Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Int J Health Plann Manage. 2019 Apr;34(2):e1293-e1301. doi: 10.1002/hpm.2774. Epub 2019 Mar 29.
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.
In this study, five main codes and 17 subcodes were obtained. Main codes were structural challenges, educational challenges, limitations, evaluation, and human resource challenges.
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.
近年来，临床治理模式已被应用于提高伊朗大学和私立医院的质量。除了大学医院，军队医院在维护和促进公共卫生方面也发挥着积极作用。然而，在这些医疗机构中，临床治理实施的挑战尚未得到调查。因此，本研究旨在确定伊朗克尔曼省军队和大学医院临床治理的行政挑战。
这是一项于 2017 年开展的质化研究，通过现象学方法进行。本研究从伊朗克尔曼的三家大学医院和三家军队医院中，有针对性地选择了实施和执行临床治理方面的管理人员和专家作为研究对象。共对 39 名管理人员和专家进行了访谈，通过开放式问题的半结构式访谈收集数据。采用常规内容分析法进行数据分析。
本研究获得了五个主要代码和 17 个子代码。主要代码包括结构挑战、教育挑战、限制因素、评估和人力资源挑战。
仓促实施临床治理，缺乏适当的结构、财务和培训设施，导致资源浪费、员工工作更加困难，以及人员的负面看法。
