title: Accreditation of hospitals in Lebanon: is it a worthy investment?
abstract: OBJECTIVE
  This study explores the views of Lebanese hospitals on the worthiness of accreditation vis-à-vis its associated expenses in addition to examining the type and source of financial investments incurred during the accreditation process.
  
  
  METHODS
  Observational cross-sectional design.
  
  
  METHODS
  All private short-stay hospitals registered with the Syndicate of Private Hospitals in Lebanon (110 hospitals).
  
  
  METHODS
  Hospital's views on the worthiness of accreditation in lieu of its associated expenses. Other measures explored included areas of expenditure increase and sources of expenses coverage for accreditation.
  
  
  RESULTS
  Three-fifths of responding hospitals (63% response rate) considered accreditation as a worthy investment. Favorable views on accreditation were mostly related to its effect on enhanced quality and safety culture. Unfavorable views regarding the worthiness of accreditation investment were justified by absence of link with enhanced tariffs from payers (25.7%). All hospitals incurred increased expenses due to accreditation. Areas of highest increase included training of staff (95.7%), consultants' costs (80.0%) and infrastructure maintenance (77.1%). Most of the hospitals covered expenses through internal absorption (52%) or bank loans (45.7%).
  
  
  CONCLUSIONS
  The financial burden of accreditation on hospitals has to be factored in the decision of its adoption at a national level, especially in developing countries.
authors: Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, PO Box 11-0236, Riad El Solh, 1107 2020 Beirut, Lebanon. ss117@aub.edu.lb
authors: Shadi S
authors: SS
authors: Saleh
authors: Jihane
authors: J
authors: Bou Sleiman
authors: Diana
authors: D
authors: Dagher
authors: Hanaa
authors: H
authors: Sbeit
authors: Nabil
authors: N
authors: Natafgi
mesh_terms: D000068:Accreditation / Q000191:economics / Q000458:organization & administration / Q000592:standards; D004469:Economics, Hospital; D005377:Financial Management, Hospital / Q000379:methods; D006739:Hospital Administration / Q000379:methods; D006761:Hospitals / Q000592:standards*; D006801:Humans; D007861:Lebanon
keywords: accreditation; expenditure; financial coverage; financial investment; private hospitals