Assessment of Clinical Governance in Primary Health Care Services : A Case Study on Dakahlia Governorate, Egypt

Thoraya A. Abd El Fatah; Nagafa A. Ali; Heba M. Abd Elgalil; Soso S. Mohamed

Article Details

Assessment of Clinical Governance in Primary Health Care Services : A Case Study on Dakahlia Governorate, Egypt

Authors:

Thoraya A. Abd El Fatah | Nagafa A. Ali | Heba M. Abd Elgalil | Soso S. Mohamed

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.76 Issue 1, pp.3355-3365

Document Type:

Article

Publication Date:

7/2019

Document Language:

English

Document ID (Org No.):

136631

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

Keywords:

Abstract:

 Background: universal health coverage and the health-related sustainable development goals can only be achieved with a stronger emphasis on Primary Health Care (PHC). In spite of the essential role of clinical governance (CG) in enhancing quality of services provided by PHC facilities, a scientific framework with precise criteria for evaluating them has not been developed so far in Egypt.Objective: to assess the CG in PHC in Egypt considering PHC of Al-Dakahlia governorate as a case study and to clarify the barriers for implementing CG at PHC.Subjects and Methods: a cross sectional study was conducted over a period of one year at 8 PHC facilities in selected two districts; Al-Sinbelawin and Aga in Al-Dakahlia governorate, Egypt. The assessment of CG indicators was through multi-level approaches from different perspectives of 327 PHC utilizers, 40 PHC providers, 10 PHC executive directors who were drawn from the selected districts. Thirteen experts in PHC and CG in Egypt were also participated.Results: CG index for PHC facilities was scored higher percentage degree by PHC directors (91.0%) than by PHC utilizers, providers and the experts (70.0%, 59.6% & 53.3% respectively). The CG indicators showed disparities between the participating groups. Experts reported several challenges for CG implementation as shortage of clear policies, lack of awareness about governance culture and lack of experience in this field.
Conclusion: the successful CG framework should be based on plan & implement as a team and create better relationships between directors and all stakeholders.

Article Details

Assessment of Clinical Governance in Primary Health Care Services : A Case Study on Dakahlia Governorate, Egypt

Authors:

Thoraya A. Abd El Fatah | Nagafa A. Ali | Heba M. Abd Elgalil | Soso S. Mohamed

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.76 Issue 1, pp.3355-3365

Document Type:

Article

Publication Date:

7/2019

Document Language:

English

Document ID (Org No.):

136631

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

PRIMARY HEALTH CARE

HEALTH SERVICES

PATIENTS

EGYPT

Clinical Governance

Primary Health Care

Egypt

Issues

Article Details

Authors: Thoraya A. Abd El Fatah | Nagafa A. Ali | Heba M. Abd Elgalil | Soso S. Mohamed

Publisher: Pan Arab League of Continuous Medical Education

Main Topics: Medicine

Journal: The Egyptian Journal of Hospital Medicine 2019 Vol.76 Issue 1, pp.3355-3365

Document Type: Article

Publication Date: 7/2019

Document Language: English

Document ID (Org No.): 136631

Frequency: Quarterly

eISSN: 20907125

pISSN: 16872002

Descriptors:

Issues

Authors:

Thoraya A. Abd El Fatah | Nagafa A. Ali | Heba M. Abd Elgalil | Soso S. Mohamed

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.76 Issue 1, pp.3355-3365

Document Type:

Article

Publication Date:

7/2019

Document Language:

English

Document ID (Org No.):

136631

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002