Abstract

Introduction: Healthcare accreditation has become a critical mechanism for ensuring quality, accountability, and patient safety in hospitals worldwide. The Joint Commission International Accreditation (JCIA) sets one of the highest global standards for healthcare organizations. Many hospitals in countries such as India, the United Arab Emirates, and Malaysia have achieved JCIA status through systematic reforms. In contrast, Pakistani hospitals continue to face complex challenges in meeting international accreditation standards due to limited resources, governance gaps, and variable staff readiness. This study examines the barriers and strategic opportunities associated with achieving JCIA accreditation in Pakistan.

Methods: A mixed-methods policy analysis was conducted integrating literature review, stakeholder interviews, and hospital staff surveys. Data sources included JCIA manuals, World Health Organization (WHO) reports, and national health policy documents. Qualitative data from interviews with hospital leaders and policymakers were thematically coded, while quantitative survey responses were analyzed using descriptive statistics to assess staff awareness, readiness, and perceived barriers. Comparative benchmarking was conducted with regional countries including India, the United Arab Emirates, and Malaysia.

Results: Survey findings revealed that only 28 percent of hospital staff had strong familiarity with JCIA standards, indicating low awareness and training gaps. Financial limitations were identified as the most significant barrier, reported by 82 percent of respondents, followed by infrastructure constraints and inadequate governance systems. Interview data emphasized the need for leadership engagement, training programs, and digital infrastructure to support patient safety and quality improvement. Comparative analysis highlighted the effectiveness of tiered accreditation systems in India and capacity-building models in Malaysia as adaptable strategies for Pakistan.

Conclusion: Achieving JCIA accreditation in Pakistan requires comprehensive governance reform, workforce capacity development, and financial investment in hospital infrastructure. The study proposes a strategic framework that integrates leadership commitment, continuous training, and phased implementation to strengthen Pakistan’s readiness for international accreditation. These reforms can enhance patient safety, build institutional accountability, and position Pakistan as a regional hub for quality healthcare.

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Copyright (c) 2025 Dr. Hassan Khan (Author)

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