Baseline assessment of Tabriz hospitals through clinical governance indicators in Education and training, Clinical Audit and Patient and Public involvement

Abstract

Abstract: Introduction: clinical governance as a framework to quality improvement, emphasize on using evidences with the patient participation to provide the services. This framework tries to provide a suitable culture and basis to improve outcoms to patients and health system. To do this, measuring and monitoring of the clinical governance performance is necessary. Goal: The aim of this study was to develop and measure clinical governance performance indicators in education and training, clinical audit and patient and public involvement pillars in Tabriz hospitals. Methods and Materials: This is a mixed (qualitative and quantitative) study. It was done in three levels of community, hospitals and patients in Tabriz. In community 1050 household were involved in the study. All the hospitals and 1000 patient (inpatient-outpatient) were included in the study. Public Trust to healthcare was studied in community, patient’s right and satisfaction was surveyed in patient level.performanc indicators were gathered from hospitals. Results: Public Trust in healthcare was low with the average of 57.38. The average of patient righ observing was 45.72, inpatient satisfaction rate 52.45% and outpatients’ satisfaction with the average of 66.18%. Performance indicators illustrate that the hospitals performance in some areas such as patient and public involvement in hospital planning, staffs participation in quality improvement low education and providing the policies were very week. However, initiatives were done in Personal Development Plan and complaint management. Conclusion: results demonstrated low connections between the health system and community, which result in low public trust and patient’s dissatisfaction. Also lack of a comprehensive health information system to gatherin, classification and analyzing the hospitals data results in a week flow of information.