Dobrow Mark J, Sullivan Terrence, Sawka Carol
Cancer Services and Policy Research Unit, Cancer Care Ontario, Canada.
Healthc Manage Forum. 2008 Autumn;21(3):6-19. doi: 10.1016/S0840-4704(10)60269-4.
This paper presents a narrative review of the literature on clinical accountability, and draws particularly on England's experience establishing "clinical governance" as a base to examine the establishment of a clinical accountability framework for cancer services in Ontario. The review suggests that clinical governance and accountability approaches that actively mesh clinical and administrative approaches at both system and local levels are more likely to be effective in improving quality of care.
本文对有关临床问责制的文献进行了叙述性综述，尤其借鉴了英格兰建立 “临床治理” 的经验，以此为基础审视安大略省癌症服务临床问责制框架的建立。该综述表明，在系统和地方层面积极融合临床与管理方法的临床治理和问责制方法，更有可能有效提高医疗质量。
