ArticleQuality & safety in health care2002
Implementing clinical governance in English primary care groups/trusts: reconciling quality improvement and quality assurance.
Article in Quality & safety in health care, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies.Health research policy and systems · 2019Pooled it
- Facilitators and barriers to implementing quality measurement in primary mental health care: Systematic review.Canadian family physician Medecin de famille canadien · 2010Pooled it
- Pertinence of Salt-Related Knowledge and Reported Behaviour on Salt Intake in Adults: A Cross-Sectional Study.Nutrients · 2023Article
- Perception of Hospital Accreditation Impact among Quality Management Professionals in India: A Survey-Based Multicenter Study.Global journal on quality and safety in healthcare · 2021Article
- Establishing clinical governance model in primary health care: A systematic review.Journal of education and health promotion · 2021Review
- Development of the prototype concise safe systems checklist tool for general practice.BMC health services research · 2020Article
- Prioritizing barriers to implement clinical governance in teaching hospitals of Iran: A mixed method study.Medical journal of the Islamic Republic of Iran · 2019Article
- Implementation of district-based clinical specialist teams in South Africa: Analysing a new role in a transforming system.BMC health services research · 2018Article
- Building managed primary care practice networks to deliver better clinical care: a qualitative semi-structured interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Patient safety and quality of care in mental health: a world of its own?BJPsych bulletin · 2017Article
- Implementing Clinical governance in Iranian hospitals: purpose, process and pitfalls.Electronic physician · 2016Article
- Validating and determining the weight of items used for evaluating clinical governance implementation based on analytic hierarchy process model.International journal of health policy and management · 2015Article
- Facilitators and Barriers to Implementing Clinical Governance: A Qualitative Study among Senior Managers in Iran.Iranian journal of public health · 2014Article
- The attitude of health care professionals towards accreditation: A systematic review of the literature.Journal of family & community medicine · 2012Article
- Beyond the limits of clinical governance? The case of mental health in English primary care.BMC health services research · 2008Article
- Can learning organizations survive in the newer NHS?Implementation science : IS · 2006Article
- Achieving progress through clinical governance? A national study of health care managers' perceptions in the NHS in England.Quality & safety in health care · 2004Article
- Managing change in the culture of general practice: qualitative case studies in primary care trusts.BMJ (Clinical research ed.) · 2003Article
- Team structure, team climate and the quality of care in primary care: an observational study.Quality & safety in health care · 2003Article
- 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
Corrections and comments
- Commented on by
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the concept of clinical governance being advocated by primary care groups/trusts (PCG/Ts), approaches being used to implement clinical governance, and potential barriers to its successful implementation in primary care.
designQualitative case studies using semi-structured interviews and documentation review.
settingTwelve purposively sampled PCG/Ts in England.
participantsFifty senior staff including chief executives, clinical governance leads, mental health leads, and lay board members.
main outcome measuresParticipants' perceptions of the role of clinical governance in PCG/Ts.
resultsPCG/Ts recognise that the successful implementation of clinical governance in general practice will require cultural as well as organisational changes, and the support of practices. They are focusing their energies on supporting practices and getting them involved in quality improvement activities. These activities include, but move beyond, conventional approaches to quality assessment (audit, incentives) to incorporate approaches which emphasise corporate and shared learning. PCG/Ts are also engaged in setting up systems for monitoring quality and for dealing with poor performance. Barriers include structural barriers (weak contractual levers to influence general practices), resource barriers (perceived lack of staff or money), and cultural barriers (suspicion by practice staff or problems overcoming the perceived blame culture associated with quality assessment).
conclusionPCG/Ts are focusing on setting up systems for implementing clinical governance which seek to emphasise developmental and supportive approaches which will engage health professionals. Progress is intentionally incremental but formidable challenges lie ahead, not least reconciling the dual role of supporting practices while monitoring (and dealing with poor) performance.
Indexed as
Identifiers
What OpenQuestion holds
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.