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Int J Health Plann Manage. 2019 Apr;34(2):e1293-e1301. doi: 10.1002/hpm.2774. Epub 2019 Mar 29.

Administrative challenges of clinical governance in military and university hospitals of Kerman/Iran.

Author information

1
Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran.
2
Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
3
Department of Health Management, Policy and Economics, School of Public Health, Bam University of Medical Sciences, Bam, Iran.
4
Environmental Health Engineering Research center, Kerman University of Medical Sciences, Kerman, Iran.

Abstract

BACKGROUND:

Over the recent years, clinical governance model has been applied to improve the quality of university and private hospitals in Iran. In addition to university hospitals, military hospitals have an effective role in the preservation and promotion of public health. The challenges of clinical governance implementation have not been investigated in such settings. Hence, the present study objective is to identify the administrative challenges of clinical governance in military and university hospitals of Kerman/Iran METHODS: This qualitative study was carried out through phenomenology in 2017. A sample of managers and experts in the implementation and execution of clinical governance was purposefully selected from three university hospitals and three military hospitals in Kerman, Iran. A total of 39 managers and experts were interviewed, and data were gathered via semistructured interviews with open questions. For data analysis, conventional content analysis method was employed.

RESULTS:

In this study, five main codes and 17 subcodes were obtained. Main codes were structural challenges, educational challenges, limitations, evaluation, and human resource challenges.

CONCLUSIONS:

Clinical governance is being implemented hastily with no appropriate structural, financial, and training facilities, ensuing a waste of resources, more difficult work for staff and a negative view of personnel.

KEYWORDS:

challenges; clinical governance; military hospitals; university hospitals

PMID:
30924978
DOI:
10.1002/hpm.2774

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