Kumar, NReddy, ANRamya, TRathod, PK2025-06-182025-06-182025-04Kumar N, Reddy AN, Ramya T, Rathod PK. Barriers to national accreditation board for hospitals and healthcare provider accreditation in public tertiary hospitals: A comprehensive review. Indian Journal of Medical Sciences. 2025 Apr; 77(1): 62-671998-36540019-5359https://imsear.searo.who.int/handle/123456789/249715In India, the National Accreditation Board for Hospitals and Healthcare Providers (NABH) has become a well-respected framework that’s helped raise standards in many hospitals. Both private and public hospitals are now looking to get NABH accreditation, but public hospitals face a few challenge because they often deal with larger patient numbers and have limited resources. Public hospitals, especially big ones that serve a mix of different communities, tend to struggle with things such as old infrastructure and strict regulations. This review goes into these challenges, looking at the main obstacles that public hospitals face when they try to meet NABH standards. It covers areas such as money issues, lack of staff, and inefficiencies that make the accreditation process tougher. The review also suggests a few strategies and policy ideas that could help public hospitals push through these problems, with the goal of improving patient care across the board. By focusing on these challenges, this review hopes to give some useful insights to hospital administrators, policymakers, and the accreditation bodies working to make NABH standards a bit easier to achieve for all hospitals in India.Healthcare quality standardsNational accreditation board for hospitals and healthcare provider accreditationOperational challenges in healthcarePatient safetyPublic hospitalsJournal ArticleIndiaDepartment of Hospital Administration, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, IndiaDepartment of Hospital Administration, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Dentistry, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.