de Belvis A G, Biasco A, Pelone F, Romaniello A, De Micco F, Volpe M, Ricciardi W
Istituto di Igiene, Università Cattolica del Sacro Cuore, Roma.
Ann Ig. 2009 Mar-Apr;21(2):117-26.
The objective of our research is to report on the diffusion of Clinical Governance, as introduced with the National Health Plan 2006-2008, by analysing the planning instruments set up by each Region (Regional Health Plans and Emergency Plans in regions with budget deficit), the organizational frameworks (Atti Aziendali, firm acts), and the surveys on performance and quality of healthcare among the Italian Local Health Units (Health Surveys). Our research was realized on September-December 2007 and consisted of the collection of all retrieved documents available on the web and on the online public access catalog (OPAC SBN) of the National Library Service. Futhermore, each document has been classified and analysed according to Chambers' Clinical Governance definition. A descriptive statistical and inferential analysis by applying the Chi-2 Test was performed to test the correlation between the diffusion of such a classified documents and the geographical partition of each LHU. Our results show a scarce diffusion of Firm acts (43%) and Health Surveys (24.9% of the total). Any remind to Clinical Governance instruments and methods inside each document resulted even poorer among both the organizational and performance surveys and the regional health planning frameworks, respectively.
我们研究的目的是，通过分析各地区设立的规划工具（预算赤字地区的区域卫生计划和应急计划）、组织框架（企业行为）以及意大利地方卫生单位的医疗保健绩效与质量调查（卫生调查），来报告《2006 - 2008年国家卫生计划》所引入的临床治理的推广情况。我们的研究于2007年9月至12月开展，包括收集在网络以及国家图书馆服务的在线公共访问目录（OPAC SBN）上检索到的所有可用文件。此外，每份文件都根据钱伯斯的临床治理定义进行了分类和分析。通过应用卡方检验进行了描述性统计和推断性分析，以检验此类分类文件的推广与每个地方卫生单位地理划分之间的相关性。我们的结果显示，企业行为（43%）和卫生调查（占总数的24.9%）的推广程度较低。在每份文件中提及临床治理工具和方法的情况，在组织和绩效调查以及区域卫生规划框架中分别更为少见。
