Governance Must Dive Into Organizations to Make a Real Difference; Comment on “Governance, Government, and the Search for New Provider Models”
In their 2016 article, Saltman and Duran provide a thoughtful examination of the governance challenges involved in different care delivery models adopted in primary care and hospitals in two European countries. This commentary examines the limited potential of structural changes to achieve real refo...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Kerman University of Medical Sciences
2017-01-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | http://www.ijhpm.com/article_3236_a418a7240686fa481987e2fc5f47e57f.pdf |
| _version_ | 1811261332184367104 |
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| author | Jean-Louis Denis Susan Usher |
| author_facet | Jean-Louis Denis Susan Usher |
| author_sort | Jean-Louis Denis |
| collection | DOAJ |
| description | In their 2016 article, Saltman and Duran provide a thoughtful examination of the governance challenges involved in different care delivery models adopted in primary care and hospitals in two European countries. This commentary examines the limited potential of structural changes to achieve real reform and considers that, unless governance arrangements actually succeed in penetrating organizations, they are unlikely to improve care. It proposes three sets of levers influenced by governance that have potential to influence what happens at the point of care: harnessing the autonomy and expertise of professionals at a collective level to work towards better safety and quality; creating enabling contexts for cross-fertilization of clinical and organizational expertise, notably through teamwork; and patient and public engagement to achieve greater agreement on improvement priorities and overcome provider/manager tensions. Good governance provides guidance at a distance but also goes deep enough to influence clinical habits. |
| first_indexed | 2024-04-12T19:02:38Z |
| format | Article |
| id | doaj.art-de8d2ae147fe4e08be3c8c3f56f59042 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 2322-5939 |
| language | English |
| last_indexed | 2024-04-12T19:02:38Z |
| publishDate | 2017-01-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-de8d2ae147fe4e08be3c8c3f56f590422022-12-22T03:20:07ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392017-01-0161495110.15171/ijhpm.2016.89Governance Must Dive Into Organizations to Make a Real Difference; Comment on “Governance, Government, and the Search for New Provider Models”Jean-Louis Denis0Susan Usher1Canada Research Chair in Governance and Transformation of Health Organizations and Systems, École nationale d’administration publique, Montréal, QC, CanadaHealth Innovation Forum, Montréal, QC, CanadaIn their 2016 article, Saltman and Duran provide a thoughtful examination of the governance challenges involved in different care delivery models adopted in primary care and hospitals in two European countries. This commentary examines the limited potential of structural changes to achieve real reform and considers that, unless governance arrangements actually succeed in penetrating organizations, they are unlikely to improve care. It proposes three sets of levers influenced by governance that have potential to influence what happens at the point of care: harnessing the autonomy and expertise of professionals at a collective level to work towards better safety and quality; creating enabling contexts for cross-fertilization of clinical and organizational expertise, notably through teamwork; and patient and public engagement to achieve greater agreement on improvement priorities and overcome provider/manager tensions. Good governance provides guidance at a distance but also goes deep enough to influence clinical habits.http://www.ijhpm.com/article_3236_a418a7240686fa481987e2fc5f47e57f.pdfGovernanceHealthcare ReformQuality Improvement |
| spellingShingle | Jean-Louis Denis Susan Usher Governance Must Dive Into Organizations to Make a Real Difference; Comment on “Governance, Government, and the Search for New Provider Models” International Journal of Health Policy and Management Governance Healthcare Reform Quality Improvement |
| title | Governance Must Dive Into Organizations to Make a Real Difference; Comment on “Governance, Government, and the Search for New Provider Models” |
| title_full | Governance Must Dive Into Organizations to Make a Real Difference; Comment on “Governance, Government, and the Search for New Provider Models” |
| title_fullStr | Governance Must Dive Into Organizations to Make a Real Difference; Comment on “Governance, Government, and the Search for New Provider Models” |
| title_full_unstemmed | Governance Must Dive Into Organizations to Make a Real Difference; Comment on “Governance, Government, and the Search for New Provider Models” |
| title_short | Governance Must Dive Into Organizations to Make a Real Difference; Comment on “Governance, Government, and the Search for New Provider Models” |
| title_sort | governance must dive into organizations to make a real difference comment on governance government and the search for new provider models |
| topic | Governance Healthcare Reform Quality Improvement |
| url | http://www.ijhpm.com/article_3236_a418a7240686fa481987e2fc5f47e57f.pdf |
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