Consultants' attitudes to clinical governance: Barriers and incentives to engagement

Public Health

Volumn 121, Issue 8, 2007, Pages 614-622

  Hogan, H ^a   Basnett, I ^a   McKee, M ^a  

^a LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

Author keywords

Attitudes; Barriers; Clinical governance; Quality improvement; Specialists

Indexed keywords

ATTITUDINAL SURVEY; GOVERNANCE APPROACH; HEALTH SERVICES; HOSPITAL SECTOR; MANAGEMENT PRACTICE; MEDICAL GEOGRAPHY; PUBLIC ATTITUDE;

ARTICLE; CONSULTATION; CONTROLLED STUDY; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HEALTH PERSONNEL ATTITUDE; HOSPITAL MANAGEMENT; HOSPITAL PERSONNEL; HUMAN; INTERPERSONAL COMMUNICATION; MEDICAL SPECIALIST; PUBLIC RELATIONS; SEMI STRUCTURED INTERVIEW;

ATTITUDE OF HEALTH PERSONNEL; GREAT BRITAIN; HEALTH SERVICES RESEARCH; HUMANS; INTERPROFESSIONAL RELATIONS; MEDICAL STAFF, HOSPITAL; ORGANIZATIONAL CULTURE; ORGANIZATIONAL OBJECTIVES; QUALITY ASSURANCE, HEALTH CARE; STATE MEDICINE;

EID: 34250863848     PISSN: 00333506     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.puhe.2006.12.013     Document Type: Article

References (29)

1. Smith R. All changed, all changed utterly. BMJ 316 (1998) 1917-1918
2. Secretary of State for Health. A first class service: quality in the new NHS (1998), Department of Health, London
3. Department of Health. Clinical governance in the new NHS, HSC 1999/065 (1999), HMSO, London
4. Wallace L., Freeman T., Latham L., Walshe K., and Spurgeon P. Organisational strategies for changing clinical practice: how trusts are meeting the challenges of clinical governance. Qual Health Care 10 (2001) 76-82
5. Campbell S.M., Sheaff R., Sibbald B., Marshall M.N., Pickard S., Gask L., et al. Implementing clinical governance in English primary care groups/trusts: reconciling quality-improvement and quality assurance. Qual Saf Health Care 11 (2002) 9-14
6. Johnston G., Crombie I., Davies H., and Millard A. Reviewing audit: barriers and facilitating factors for effective clinical audit. Qual Health Care 9 (2000) 23-36
7. Hayward J., Rosen R., and Dewar S. Clinical governance: thin on the ground. Health Serv J 109 (1999) 26-27
8. Freeman T., and Walshe K. Achieving progress through clinical governance? A national study of health care managers' perceptions in the NHS in England. Qual Saf Health Care 13 (2004) 395-399
9. Weiner B., Shortell S., and Alexander J. Promoting clinical involvement in hospital quality-improvement efforts: the effects of top management, board and physician leadership. Health Serv Res 32 (1997) 491-510
10. Blumenthal D., and Kilo C. A report card on continuous quality-improvement. Milbank Q 76 (1998) 625-648
11. Black N., and Thompson E. Obstacles to medical audit: British doctors speak. Soc Sci Med 36 (1993) 849-856
12. Morrison P., and Heineke J. Why do health practitioners resist quality management?. Qual Prog 25 (1992) 51-55
13. Ham C., Kipping R., and McLeod H. Redesigning work processes in health care: lessons from the National Health Service. Milbank Q 81 (2003) 415-439
14. Denis J., Lamouthe L., and Langley A. The dynamics of collective leadership and strategic change in pluralistic organizations. Acad Manage J 44 (2001) 809-837
15. Locock L. Redesigning health care: new wine from old bottles?. J Health Serv Res Policy 8 (2003) 120-122
16. Shortall S., Bennett C., and Byck G. Assessing the impact of continuous quality-improvement on clinical practice: what will it take to accelerate progress. Milbank Q 76 (1998) 593-624
17. Spooner A., Chapple A., and Roland M. What makes British general practitioners take part in a quality-improvement scheme?. J Health Serv Res Policy 6 (2001) 145-150
18. Walshe K., and Freeman T. Effectiveness of quality-improvement: learning from evaluations. Qual Saf Health Care 11 (2002) 85-87
19. Ritchie J., and Spencer L. Qualitative data analysis in policy research. In: Bryman A., and Burgess R. (Eds). Analysing qualitative data (1994), Routledge, London
20. O'Brien J., Shortall S., and Hughes E. A integrative model for organisation wide quality-improvement lessons from the field. Qual Manage Health Care 3 (1995) 19-30
21. Fulop N., Protopsaltis G., King A., Allen P., Hutchings A., and Normand C. Changing organisations: a study of the context and process of mergers of health care providers in England. Soc Sci Med 60 (2005) 119-130
22. Scherer J. Corporate culture, turning 'us' versus 'them' into 'we'. Hosp Health Netw 5 (1994) 20-27
23. Gerowitz M.B., Lemieux-Charles L., Heginbothan C., and Johnson B. Top management culture and performance in Canadian, UK and US hospitals. Health Serv Manage Res 9 (1996) 69-78
24. Deal T., and Kennedy A. The new corporate cultures (1999), Perseus Books Publishing, New York
25. Garside P., and Rice J. Merger mania. Health Serv J 104 (1994) 22-24
26. Beer M., Eisenstat R., and Spencer B. Why change programs don't produce change. Harvard Bus Rev 68 (1990) 158-166
27. In: Nadler D. (Ed). Concepts for the management of organisational change (1993), Paul Chapman, London
28. Davies H., Nutley S., and Mannion R. Organisational culture and quality of health care. Qual Health Care 9 (2000) 111-119
29. Fulop N., Protopsaltis G., Hutchings A., King A., Allen P., Normand C., et al. Process and impact of mergers of NHS trusts: multi centre case study and management cost analysis. BMJ 325 (2002) 246-249