OBJECTIVE: To search the scientific literature dealing with the accreditation theme, elements that indicate the relationship between the methodology and formation of policies, for the organization of health systems, in order to discuss the current perception of accreditation as a quality tool separate from the intentions of governments. METHOD: We opted for an integrative literature review using the bibliographic databases of: LILACS, SCOPUS and ISI Web of Knowledge. RESULTS: In the world, the methodology seems to be close to a policy tool, providing guidelines for the organization and evaluation of services and health systems. CONCLUSION: There is no single view about the purposes of a system of accreditation. Therefore, in Brazil, to simply designate it as a quality tool or a product of the market would be premature.
Accreditation; Health public policy; Health systems; Quality management
