Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1397
11
1
gregorian
2019
2
1
33
1
online
1
fulltext
en
Prioritizing barriers to implement clinical governance in teaching hospitals of Iran: A mixed method study
Health System
Health System
Original Research
Original Research
<div dir="ltr"><strong>Background: </strong>Clinical governance, as a program to improve the quality of health care, was introduced in all hospitals in Iran in 2009. However, implementation assessments revealed that the program was not adopted in many hospitals. This study aimed to determine and prioritize barriers to clinical governance program implementation in hospitals of Shahid Beheshti University of Medical Sciences.<br>
<strong>Methods:</strong> This qualitative study was performed in the first part of this exploratory mixed methods study. A purposive sample of 25 individuals who were involved in the implementation of the program was selected. They participated in semi-structured interviews and the data were analyzed using content analysis. In the second part (quantitative), a questionnaire was prepared based on the first phase of the study, and 74 stakeholders completed the questionnaire, which included all extracted obstacles to the establishment of clinical governance. They rated these obstacles with a 5-point Likert scale.<br>
<strong>Results:</strong> A total of 9 themes were discovered in the qualitative part of the study. These themes were prioritized as follow: (1) weak organizational leadership, (2) insufficient human resources, (3) inappropriate organizational culture, (4) inadequate financial resources, (5) insufficient knowledge of personnel and management, (6) inappropriate monitoring and evaluation, (7) lack of coordination (8) deficiencies in policies and procedures, and (9) incomplete registration system and inadequate documentation.<br>
<strong>Conclusion: </strong>The results of this study showed that significant barriers exist in implementation of the clinical governance program in hospitals. These problems have to be addressed in order for the implementation procedure to be successful.<br>
<br>
</div>
Hospital, Clinical governance, Qualitative study, Barrier, Prioritize
854
861
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-358-2&slc_lang=en&sid=1
Abbas
Ziari
abbas.ziari@yahoo.com
200319475328460062236
200319475328460062236
No
Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran
Maryam
Rassouli
rassouli.m@gmail.com
200319475328460062237
200319475328460062237
No
Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Fariba
Mirbaha-Hashemi
faribamirbaha@yahoo.com
200319475328460062238
200319475328460062238
No
Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
Mohammad Ali
Heidarnia
maheidarnia@gmail.com
200319475328460062239
200319475328460062239
No
Department of Community Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Kambiz
Abachizadeh
k.abachizadeh@sbmu.ac.ir
200319475328460062240
200319475328460062240
Yes
Department of Community Medicine, School of Medicine, & Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran