural hospital deterrence to seeking accreditation is cost. Without accreditation by the JCAHO and compliance with their movement into performance measurement, quality monitoring of rural hospitals will fall further behind that of urban hospitals. Policy initiatives that make accreditation more financially feasible should be considered.
M Brasure; J Stensland; A Wellever
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association     Volume:  16     ISSN:  0890-765X     ISO Abbreviation:  J Rural Health     Publication Date:  2000  
Date Detail:
Created Date:  2001-02-20     Completed Date:  2001-03-29     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8508122     Medline TA:  J Rural Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  324-36     Citation Subset:  IM    
Rural Health Research Center, 2221 University Avenue S.E., Suite 112, Minneapolis, MN 55414, USA.
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MeSH Terms
Accreditation / statistics & numerical data*
Data Collection
Decision Making, Organizational
Hospitals, Rural / organization & administration,  standards*
Joint Commission on Accreditation of Healthcare Organizations*
Multivariate Analysis
Regression Analysis
United States
Grant Support
CSRUC 0002-02//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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