Accreditation of health care facilities or organizations is a frequently applied intervention to improve quality of care. However, the evidence of its effectiveness is mixed, and its impact on wider health system goals is frequently unclear. This discussion paper explores its use globally as a health care quality intervention. The paper uses a broad evidence base of accreditation, quality interventions and health systems research, combined with global interdisciplinary experience and expertise, and outlines the linkages between accreditation and other key attributes of the health system. Using a health systems lens, the paper discusses strategic questions that a health system decision-maker might consider when deliberating accreditation or similar interventions.
This paper is aimed at health system leaders looking to improve quality of care and wishing to understand how accreditation can impact on the wider health system and quality landscape. The audience also includes any organization wishing to further its understanding about the value and application of quality interventions.