The clinical governance development index: Results from a New Zealand study

  • Robin Gauld*
  • , Simon Horsburgh
  • , Jeff Brown
  • *Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background:
Clinical governance is seen as pivotal to improving healthcare quality, yet there are few available tools for tracking progress on its implementation. With this in mind, the authors developed a Clinical Governance Development Index (CGDI) designed to track performances between healthcare organisations and over time.

Methods:
A survey on implementation of government policy on clinical governance was sent to 3402 New Zealand public hospital specialists. Responses to seven survey items were weighted and combined to form the CGDI. Final scores for each of New Zealand's 21 District Health Boards were converted to percentages.

Results:
The mean CGDI score was 47.3%, with significant differences in performances across the 21 District Health Boards (F(20, 1178)=3.233, p=0.0000). Scores were higher in boards where respondents perceived governing boards and management worked to support clinical leadership.

Conclusion:
The CGDI offers a simple method for measuring the extent to which a healthcare organisation is working to develop clinical governance. Its use in New Zealand provides a baseline for tracking clinical governance over time. The CGDI could be easily adapted for use in other healthcare systems.
Original languageEnglish
Pages (from-to)947-952
Number of pages6
JournalBMJ Quality and Safety
Volume20
Issue number11
DOIs
Publication statusPublished - Nov 2011
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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