"Wind of change": the role of human centered healthcare factors in the implementation of clinical governance in an Italian University teaching hospital

Maria Lucia Specchia, Antonio De Belvis, Gualtiero Ricciardi, Gianfranco Damiani, Paolo Parente, Maria Avolio, Paolo Parents

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

BACKGROUND: Clinical governance (CG) is an approach to quality improvement in healthcare aimed at achieving a patient-centered health care system. The main objective of this study was to highlight human centered healthcare latent factors underlying the results of a CG assessment performed in the teaching hospital "A. Gemelli" of Rome, Italy. MATERIALS AND METHODS: CG implementation levels were assessed through OPTIGOV© (OPTimizing healthcare GOVernance), a CG scorecard methodology. In order to identify the variables generating latent factors that can influence the governance of the Hospital, the multiple correspondence analysis (MCA) was applied. RESULTS: The application of OPTIGOV© showed a good CG implementation level in the Gemelli Hospital. By applying MCA, the variables aggregated so as to define 3 latent factors (F1: assessment for people oriented improvement strategy; F2: assessment for people targeted management; F3: tracking for timely accountable people) explaining as a whole 82.68% of the total variance and respectively 48.09% (F1), 24.95% (F2) and 9.64% (F3). CONCLUSIONS: The heuristic interpretation of the three latent factors could bring back to the concept of humanization in healthcare. This study shows that in the teaching hospital "A. Gemelli" humanization in healthcare is the driver of health care quality improvement.
Original languageEnglish
Pages (from-to)281-288
Number of pages8
JournalANNALI DELL'ISTITUTO SUPERIORE DI SANITÀ
Volume52
DOIs
Publication statusPublished - 2016

Keywords

  • clinical governance

Fingerprint

Dive into the research topics of '"Wind of change": the role of human centered healthcare factors in the implementation of clinical governance in an Italian University teaching hospital'. Together they form a unique fingerprint.

Cite this