Clinical governance in primary health care based on family physicians in Mazandaran province: Stakeholders perspective

Background and Aim: Clinical governance is one of the important frameworks for continuous quality improvement and safety in health care systems. Identifying the axes of this approach according to local conditions is one of the important priorities of the health system. The aim of this study was to i...

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Autores principales:	Leila Hosseini Ghavam abad, Abbas Vosoogh Moghadam, Rouhollah Zaboli, Mohsen Aarabi
Formato:	article
Lenguaje:	FA
Publicado:	Tehran University of Medical Sciences 2020
Materias:	clinical governance primary health care quality safety mazandaran province Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/f40107fe21c544b287576d8ac255bf2a
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spelling	oai:doaj.org-article:f40107fe21c544b287576d8ac255bf2a2021-11-21T04:43:02ZClinical governance in primary health care based on family physicians in Mazandaran province: Stakeholders perspective2008-19282228-7450https://doaj.org/article/f40107fe21c544b287576d8ac255bf2a2020-12-01T00:00:00Zhttp://jhosp.tums.ac.ir/article-1-6402-en.htmlhttps://doaj.org/toc/2008-1928https://doaj.org/toc/2228-7450Background and Aim: Clinical governance is one of the important frameworks for continuous quality improvement and safety in health care systems. Identifying the axes of this approach according to local conditions is one of the important priorities of the health system. The aim of this study was to identify the views of stakeholders on the axes of clinical governance in primary health care based on family physicians in Mazandaran province. Methods: The present qualitative study was conducted using the conceptual framework analysis method in 2018-2019. The study population were key policy makers of Ministry of Health, Health deputy of the University, the county health network, family physicians association, family physicians, and the parliament research center. Participants were selected using purposeful and snowball sampling methods. Data were collected through semi-structured interviews and were analyzed and coded using MAXQDA 11 software. Findings: According to the interviewees' views, the research findings were classified into 4 main dimensions: dimensions of clinical governance, requirements and structures, decision-makers and dimensions of quality and safety assessment. 17 sub-themes including community participation, clinical audit, clinical effectiveness, personnel management, training, information use, risk management, guidelines and procedures, promotion of health indicators, equipment and facilities, referral system, financing, policy makers, effectiveness, efficiency, human aspects of services and justice were identified and extracted. Conclusion: According to the research findings, to facilitate the implementation of clinical governance, solutions such as the existence of appropriate infrastructure, commitment of managers, supportive culture, sufficient knowledge, monitoring and evaluation, appropriate culture building, facilities and equipment and sufficient financial resources are suggested.Leila Hosseini Ghavam abadAbbas Vosoogh MoghadamRouhollah ZaboliMohsen AarabiTehran University of Medical Sciencesarticleclinical governanceprimary health carequalitysafetymazandaran provincePublic aspects of medicineRA1-1270FAبیمارستان, Vol 19, Iss 4, Pp 31-44 (2020)
institution	DOAJ
collection	DOAJ
language	FA
topic	clinical governance primary health care quality safety mazandaran province Public aspects of medicine RA1-1270
spellingShingle	clinical governance primary health care quality safety mazandaran province Public aspects of medicine RA1-1270 Leila Hosseini Ghavam abad Abbas Vosoogh Moghadam Rouhollah Zaboli Mohsen Aarabi Clinical governance in primary health care based on family physicians in Mazandaran province: Stakeholders perspective
description	Background and Aim: Clinical governance is one of the important frameworks for continuous quality improvement and safety in health care systems. Identifying the axes of this approach according to local conditions is one of the important priorities of the health system. The aim of this study was to identify the views of stakeholders on the axes of clinical governance in primary health care based on family physicians in Mazandaran province. Methods: The present qualitative study was conducted using the conceptual framework analysis method in 2018-2019. The study population were key policy makers of Ministry of Health, Health deputy of the University, the county health network, family physicians association, family physicians, and the parliament research center. Participants were selected using purposeful and snowball sampling methods. Data were collected through semi-structured interviews and were analyzed and coded using MAXQDA 11 software. Findings: According to the interviewees' views, the research findings were classified into 4 main dimensions: dimensions of clinical governance, requirements and structures, decision-makers and dimensions of quality and safety assessment. 17 sub-themes including community participation, clinical audit, clinical effectiveness, personnel management, training, information use, risk management, guidelines and procedures, promotion of health indicators, equipment and facilities, referral system, financing, policy makers, effectiveness, efficiency, human aspects of services and justice were identified and extracted. Conclusion: According to the research findings, to facilitate the implementation of clinical governance, solutions such as the existence of appropriate infrastructure, commitment of managers, supportive culture, sufficient knowledge, monitoring and evaluation, appropriate culture building, facilities and equipment and sufficient financial resources are suggested.
format	article
author	Leila Hosseini Ghavam abad Abbas Vosoogh Moghadam Rouhollah Zaboli Mohsen Aarabi
author_facet	Leila Hosseini Ghavam abad Abbas Vosoogh Moghadam Rouhollah Zaboli Mohsen Aarabi
author_sort	Leila Hosseini Ghavam abad
title	Clinical governance in primary health care based on family physicians in Mazandaran province: Stakeholders perspective
title_short	Clinical governance in primary health care based on family physicians in Mazandaran province: Stakeholders perspective
title_full	Clinical governance in primary health care based on family physicians in Mazandaran province: Stakeholders perspective
title_fullStr	Clinical governance in primary health care based on family physicians in Mazandaran province: Stakeholders perspective
title_full_unstemmed	Clinical governance in primary health care based on family physicians in Mazandaran province: Stakeholders perspective
title_sort	clinical governance in primary health care based on family physicians in mazandaran province: stakeholders perspective
publisher	Tehran University of Medical Sciences
publishDate	2020
url	https://doaj.org/article/f40107fe21c544b287576d8ac255bf2a
work_keys_str_mv	AT leilahosseinighavamabad clinicalgovernanceinprimaryhealthcarebasedonfamilyphysiciansinmazandaranprovincestakeholdersperspective AT abbasvosooghmoghadam clinicalgovernanceinprimaryhealthcarebasedonfamilyphysiciansinmazandaranprovincestakeholdersperspective AT rouhollahzaboli clinicalgovernanceinprimaryhealthcarebasedonfamilyphysiciansinmazandaranprovincestakeholdersperspective AT mohsenaarabi clinicalgovernanceinprimaryhealthcarebasedonfamilyphysiciansinmazandaranprovincestakeholdersperspective
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Clinical governance in primary health care based on family physicians in Mazandaran province: Stakeholders perspective

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