Evidence Based Health Policy, Management & Economics

en Comparison of Hospital Accreditation Standards in Selected Worlds: A Comparative Review Healt care Management مروری Review Article Background: Accreditation of hospitals plays a significant role in increasing the safety, quality and effectiveness of medical services and increasing the efficiency of hospitals. This study has been conducted with the aim of investigating and comparing the international accreditation standards of the United States, Canada, Australia and France with the national accreditation system of Iran. Methods: This study examined the accreditation standards of five countries, United States, Canada, Australia, France and Iran, as a comparative study using a six-steps protocol in 2024. Embase, PubMed/MEDLINE, ISI/Web of Science (WOS), Scopus and Iranian databases such as MagIran, SID and Irandoc were searched from 2017 to 2023. Ritchie's framework analysis method was used for data analysis. Results: The review and comparison of Iran's national accreditation standards with the international accreditation standards of USA, Canada, Australia and France showed that USA, having 304 standards and 1218 measures and covering clinical, managerial and organizational dimensions and education and research, has the most complete and comprehensive standards. In the accreditation standards of the United States, Canada, France and Australia, there is a joint emphasis on improving safety, clinical effectiveness, consumer information, staff development, accountability and patient and community participation. This is while in Iran, the emphasis is on creating facilities and basic information and checking the competence in human and technical resources. The percentage of compliance of Iran's accreditation standards with American, Canadian, Australian and French accreditation standards is 50%, 54%, 57% and 45%, respectively. Conclusion: Amendments should be made in Iran's accreditation system in order to improve the content of the standards. In order to improve its effectiveness, Iran's accreditation needs the transparency of standards and measures, specific classification and grouping for standards, the use of a comprehensive view in developing standards, and changing the scoring scale of measures.   Hospital, Evaluation, Accreditation, International Accreditation 311 324 http://jebhpme.ssu.ac.ir/browse.php?a_code=A-10-499-2&slc_lang=en&sid=1 Akbar Rasouli ak.rasoulii@gmail.com 0000-0001-5542-3287 No Department of Health Care Management, Tehran Medical Sciences Islamic Azad University, Tehran, Iran Abasat Mirzaei drabasatmirzaei@gmail.com 0000-0002-1422-5193 Yes Department of Health Care Management, Faculty of Health, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran Taher Maleki No Health economic policy research center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran Sanaz Zeydabadi zeydabadisanaz@gmail.com No Department of Health Care Management, Tehran Medical Sciences Islamic Azad University, Tehran, Iran