The world of healthcare is changing, and patient needs are changing with it. Traditional doctor-driven models of workforce planning are no longer sustainable in the United Kingdom (UK) healthcare economy, and newer models are needed. In the multiprofessional, multiskilled clinical workforce of the future, the physician associate (PA) has a fundamental role to play as an integrated, frontline, g...

We advocate the use of multimodel-driven software engineering for the principled evolution of enterprise systems whose stakeholder concerns are captured using multiple interdependent models. Enterprise systems that evolve are increasingly common in healthcare, transportation, e-government and defense. These important systems must be regularly extended with new components satisfying interdepende...

Over the past three years I have had the opportunity to be involved in two integration projects regarding cancer services. Both projects crossed jurisdictional, geographical and healthcare-provider boundaries and used cooperation and collaboration to work toward the goal of an integrated, quality, multi-disciplinary, seamless, patient-centred approach to cancer care. The projects have provided ...

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 ...

BACKGROUND Health systems worldwide are increasingly holding boards of healthcare organisations accountable for the quality of care that they provide. Previous empirical research has found associations between certain board practices and higher quality patient care; however, little is known about how boards govern for quality improvement (QI). METHODS We conducted fieldwork over a 30-month pe...

Corruption in health systems is a problem around the world. Prior research consistently shows that corruption is detrimental to population health. Yet public health professionals are slow to address this complicated issue on a global scale. In the editorial entitled “We Need to Talk About Corruption in Health Systems” concern with the general lack of discourse on this topic amongst health profe...

good governance is a term indicating the change of paradigm of state and government roles which prepares the way for equal participation for all citizens in decision making process, revealing this reality that governance belongs to public and is organized by them. on the other hand, e-government is a powerful instrument which causes the better public service, decrease of waste time, improvement...

Background Quality improvement should be assigned as the main mission for healthcare providers. Clinical Governance (CG) is used not only as a strategy focusing on responding to public and government’s intolerance of poor healthcare standards, but also it is implemented for quality improvement in a number of countries. This study aims to identify the key contributing factors in the implementati...

OBJECTIVE Clinical decision support (CDS) is a powerful tool for improving healthcare quality and ensuring patient safety; however, effective implementation of CDS requires effective clinical and technical governance structures. The authors sought to determine the range and variety of these governance structures and identify a set of recommended practices through observational study. DESIGN T...

introduction: despite advances in science and technology, still some natural hazards such as earthquakes cannot be predicted accurately. however, with appropriate knowledge, accurate planning and necessary predictions, we can decrease the mortality and financial losses of such disasters. therefore, attitude and preparedness of healthcare managers toward earthquake can have an important role in ...