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dc.contributor.authorØyri, Sina Furnes
dc.contributor.authorBates, David W.
dc.contributor.authorWiig, Siri
dc.coverage.spatialNorway USAen_US
dc.date.accessioned2023-11-15T11:56:33Z
dc.date.available2023-11-15T11:56:33Z
dc.date.created2023-08-18T09:58:32Z
dc.date.issued2023
dc.identifier.citationØyri, S. F., Bates, D. W., & Wiig, S. (2023). Comparison of external evaluation policies and regulations for quality improvement and safety of health services in Norway and the United States. International Journal of Health Governance.en_US
dc.identifier.issn2059-4631
dc.identifier.urihttps://hdl.handle.net/11250/3102717
dc.description.abstractPurpose The authors compare perspectives on external evaluation of health service provision between Norway and the USA. External inspection and accreditation are examples of internationally wide-spread external evaluation methods used to assess the quality of care given to patients. Different countries have different national policy strategies and arrangements set up to do these evaluations. Although there is growing attention to the impact and effects on quality and safety from external evaluation, there is still a gap in knowledge to how structures and processes influence these outcomes. Accordingly, the purpose of this article is to describe the structures and processes in external evaluation designed to promote quality improvement in Norway and the USA with attention to comparison of enablers and barriers in external evaluation systems. Design/methodology/approach Data collection consisted of documentary evidence retrieved from governmental policies, and reviews of the Joint Commission (the US), international guidelines, recommendations and reports from the International Society for Quality in Health Care, and the World Health Organization, and policies and regulations related to Norwegian governmental bodies such as the Ministry of Health and Care Services, the Norwegian Directorate of Health, and the Norwegian Board of Health Supervision . Data were analyzed inspired by a deductive, direct content analytical framework. Findings The authors found that both accreditation and inspection are strategies put in place to ensure that healthcare providers have adequate quality systems as well as contributing to the wider risk and safety enhancing management and implementation processes in the organizations subjected to evaluation. The US and the Norwegian external regulatory landscapes are complex and include several policymaking and governing institutions. The Norwegian regulatory framework for inspection has replaced an individual blame logic with a model which “blames” the system for inadequate quality and patient harm. This contrasts with the US accreditation system, which focuses on accreditation visits. Although findings indicate an ongoing turning point in accreditation, findings also demonstrate that involving patients and next of kin directly in adverse event inspections is a bigger part of a change in external inspection culture and methods than in processes of accreditation. Research limitations/implications The message of this paper is important for policymakers, and bodies of inspection and accreditation because knowledge retrieved from the comparative document study may contribute to better understanding of the implications from the different system designs and in turn contribute to improving external evaluations. Originality/value Although there is a growing attention to the impact and effects on quality and safety from external evaluation, the implications of different regulatory strategies and arrangements for evaluation on quality and safety remain unclear.en_US
dc.language.isoengen_US
dc.publisherEmeralden_US
dc.titleComparison of external evaluation policies and regulations for quality improvement and safety of health services in Norway and the United Statesen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionacceptedVersionen_US
dc.rights.holderEmeralden_US
dc.subject.nsiVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750en_US
dc.source.journalInternational Journal of Health Governanceen_US
dc.identifier.doi10.1108/IJHG-06-2023-0065
dc.identifier.cristin2167876
dc.relation.projectSHARE - Centre for Resilience in Healthcare: 5091en_US
dc.relation.projectNorges forskningsråd: 275367en_US
cristin.ispublishedtrue
cristin.fulltextpostprint
cristin.qualitycode1


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