Clinical governance: an assessment of New Zealand's approach and performance

Robin Gauld; Simon Horsburgh

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Clinical governance: an assessment of New Zealand's approach and performance

机译：临床治理：对新西兰方法和绩效的评估

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Purpose - Clinical governance policy initiatives have been introduced in many countries and health systems. How to assess development is an important question. The purpose of this paper is to describe and reflect upon the approach taken in New Zealand. Design/methodology/approach - New Zealand's clinical governance policy of 2009 and its implementation through its public health care system are outlined. The authors' assessments, in 2010 and 2012, of this policy are described and key findings summarised. Findings - The implementation of the policy was swift, with considerable commitment across the public health care system to this. The quantitative assessments found reasonable developmental progress between 2010 and 2012. Case studies undertaken in 2012 indicated various areas that policy makers should attend to or build upon in order to better support clinical governance development. Research limitations/implications - Key lessons from New Zealand's clinical governance experience, based on the assessments, include the need for: a well-defined definition of clinical governance; resource materials that can be used by those involved in clinical governance development; recognition that clinical governance development is complicated and takes time; and commitment to new leadership and organisational arrangements. Originality/value - This paper provides useful lessons for policy makers pursuing clinical governance development, derived from two rounds of assessment in New Zealand.

机译：目的-临床治理政策倡议已在许多国家和卫生系统中引入。如何评估发展是一个重要的问题。本文的目的是描述和反思新西兰采取的方法。设计/方法/方法-概述了2009年新西兰的临床治理政策及其通过公共卫生保健系统的实施情况。描述了作者在2010年和2012年对该政策的评估，并总结了主要发现。调查结果-该政策的执行迅速，整个公共卫生保健系统对此做出了相当大的承诺。定量评估发现2010年至2012年间在发展方面取得了合理的进展。2012年进行的案例研究表明，决策者应注意或依靠的各个领域，以便更好地支持临床治理的发展。研究的局限性/意义-基于评估的新西兰临床治理经验的主要教训包括：对临床治理的明确定义；可供临床治理开发人员使用的资源材料；认识到临床治理的发展很复杂并且需要时间；并致力于新的领导和组织安排。原创性/价值-本文从新西兰的两轮评估中为决策者追求临床治理发展提供了有益的经验教训。

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《Clinical governance》 |2015年第1期|2-12|共11页
作者
Robin Gauld; Simon Horsburgh;
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作者单位

Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand;

Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand;

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正文语种 eng
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关键词
Assessment; New Zealand; Clinical governance; Survey; Case studies;

机译：评定;新西兰;临床治理;调查;实例探究;

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Clinical governance: an assessment of New Zealand's approach and performance

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