. Masoud Ferdosi; . Farhad Bahman Ziyari; . Mehran Nemat Ollahi; . Amaneh Rahim Salmani; . Noureddin Niknam
Volume 6, Issue 1 , 2016, , Pages 1-9
Abstract
Introduction: In the new approach, all health care providers have been obligated to maintainand improve the quality and have been accountable for it. One of the ways is the implementationof ...
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Introduction: In the new approach, all health care providers have been obligated to maintainand improve the quality and have been accountable for it. One of the ways is the implementationof clinical governance (CG). More accurate understanding of its challenges can help to improveits performance. Aims: In this study, barriers of CG implementation are investigated fromthe perspective of the hospitals involved. Besides, some solutions are suggested based onstakeholders’ opinions. Materials and Methods: This study used combined method (qualitativecontent analysis and questionnaire) in hospitals affiliated to Isfahan University of MedicalSciences in 2014. First, experts, and stakeholders talked about CG implementation obstaclesin a semi‑structured interview. Interviews were confirmed by the interviewee (double check).After analyzing the interviews using reduction coding the questionnaire was drawn up. Thequestionnaire “validity was confirmed by Cronbach’s alpha (0/891)” and its reliability wasobtained using experts confirmation. Data analyzing was performed using SPSS (18) software.Results: According to results staffing and management factors were the main obstacles.After them, were factors related to organizational culture, infrastructure elements, information,sociocultural and then process factors. The learning barriers were in final rank. Thirty‑foursolutions was proposed by experts and divided into subset of eight major barriers. Most solutionswere offered on modifying processes and minimal solutions about modifying of organizationalculture, sociocultural, and educational factors. Conclusion: Removing the obstacles, especiallymanagement and human resource factors can be effective by facilitating and accelerating CG.Furthermore, use of experts and stakeholders opinions can help to remove CG barriers.
