Perspectives of rural and remote primary healthcare services on the meaning and goals of clinical governance

Kwedza, Ruyamuro K., Larkins, Sarah, Johnson, Julie K., and Zwar, Nicholas (2017) Perspectives of rural and remote primary healthcare services on the meaning and goals of clinical governance. Australian Journal of Primary Health, 23 (5). pp. 451-457.

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Definitions of clinical governance are varied and there is no one agreed model. This paper explored the perspectives of rural and remote primary healthcare services, located in North Queensland, Australia, on the meaning and goals of clinical governance. The study followed an embedded multiple case study design with semi-structured interviews, document analysis and non-participant observation. Participants included clinicians, non-clinical support staff, managers and executives. Similarities and differences in the understanding of clinical governance between health centre and committee case studies were evident. Almost one-third of participants were unfamiliar with the term or were unsure of its meaning; alongside limited documentation of a definition. Although most cases linked the concept of clinical governance to key terms, many lacked a comprehensive understanding. Similarities between cases included viewing clinical governance as a management and administrative function. Differences included committee members' alignment of clinical governance with corporate governance and frontline staff associating clinical governance with staff safety. Document analysis offered further insight into these perspectives. Clinical governance is well-documented as an expected organisational requirement, including in rural and remote areas where geographic, workforce and demographic factors pose additional challenges to quality and safety. However, in reality, it is not clearly, similarly or comprehensively understood by all participants.

Item ID: 51524
Item Type: Article (Research - C1)
ISSN: 1836-7399
Keywords: Australia, case study, quality of health care, rural health, safety
Date Deposited: 15 Nov 2017 07:34
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420319 Primary health care @ 70%
45 INDIGENOUS STUDIES > 4504 Aboriginal and Torres Strait Islander health and wellbeing > 450418 Aboriginal and Torres Strait Islander remote health @ 30%
SEO Codes: 92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920506 Rural Health @ 100%
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