Clinical governance: costs and benefits.
نویسنده
چکیده
Dear Editor, Ravaghi et al. should be congratulated for offering a fascinating insight into the views of senior managers on the implementation of clinical governance (1). Clearly many had experience of challenges in implementation and there were different types of challenges. However, a common theme ran through many of the challenges, and that theme is one of cost. The managers did not mention cost explicitly but the issue was clearly implicit. They spoke of the need for more resources, support and staff engagement—all of which are associated with costs. We would do well to ask outright: what are the costs of implementing clinical governance? Such costs are likely to be significant, and are likely to be made up of all the components of clinical governance including, as the authors outline, “clinical effectiveness, clinical audit, risk management, patient and public involvement, education and training, staff management, and use of information” (2). Each of these is expensive—not least education and training of staff. To justify such costs, healthcare systems need to see real outcomes from clinical governance in terms of improved quality of care for patients and the public. Perhaps this perspective should make us re-focus our clinical governance efforts upon clinical quality improvement and cost efficiency. Clinical quality improvement may in fact go hand in hand Kieran Walsh* Letter to Editor http://ijhpm.com Int J Health Policy Manag 2014, 2(3), 149
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ورودعنوان ژورنال:
- International journal of health policy and management
دوره 2 3 شماره
صفحات -
تاریخ انتشار 2014