The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies
Abstract Background Policy- and decision-makers seek to improve the quality of care in the health sector and therefore aim to improve quality through appropriate policies. Higher quality of care will satisfy service providers and the public, reduce costs, increase productivity, and lead to better or...
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doaj-4c2556fb081147aab962589c6e1705432020-11-25T02:44:09ZengBMCHealth Research Policy and Systems1478-45052019-01-0117111410.1186/s12961-018-0399-5The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studiesMasoud Behzadifar0Nicola Luigi Bragazzi1Morteza Arab-Zozani2Ahad Bakhtiari3Meysam Behzadifar4Tina Beyranvand5Negar Yousefzadeh6Samad Azari7Haniye Sadat Sajadi8Mandana Saki9Maryam Saran10Hasan Abolghasem Gorji11Social Determinants of Health Research Center, Lorestan University of Medical SciencesDepartment of Health Sciences (DISSAL), School of Public Health, University of GenoaIranian Center of Excellence in Health Management, Department of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical SciencesDepartment of Health Economics and Management, School of Public Health, Tehran University of Medical SciencesDepartment of Epidemiology, Faculty of Health & Nutrition, Lorestan University of Medical SciencesDepartment of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical SciencesDepartment of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical SciencesHealth Management and Economics Research Center, Iran University of Medical SciencesNational Institute of Health Research, Tehran University of Medical SciencesSocial Determinants of Health Research Center, Lorestan University of Medical SciencesSocial Determinants of Health Research Center, Lorestan University of Medical SciencesDepartment of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical SciencesAbstract Background Policy- and decision-makers seek to improve the quality of care in the health sector and therefore aim to improve quality through appropriate policies. Higher quality of care will satisfy service providers and the public, reduce costs, increase productivity, and lead to better organisational performance. Clinical governance is a method through which management can be improved and made more accountable, and leads to the provision of better quality of care. In November 2009, the Iranian Ministry of Health and Medical Education implemented new clinical guidelines to standardise and improve clinical services as well as to increase efficiency and reduce costs. The purpose of this study was to assess the challenges of implementing clinical governance through a meta-synthesis of qualitative studies published in Iran. Methods Ten databases, including ISI/Web of Sciences, PubMed/MEDLINE, Embase, PsycINFO, the Cochrane Library, CINAHL, Scopus, Barakatns, MagIran and the Scientific Information Database, were searched between January 2009 and May 2018. The quality of the included studies was assessed using the Critical Appraisal Skills Programme tool. This study was reported according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research guidelines. Thematic synthesis was used to analyse the data. Results Ten studies were selected and included based on the inclusion/exclusion criteria. In the first stage, 75 items emerged and were coded, and, following comparison and combination of the codes, 32 codes and 8 themes were finally extracted. These themes included health system structure, management, person-power, cultural factors, information and data, resources, education and evaluation. Conclusion The findings of the study showed that there exist a variety of challenges for the implementation of clinical governance in Iran. To successfully implement a health policy, its infrastructure needs to be created. Using the views and support of stakeholders can ensure that a policy is well implemented. Trial registration CRD42017079077. Dated October 10, 2017.http://link.springer.com/article/10.1186/s12961-018-0399-5Clinical governancechallengesIranmeta-synthesis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Masoud Behzadifar Nicola Luigi Bragazzi Morteza Arab-Zozani Ahad Bakhtiari Meysam Behzadifar Tina Beyranvand Negar Yousefzadeh Samad Azari Haniye Sadat Sajadi Mandana Saki Maryam Saran Hasan Abolghasem Gorji |
spellingShingle |
Masoud Behzadifar Nicola Luigi Bragazzi Morteza Arab-Zozani Ahad Bakhtiari Meysam Behzadifar Tina Beyranvand Negar Yousefzadeh Samad Azari Haniye Sadat Sajadi Mandana Saki Maryam Saran Hasan Abolghasem Gorji The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies Health Research Policy and Systems Clinical governance challenges Iran meta-synthesis |
author_facet |
Masoud Behzadifar Nicola Luigi Bragazzi Morteza Arab-Zozani Ahad Bakhtiari Meysam Behzadifar Tina Beyranvand Negar Yousefzadeh Samad Azari Haniye Sadat Sajadi Mandana Saki Maryam Saran Hasan Abolghasem Gorji |
author_sort |
Masoud Behzadifar |
title |
The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies |
title_short |
The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies |
title_full |
The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies |
title_fullStr |
The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies |
title_full_unstemmed |
The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies |
title_sort |
challenges of implementation of clinical governance in iran: a meta-synthesis of qualitative studies |
publisher |
BMC |
series |
Health Research Policy and Systems |
issn |
1478-4505 |
publishDate |
2019-01-01 |
description |
Abstract Background Policy- and decision-makers seek to improve the quality of care in the health sector and therefore aim to improve quality through appropriate policies. Higher quality of care will satisfy service providers and the public, reduce costs, increase productivity, and lead to better organisational performance. Clinical governance is a method through which management can be improved and made more accountable, and leads to the provision of better quality of care. In November 2009, the Iranian Ministry of Health and Medical Education implemented new clinical guidelines to standardise and improve clinical services as well as to increase efficiency and reduce costs. The purpose of this study was to assess the challenges of implementing clinical governance through a meta-synthesis of qualitative studies published in Iran. Methods Ten databases, including ISI/Web of Sciences, PubMed/MEDLINE, Embase, PsycINFO, the Cochrane Library, CINAHL, Scopus, Barakatns, MagIran and the Scientific Information Database, were searched between January 2009 and May 2018. The quality of the included studies was assessed using the Critical Appraisal Skills Programme tool. This study was reported according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research guidelines. Thematic synthesis was used to analyse the data. Results Ten studies were selected and included based on the inclusion/exclusion criteria. In the first stage, 75 items emerged and were coded, and, following comparison and combination of the codes, 32 codes and 8 themes were finally extracted. These themes included health system structure, management, person-power, cultural factors, information and data, resources, education and evaluation. Conclusion The findings of the study showed that there exist a variety of challenges for the implementation of clinical governance in Iran. To successfully implement a health policy, its infrastructure needs to be created. Using the views and support of stakeholders can ensure that a policy is well implemented. Trial registration CRD42017079077. Dated October 10, 2017. |
topic |
Clinical governance challenges Iran meta-synthesis |
url |
http://link.springer.com/article/10.1186/s12961-018-0399-5 |
work_keys_str_mv |
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