Hospitals’ Readiness to Implement Clinical Governance

Publish Year: 1394
نوع سند: مقاله ژورنالی
زبان: English
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JR_HPM-4-2_004

تاریخ نمایه سازی: 16 مرداد 1403

Abstract:

Background Quality of health services is one of the most important factors for delivery of these services. Regarding the importance and vital role of quality in the health sector, a concept known as “Clinical Governance” (CG) has been introduced into the health area which aims to enhance quality of health services. Thus, this study aimed to assess private and public hospitals’ readiness to implement CG in Iran.   Methods This descriptive and cross-sectional study was carried out in ۲۰۱۲. Four hundred thirty participants including doctors, nurses, diagnostic departments personnel, and support staff were chosen randomly from four hospitals (equally divided into private and public hospitals). Clinical Governance Climate Questionnaire (CGCQ) was used for data collection. Finally, data were entered into the SPSS ۱۸ and were analyzed using statistical methods.   Results Among the CG dimensions, “organizational learning” and “planned and integrated quality improvement program” scored the highest and the lowest respectively for both types of hospitals. Hospitals demonstrated the worst condition with regard to the latter dimension. Furthermore, both types of hospitals had positive picture regarding “training and development opportunities”. Private hospitals scored better than public ones in all dimensions but there was only a significant difference in “proactive risk management” dimension between both types of hospitals (P< ۰.۰۵).   Conclusion Hospitals’ readiness for CG implementation was “average or weak”. In order to implement CG successfully, it is essential to have a quality-centered culture, a culture specified by less paperwork, more selfsufficiency, and flexibility in hospitals’ affairs as well as centring on shared vision and goals with an emphasis on continuous improvement and innovation.

Authors

Farbod Ebadi Fardazar

Hospital Management Research Center, Iran University of Medical Sciences, Tehran, Iran

Hossein Safari

Department of Health Management and Economics, Health School, Tehran University of Medical Sciences, Tehran, Iran

Farhad Habibi

Department of Health Management and Economics, Health School, Tehran University of Medical Sciences, Tehran, Iran

Feyzollah Akbari Haghighi

Department of Health Management and Economics, Health School, Tehran University of Medical Sciences, Tehran, Iran

Aziz Rezapour

Department of Health Economics, School of Health Management and Information Science, Iran University of Medical Sciences, Tehran, Iran

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