Hospitals’ Readiness to Implement Clinical Governance
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 o...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2015-02-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | http://www.ijhpm.com/pdf_2910_1c0fb0df283d02a3f89f4e0af843a706.html |
| _version_ | 1818272031793217536 |
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| author | Farbod Ebadi Fardazar Hossein Safari Farhad Habibi Feyzollah Akbari Haghighi Aziz Rezapour |
| author_facet | Farbod Ebadi Fardazar Hossein Safari Farhad Habibi Feyzollah Akbari Haghighi Aziz Rezapour |
| author_sort | Farbod Ebadi Fardazar |
| collection | DOAJ |
| description | 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 2012. 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 18 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< 0.05).
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. |
| first_indexed | 2024-12-12T21:35:36Z |
| format | Article |
| id | doaj.art-3c14f4ec7844467bb95ee455e00be87a |
| institution | Directory Open Access Journal |
| issn | 2322-5939 2322-5939 |
| language | English |
| last_indexed | 2024-12-12T21:35:36Z |
| publishDate | 2015-02-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-3c14f4ec7844467bb95ee455e00be87a2022-12-22T00:11:11ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392015-02-0142697410.15171/ijhpm.2014.111Hospitals’ Readiness to Implement Clinical GovernanceFarbod Ebadi Fardazar0Hossein Safari1Farhad Habibi2Feyzollah Akbari Haghighi3Aziz Rezapour4Hospital Management Research Center, Iran University of Medical Sciences, Tehran, IranDepartment of Health Management and Economics, Health School, Tehran University of Medical Sciences, Tehran, IranDepartment of Health Management and Economics, Health School, Tehran University of Medical Sciences, Tehran, IranDepartment of Health Management and Economics, Health School, Tehran University of Medical Sciences, Tehran, IranDepartment of Health Economics, School of Health Management and Information Science, Iran University of Medical Sciences, Tehran, Iran; Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, IranBackground 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 2012. 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 18 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< 0.05). 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.http://www.ijhpm.com/pdf_2910_1c0fb0df283d02a3f89f4e0af843a706.htmlClinical Governance (CG)HospitalHealth ServicesQuality Improvement |
| spellingShingle | Farbod Ebadi Fardazar Hossein Safari Farhad Habibi Feyzollah Akbari Haghighi Aziz Rezapour Hospitals’ Readiness to Implement Clinical Governance International Journal of Health Policy and Management Clinical Governance (CG) Hospital Health Services Quality Improvement |
| title | Hospitals’ Readiness to Implement Clinical Governance |
| title_full | Hospitals’ Readiness to Implement Clinical Governance |
| title_fullStr | Hospitals’ Readiness to Implement Clinical Governance |
| title_full_unstemmed | Hospitals’ Readiness to Implement Clinical Governance |
| title_short | Hospitals’ Readiness to Implement Clinical Governance |
| title_sort | hospitals readiness to implement clinical governance |
| topic | Clinical Governance (CG) Hospital Health Services Quality Improvement |
| url | http://www.ijhpm.com/pdf_2910_1c0fb0df283d02a3f89f4e0af843a706.html |
| work_keys_str_mv | AT farbodebadifardazar hospitalsreadinesstoimplementclinicalgovernance AT hosseinsafari hospitalsreadinesstoimplementclinicalgovernance AT farhadhabibi hospitalsreadinesstoimplementclinicalgovernance AT feyzollahakbarihaghighi hospitalsreadinesstoimplementclinicalgovernance AT azizrezapour hospitalsreadinesstoimplementclinicalgovernance |