Clinical governance in the Irish health system – a review of progress. Issue 4 (30th September 2014)

• Record Type: Journal Article
• Authors: McAuliffe, Eilish
• Is Part Of: Clinical governance. Volume 19:Issue 4(2014)
• Page Start: 296
• Page End: 313
• Publication Date: 2014-09-30
• Subjects: Medical care -- Quality control -- Periodicals; Medical care -- Evaluation -- Periodicals; Outcome assessment (Medical care) -- Periodicals; Medical care -- Finance -- Periodicals; 362.1068
• DOI: 10.1108/CGIJ-09-2014-0029
• Languages: English
• ISSNs: 1477-7274

Abstract

<abstract> <title> <x content-type="archive" xml:space="preserve">Abstract</x> </title> <sec> <title content-type="abstract-heading">Purpose</title> <p> – The purpose of this paper is to explain the path that the Irish health system has taken towards achieving good clinical governance, exploring the historical influences on its' development, some of the major initiatives that have been implemented and the obstacles that have been encountered. </p> </sec> <sec> <title content-type="abstract-heading">Design/methodology/approach</title> <p> – The paper draws on the author's experience researching and teaching in health systems and healthcare management. </p> </sec> <sec> <title content-type="abstract-heading">Findings</title> <p> – The paper offers some explanations for why earlier attempts failed to change the system as well as why recent attempts have met with more success. Greater efforts need to be made to progress clinical governance in the primary care services. In addition it is argued that there is a need to institute systems that enable learning form errors, to involve the public and patient groups and to invest in research that enables answers to the how and why questions that are so often neglected in the reform process. </p> </sec> <sec> <title content-type="abstract-heading">Originality/value</title> <p> – The paper discusses clinical governance in the Irish Health system and identifies some of the challenges yet to be addressed, many of which are common to clinical governance efforts in other jurisdictions.</p> </sec> </abstract>