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April 11, 2026International Journal of Environmental Research and Public Health0 citationsOpen Access

Impact of Joint Commission International (JCI) Accreditation on Patient Satisfaction with Outpatient Departments: Comparative Cross-Sectional Study in Astana, Kazakhstan

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KKKaisar KudabayevAIAigul IsmailovaKDKenesh Dzhusupov

Key Points

  • This study examines the relationship between JCI accreditation and patient satisfaction in outpatient departments.
  • Cross-sectional study design
  • Questionnaire assessing satisfaction across four domains
  • Comparison between a JCI-accredited hospital and nationally accredited polyclinics
  • Multivariable regression analysis to control for confounding factors
  • Patients at the JCI-accredited hospital reported higher satisfaction in all assessed domains
  • Largest difference noted in staff responsiveness
  • Accreditation status was the strongest independent predictor of patient satisfaction score

Abstract

The current study aimed to examine whether Joint Commission International (JCI) accreditation is associated with higher patient satisfaction. A cross-sectional, questionnaire-based comparative study was conducted between April and July 2025 in outpatient departments of one JCI-accredited hospital (University Medical Center) and two nationally accredited public polyclinics in Astana, Kazakhstan. The questionnaire was designed to assess satisfaction across four domains: communication, staff responsiveness, hospital environment, and perceived quality of care. The patients attending the JCI-accredited hospital demonstrated significantly higher satisfaction across all domains compared to those of nationally accredited hospitals (p < 0.01). The largest difference was observed in staff responsiveness. In the multivariable regression analysis, the accreditation status emerged as the strongest independent predictor of overall patient satisfaction score (β = 0.42; 95% CI: 0.31–0.53; p < 0.001), even after adjusting for age, gender, education, employment status, and prior hospital visits. Education level and previous hospital experience were modest yet statistically significant predictors, whereas age, gender, and employment status were not significant in the adjusted analyses. JCI accreditation was associated with higher patient satisfaction scores in outpatient care settings, indicating a positive relationship between accreditation status and patient-centered outcomes.

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Cite This Study

Kudabayev et al. (2026) studied this question.

synapsesocial.com/papers/69d9e52b78050d08c1b756c8https://doi.org/10.3390/ijerph23040473
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