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The external assessment of health services - WHO

WORLD hospitals and health services | 13 The external assessment of health services24| World Hospitals and health services | the 1990s new accreditation programmes havedeveloped in many countries and, elsewhere,individual health care organisations can buy servicesfrom other countries. The independent assessments, and thestandards which they use increasingly reflect an emphasis onpatients, safety and clinical performance and thus theyappeal not just to health care managers but also to thepublic, purchasers and regulators. Who wants external assessment ?Before choosing a model or a provider of externalassessment, managers and regulators need to be clear abouttheir objectives, their customers and the potentialstakeholders. But frequently they choose first and then findout later whether it meets conflicting and managers the motive is often organisationaldevelopment (to build teams by systematically examiningpolicies, procedures and communications across theinstitution) which demands much internal effort, self- assessment and time.

Graduation of standards Typically, new national accreditation programmes used to begin by assessment against minimal standards of capacity

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