Hospitals’ Readiness to Implement Clinical Governance

Int J Health Policy Manag 2015; 4: 69–74. doi: 10.15171/ijhpm.2014.111

6 Pages Posted: 9 Feb 2015

See all articles by Farbod Ebadi Fardazar

Farbod Ebadi Fardazar

Iran University of Medical Sciences

Hossein Safari

Tehran University of Medical Sciences

Farhad Habibi

Tehran University of Medical Sciences

Feyzollah Akbari Haghighi

Tehran University of Medical Sciences

Aziz Rezapour

Iran University of Medical Sciences

Date Written: February 8, 2015

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 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 self-sufficiency, and flexibility in hospitals’ affairs as well as centering on shared vision and goals with an emphasis on continuous improvement and innovation.

Keywords: Clinical Governance (CG); Hospital; Health Services; Quality Improvement

Suggested Citation

Ebadi Fardazar, Farbod and Safari, Hossein and Habibi, Farhad and Akbari Haghighi, Feyzollah and Rezapour, Aziz, Hospitals’ Readiness to Implement Clinical Governance (February 8, 2015). Int J Health Policy Manag 2015; 4: 69–74. doi: 10.15171/ijhpm.2014.111, Available at SSRN: https://ssrn.com/abstract=2561979

Farbod Ebadi Fardazar

Iran University of Medical Sciences ( email )

Hemmat Hwy
Tehran
Iran

Hossein Safari (Contact Author)

Tehran University of Medical Sciences ( email )

Number 21, Dameshg St.
Vali-e Asr Ave.
Tehran, 14195
Iran

Farhad Habibi

Tehran University of Medical Sciences ( email )

Number 21, Dameshg St.
Vali-e Asr Ave.
Tehran, 14195
Iran

Feyzollah Akbari Haghighi

Tehran University of Medical Sciences ( email )

Number 21, Dameshg St.
Vali-e Asr Ave.
Tehran, 14195
Iran

Aziz Rezapour

Iran University of Medical Sciences ( email )

Hemmat Hwy
Tehran
Iran

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