Does clinical governance influence the appropriateness of hospital stay? Organization, structure and delivery of healthcare

Maria Lucia Specchia, Andrea Poscia, Massimo Volpe, Paolo Parente, Silvio Capizzi, Andrea Cambieri, Gianfranco Damiani, Walter Ricciardi, Antonio Giulio De Belvis

Research output: Contribution to journalArticle

Abstract

Background: Clinical Governance provides a framework for assessing and improving clinical quality through a single coherent program. Organizational appropriateness is aimed at achieving the best health outcomes and the most appropriate use of resources. The goal of the present study is to verify the likely relationship between Clinical Governance and appropriateness of hospital stay. Methods: A cross-sectional study was conducted in 2012 in an Italian Teaching Hospital. The OPTIGOV© (Optimizing Health Care Governance) methodology was used to quantify the level of implementation of Clinical Governance globally and in its main dimensions. Organizational appropriateness was measured retrospectively using the Italian version of the Appropriateness Evaluation Protocol to analyze a random sample of medical records for each clinical unit. Pearson-correlation and multiple linear regression were used to test the relationship between the percentage of inappropriate days of hospital stay and the Clinical Governance implementation levels. Results: 47 Units were assessed. The percentage of inappropriate days of hospital stay showed an inverse correlation with almost all the main Clinical Governance dimensions. Adjusted multiple regression analysis resulted in a significant association between the percentage of inappropriate days and the overall Clinical Governance score (β∈=∈-0.28; p∈

Original languageEnglish
Article number142
JournalBMC Health Services Research
Volume15
Issue number1
DOIs
Publication statusPublished - Apr 3 2015

Keywords

  • Appropriateness
  • Appropriateness Evaluation Protocol
  • Clinical governance
  • OPTIGOV
  • Quality

ASJC Scopus subject areas

  • Health Policy

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    Specchia, M. L., Poscia, A., Volpe, M., Parente, P., Capizzi, S., Cambieri, A., Damiani, G., Ricciardi, W., & De Belvis, A. G. (2015). Does clinical governance influence the appropriateness of hospital stay? Organization, structure and delivery of healthcare. BMC Health Services Research, 15(1), [142]. https://doi.org/10.1186/s12913-015-0795-2