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Type: Journal article
Title: Challenging the holy grail of hospital accreditation: A cross sectional study of inpatient satisfaction in the field of cardiology
Author: Sack, C.
Lutkes, P.
Gunther, W.
Erbel, R.
Jockel, K.
Holtmann, G.
Citation: BMC Health Services Research, 2010; 10(1):120-1-120-7
Publisher: BioMed Central Ltd.
Issue Date: 2010
ISSN: 1472-6963
Statement of
Cornelia Sack, Peter Lütkes, Wolfram Günther, Raimund Erbel, Karl-Heinz Jöckel and Gerald J Holtmann
Abstract: Background: Subjective parameters such as quality of life or patient satisfaction gain importance as outcome parameters and benchmarks in health care. In many countries hospitals are now undergoing accreditation as mandatory or voluntary measures. It is believed but unproven that accreditations positively influence quality of care and patient satisfaction. The present study aims to assess in a defined specialty (cardiology) the relationship between patient satisfaction (as measured by the recommendation rate) and accreditation status. Methods: Consecutive patients discharged from 25 cardiology units received a validated patient satisfaction questionnaire. Data from 3,037 patients (response rate > 55%) became available for analysis. Recommendation rate was used as primary endpoint. Different control variables such as staffing level were considered. Results: The 15 accredited units did not differ significantly from the 10 non-accredited units regarding main hospital (i.e. staffing levels, no. of beds) and patient (age, gender) characteristics. The primary endpoint "recommendation rate of a given hospital" for accredited hospitals (65.6%, 95% Confidence Interval (CI) 63.4 - 67.8%) and hospitals without accreditation (65.8%, 95% CI 63.1 - 68.5%) was not significantly different. Conclusion: Our results support the notion that - at least in the field of cardiology - successful accreditation is not linked with measurable better quality of care as perceived by the patient and reflected by the recommendation rate of a given institution. Hospital accreditation may represent a step towards quality management, but does not seem to improve overall patient satisfaction.
Keywords: Humans
Length of Stay
Patient Discharge
Cross-Sectional Studies
Age Factors
Sex Factors
Hospital Bed Capacity
Cardiology Service, Hospital
Patient Satisfaction
Quality of Health Care
Surveys and Questionnaires
Description: Extent: 7p.
Rights: © 2010 Sack et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: 10.1186/1472-6963-10-120
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