Gauld Robin, Horsburgh Simon
Centre for Health Systems, Department of Preventive and Social Medicine, University of Otago, PO Box 56, Dunedin 9054, New Zealand.
J Public Health (Oxf). 2016 Jun;38(2):363-70. doi: 10.1093/pubmed/fdv045. Epub 2015 Apr 12.
Clinical governance has been promoted in recent years as core to improving patient safety. Effective clinical governance requires partnerships between 'management' and health professionals as well as equal involvement of all professional groups. Professionals must also be willing to engage in clinical governance activities such as working to improve care systems and patient safety. There is limited research into the relative understanding of core clinical governance concepts amongst different professional groups or the extent to which professionals are prepared to take up opportunities to 'change the system'.
A 2012 national survey study of health professionals employed in New Zealand health boards sought to probe understanding of and commitment to clinical governance following introduction of a 2009 policy.
Respondent data showed only limited policy implementation had occurred. Regression analyses revealed statistically significant differences in perceptions of knowledge of clinical governance concepts and structures by gender, age, experience and profession, as well as in seeking opportunities to change the system.
These findings have implications for policy makers in terms of ensuring that clinical governance implementation provides equal opportunity for engendering involvement of different health professionals.
近年来，临床治理作为改善患者安全的核心得到了推广。有效的临床治理需要“管理层”与卫生专业人员之间建立伙伴关系，以及所有专业团体的平等参与。专业人员还必须愿意参与临床治理活动，例如致力于改善护理系统和患者安全。关于不同专业团体对核心临床治理概念的相对理解，或者专业人员准备好抓住“改变系统”机会的程度，相关研究有限。
2012年对受雇于新西兰卫生局的卫生专业人员进行的一项全国性调查研究，旨在探究在2009年政策出台后对临床治理的理解和承诺。
受访者数据显示政策实施程度有限。回归分析表明，在对临床治理概念和结构的认识、按性别、年龄、经验和专业划分，以及在寻求改变系统的机会方面，存在统计学上的显著差异。
这些发现对政策制定者具有启示意义，即要确保临床治理的实施为不同卫生专业人员的参与提供平等机会。
