ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2002
A qualitative study of the cultural changes in primary care organisations needed to implement clinical governance.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- 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 of implementing the chronic care model in primary care: a systematic review.BMC family practice · 2015Pooled it
- Facilitators and barriers to implementing quality measurement in primary mental health care: Systematic review.Canadian family physician Medecin de famille canadien · 2010Pooled it
- A systematic scoping review of published qualitative research pertaining to the field of perioperative anesthesiology.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021Article
- Establishing clinical governance model in primary health care: A systematic review.Journal of education and health promotion · 2021Review
- A pay for performance scheme in primary care: Meta-synthesis of qualitative studies on the provider experiences of the quality and outcomes framework in the UK.BMC family practice · 2020Article
- Governance of Iranian Primary Health Care System: Perceptions of Experts.Iranian journal of public health · 2019Article
- The long way ahead to achieve an effective patient safety culture: challenges perceived by nurses.BMC health services research · 2018Article
- Success rate evaluation of clinical governance implementation in teaching hospitals in Kerman (Iran) based on nine steps of Karsh's model.Electronic physician · 2017Article
- Implementing clinical governance in Isfahan hospitals: Barriers and solutions, 2014.Journal of education and health promotion · 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
- Assessment of Clinical Risk Management System in Hospitals: An Approach for Quality Improvement.Global journal of health science · 2015Article
- "My approach to this job is...one person at a time": Perceived discordance between population-level quality targets and patient-centred care.Canadian family physician Medecin de famille canadien · 2014Article
- Primary care quality improvement from a practice facilitator's perspective.BMC family practice · 2014Article
- Can the theoretical domains framework account for the implementation of clinical quality interventions?BMC health services research · 2013Article
- OPTIGOV - A new methodology for evaluating Clinical Governance implementation by health providers.BMC health services research · 2010Article
- Organizational culture, team climate and diabetes care in small office-based practices.BMC health services research · 2008Article
- Beyond the limits of clinical governance? The case of mental health in English primary care.BMC health services research · 2008Article
- Managing change in the culture of general practice: qualitative case studies in primary care trusts.BMJ (Clinical research ed.) · 2003Article
- A qualitative study to explore influences on general practitioners' decisions to prescribe new drugs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is commony claimed that changing the culture of health organisations is a fundamental prerequisite for improving the National Health Service (NHS). Little is currently known about the nature or importance of culture and cultural change in primary care groups and trusts (PCG/Ts) or their constituent general practices.
aimsTo investigate the importance of culture and cultural change for the implementation of clinical governance in general practice by PCG/Ts, to identify perceived desirable and undesirable cultural attributes of general practice, and to describe potential facilitators and barriers to changing culture.
designQualitative: case studies using data derived from semi-structured interviews and review of documentary evidence.
settingFifty senior non-clinical and clinical managers from 12 purposely sampled PCGs or trusts in England.
resultsSenior primary care managers regard culture and cultural change as fundamental aspects of clinical governance. The most important desirable cultural traits were the value placed on a commitment to public accountability by the practices, their willingness to work together and learn from each other, and the ability to be self-critical and learn from mistakes. The main barriers to cultural change were the high level of autonomy of practices and the perceived pressure to deliver rapid measurable changes in general practice.
conclusionsThe culture of general practice is perceived to be an important component of health system reform and quality improvement. This study develops our understanding of a changing organisational culture in primary care; however, further work is required to determine whether culture is a useful practical lever for initiating or managing improvement.
Indexed as
Identifiers
12171222PMC1314382W2165596668What 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.