ArticleQuality in health care : QHC1999
Clinical governance: bridging the gap between managerial and clinical approaches to quality of care.
Article in Quality in health care : QHC, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Clinical Governance to Enhance User Involvement in Care: A Canadian Multiple Case Study in Mental Health.International journal of health policy and management · 2022Article
- Measuring Quality Gaps in TB Screening in South Africa Using Standardised Patient Analysis.International journal of environmental research and public health · 2018Article
- Impact of Self- and Peer Assessment on the Clinical Performance of Physiotherapists in Primary Care: A Cohort Study.Physiotherapy Canada. Physiotherapie Canada · 2018Article
- Feasibility of peer assessment and clinical audit to self-regulate the quality of physiotherapy services: a mixed methods study.BMJ open · 2017Article
- Measuring the use of examination room time in oncology clinics: a novel approach to assessing clinic efficiency and patient flow.Journal of oncology practice · 2014Observational
- Quality improvement in clinical documentation: does clinical governance work?Journal of multidisciplinary healthcare · 2013Article
- Professional values and reported behaviours of doctors in the USA and UK: quantitative survey.BMJ quality & safety · 2011Article
- Description of a standardized treatment center that utilizes evidence-based clinic operations to facilitate implementation of an evidence-based treatment.Behavior modification · 2009Article
- A retrospective review of significant events reported in one district in 2004-2005.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Article
- Improvements in quality of clinical care in English general practice 1998-2003: longitudinal observational study.BMJ (Clinical research ed.) · 2005Article
- Achieving progress through clinical governance? A national study of health care managers' perceptions in the NHS in England.Quality & safety in health care · 2004Article
- The role of clinical governance as a strategy for quality improvement in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Article
- Implementing clinical governance in English primary care groups/trusts: reconciling quality improvement and quality assurance.Quality & safety in health care · 2002Article
- Clinical governance in primary care groups: the feasibility of deriving evidence-based performance indicators.Quality in health care : QHC · 2000Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Clinical governance has been introduced as a new approach to quality improvement in the UK national health service. This article maps clinical governance against a discussion of the four main approaches to measuring and improving quality of care: quality assessment, quality assurance, clinical audit, and quality improvement (including continuous quality improvement). Quality assessment underpins each approach. Whereas clinical audit has, in general, been professionally led, managers have driven quality improvement initiatives. Quality assurance approaches have been perceived to be externally driven by managers or to involve professional inspection. It is discussed how clinical governance seeks to bridge these approaches. Clinical governance allows clinicians in the UK to lead a comprehensive strategy to improve quality within provider organisations, although with an expectation of greatly increased external accountability. Clinical governance aims to bring together managerial, organisational, and clinical approaches to improving quality of care. If successful, it will define a new type of professionalism for the next century. Failure by the professions to seize the opportunity is likely to result in increasingly detailed external control of clinical activity in the UK, as has occurred in some other countries.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.