Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

Challenges of physicians' participation in accreditation programs from the perspective of physicians of Mashhad University of Medical Sciences

Document Type : Research Paper

Author
seyyed morteza mojtabaeian
Department of Economics and Management, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran
10.22038/mjms.2022.55806.3243
Abstract
Background. In Iran, accreditation programs began in 2012. The aim of this study was to determine the challenges of physicians' participation in accreditation programs from the perspective of physicians of Mashhad University of Medical Sciences.
Methods. The present study is a combined (quantitative-qualitative) study. In this study, using purposive sampling method, interviews were conducted with 11 managers, 9 physicians, 8 managers and experts in the field of quality management. Then, based on the results of the interviews, a questionnaire was designed and after confirming its validity and reliability in a descriptive-analytical study in 1399. Quantitative study findings were analyzed using descriptive statistics and Whitney-Mann test, T test and ANOVA at a significance level of 0.05.
Results. In qualitative content analysis, 12 concepts (motivation, patient demand, mutual trust and evaluation system, high workload, understanding the role of quality management unit, unrealistic accreditation, nature of accreditation, empowerment of physicians in the field of quality, effective communication, resource constraints, Ambiguity in the role, uncertainty about participation) were identified. In general, the strongest challenge from the physicians' point of view was related to the field of effective communication (0.74 ± 4.05) and the field of empowerment of physicians in the field of quality (0.59 ± 3.89)and the weakest was the field of ambiguity (0.96±2.86 ).
Conclusion. The implementation of this program can be improved through Culture building, proper accreditation training and quality improvement activities in the medical community helped to implements.
Keywords
participation
accreditation
quality improvement
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Medical Journal of Mashhad university of Medical Sciences
Volume 69, Issue 2
May 2026
Pages 179-205