Saber Azami-Aghdash1, Jafar Sadegh Tabrizi2, Homayoun Sadeghi-Bazargani3, Sakineh Hajebrahimi4, Mohammad Naghavi-Behzad5. 1. Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran. 2. Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. 3. Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran Homayoun.sadeghi@gmail.com. 4. Department of Urology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. 5. Students' Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract
OBJECTIVE: This study has been designed and conducted to develop domestic indicators for evaluating the performance of clinical governance in dimensions of risk management and clinical effectiveness. DESIGN: This study implemented a 5-stage process including conducting a comprehensive literature review, expert panel (∼ 1000 h per person per session, 11 experts), semi-structured interviews, a 2-round Delphi study (33 experts were in attendance) and a final expert panel (8 experts were in attendance). SETTING: East Azerbaijan-Iran Province. PARTICIPANTS: Fifty-six specialists and experts in different fields of medical sciences. MAIN OUTCOME MEASURES: Importance and applicability of indicators. RESULTS: Using a thorough literature review, 361 indicators (129 risk management indicators in 4 dimensions and 232 clinical effectiveness indicators in 18 dimensions) were found. After conducting expert panels and interviews, the number of indicators decreased to 168 cases (65 risk management indicators in 4 dimensions and 103 clinical effectiveness indicators in 12 dimensions). Two rounds of Delphi identified four indicators that were omitted. The members of the final expert panel agreed on 113 indicators (43 risk management indicators in 4 dimensions and 70 clinical effectiveness indicators in 11 dimensions). CONCLUSION: In this study, indicators for assessing clinical governance in domains of risk management and clinical effectiveness were designed that can be used by policy-makers and other authorities for improving the quality of services and evaluating the performance of clinical governance. Those indicators can be used with slight modifications in other countries having healthcare systems similar to that of Iran.
OBJECTIVE: This study has been designed and conducted to develop domestic indicators for evaluating the performance of clinical governance in dimensions of risk management and clinical effectiveness. DESIGN: This study implemented a 5-stage process including conducting a comprehensive literature review, expert panel (∼ 1000 h per person per session, 11 experts), semi-structured interviews, a 2-round Delphi study (33 experts were in attendance) and a final expert panel (8 experts were in attendance). SETTING: East Azerbaijan-Iran Province. PARTICIPANTS: Fifty-six specialists and experts in different fields of medical sciences. MAIN OUTCOME MEASURES: Importance and applicability of indicators. RESULTS: Using a thorough literature review, 361 indicators (129 risk management indicators in 4 dimensions and 232 clinical effectiveness indicators in 18 dimensions) were found. After conducting expert panels and interviews, the number of indicators decreased to 168 cases (65 risk management indicators in 4 dimensions and 103 clinical effectiveness indicators in 12 dimensions). Two rounds of Delphi identified four indicators that were omitted. The members of the final expert panel agreed on 113 indicators (43 risk management indicators in 4 dimensions and 70 clinical effectiveness indicators in 11 dimensions). CONCLUSION: In this study, indicators for assessing clinical governance in domains of risk management and clinical effectiveness were designed that can be used by policy-makers and other authorities for improving the quality of services and evaluating the performance of clinical governance. Those indicators can be used with slight modifications in other countries having healthcare systems similar to that of Iran.
Authors: Lina Díaz-Castro; María Guadalupe Ramírez-Rojas; Héctor Cabello-Rangel; Ever Sánchez-Osorio; Mauricio Velázquez-Posada Journal: Front Public Health Date: 2022-06-24
Authors: Enrique Jiménez-Rodríguez; José Manuel Feria-Domínguez; Alonso Sebastián-Lacave Journal: Int J Environ Res Public Health Date: 2018-03-30 Impact factor: 3.390