A reflection on the practical implementation of the clinical governance framework in the Cape Winelands District of the Western Cape

被引:4
作者
Gunst, Colette [1 ,2 ]
Mash, Robert J. [1 ]
Phillips, Lizette Cathleen [2 ]
机构
[1] Univ Stellenbosch, Dept Family Med & Primary Care, Stellenbosch, South Africa
[2] Cape Winelands Dist Western Cape Govt Hlth, Western Cape, South Africa
关键词
clinical governance; family physician; health care quality; primary health care;
D O I
10.1080/20786190.2016.1151642
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Primary health care is seen as the 'linchpin of effective health care delivery' by the Western Cape Government Health services and improving the quality of primary care, through clinical governance, is a key aspect of realising this vision. This article aims to provide an outline of the provincial clinical governance framework and to reflect on the experience and lessons learnt within the semi-rural Cape Winelands District in implementing this framework. Strategies that were used included the establishment of district clinical governance meetings; leadership development of both managers and family physicians, defining clinical governance activities and using routine monitoring and evaluation meetings as part of quality improvement cycles; developing clinicians competent to address the burden of disease; and focusing on establishing a primary health care approach in the district. Lessons learnt included that activities should take place within a supportive organisational culture with a focus on continuous quality improvement at all levels of the health system. A systematic approach to planning clinical governance at the district level should be balanced with a localised approach to encourage reflection, engagement and change. Recommendations for further implementation of clinical governance in the district are listed.
引用
收藏
页码:236 / 241
页数:6
相关论文
共 30 条
  • [1] Baily MA, 2006, HASTINGS CENT REP, V36, P4
  • [2] A model for clinical governance in primary care groups
    Baker, R
    Lakhani, M
    Fraser, R
    Cheater, F
    [J]. BRITISH MEDICAL JOURNAL, 1999, 318 (7186) : 779 - 783
  • [3] Bhutta Z, 2010, LANCET, V376, P1375
  • [4] Bohmer MJ, N ENGL J MED, V368, P1468
  • [5] Adaptation and cross-cultural validation of the United States Primary Care Assessment Tool (expanded version) for use in South Africa
    Bresick, Graham
    Sayed, Abdul-Rauf
    le Grange, Cynthia
    Bhagwan, Susheela
    Manga, Nayna
    [J]. AFRICAN JOURNAL OF PRIMARY HEALTH CARE & FAMILY MEDICINE, 2015, 7 (01)
  • [6] Burch V, 2011, SAMJ S AFR MED J, V101, P25
  • [7] Campbell SM, 2002, BRIT J GEN PRACT, V52, pS12
  • [8] Capra F, 2014, SYSTEMS VIEW LIFE
  • [9] Connell L, 2014, CLIN GOVERNANCE HDB
  • [10] The role of clinic visits: perceptions of doctors
    Couper, I. D.
    Hugo, J. F. M.
    Van Deventer, W. V.
    [J]. SOUTH AFRICAN FAMILY PRACTICE, 2005, 47 (08) : 60 - 65