A Polissemia da Governança Clínica: uma revisão da literatura

Gomes, Romeu; Lima, Valéria Vernaschi; Oliveira, José Maurício de; Schiesari, L; Soeiro, Everton; Damázio, Luciana Faluba; Petta, Helena Lemos; Oliveira, Marilda Siriani de; Silva, Silvio Fernandes da; Sampaio, Sueli Fátima; Padilha, Roberto de Queiroz; Machado, José Lúcio Martins; Caleman, Gilson

doi:10.1590/1413-81232015208.11492014

Cited by 17 publications

(15 citation statements)

References 17 publications

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“…In a recent literature review, Gomes et al (2015) found that the majority of work undertaken in the clinical governance space (regardless of the area of study) has mainly been focused at the micro-level, as opposed to the meso-(i.e., organizationwide practice) or macro-level (i.e., sector wide policy). The work of Sanders (2009) would be considered micro-level change as it relates to change in physical restraint only, not all types of restraint.…”

Section: Discussionmentioning

confidence: 99%

Clinical Governance Climate Within Disability Service Organizations from the Perspective of Allied Health Professionals

Vassos¹,

Nankervis

Chan³

2019

Policy Practice Intel Disabi

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Within the healthcare service sector across many Western countries, clinical governance frameworks have been adopted to ensure consistent and effective service provision. There is merit in adopting such frameworks within disability service organizations as a mechanism to enhance service quality. This study explored whether disability service organizations exhibit organizational climates conducive to supporting clinical governance from the perspective of allied health professionals (AHPs). A total of 88 AHPs completed the Clinical Governance Climate Questionnaire via an online questionnaire. AHPs reported that planned quality improvement initiatives tend to be crisis‐driven within their organizations, with immediate and pressing work pressures taking precedence. AHPs also report that clinical risk data are routinely collected within their organizations, with a lack of consensus around how this information is used to improve practice. In addition, dedicated time for professional development was not available to many of the AHPs, and many reported the presence of hierarchies. Correlation analyses implied that planned quality improvement initiatives appear to be the lynchpin to ensuring quality service provision within disability service organizations. Further research into the organizational climate issues identified in this study is needed—from the perspective of all staff working within disability service organizations—in an effort to inform the development of strategies to effectively implement clinical governance in disability services.

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Section: Discussionmentioning

confidence: 99%

Clinical Governance Climate Within Disability Service Organizations from the Perspective of Allied Health Professionals

Vassos¹,

Nankervis

Chan³

2019

Policy Practice Intel Disabi

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“…Thus, the investigated variables interpreted activities that represent the particular concept of clinical management, taking into account the existing polysemy around this concept 3 . In this way, as specificities of the concept utilized, we can emphasize (i) in the area of healthcare: the orientation of care to the needs of individual and collective health, as much as the identification of biological, psychological, and social dimensions as in the elaboration of care plans in line with the identified needs, as well as the interaction of the different perspectives of those involved; (ii) in the area of health administration: facing problems and taking advantage of opportunities for the production of healthcare with integrality, quality, efficiency, efficacy, effectiveness, and safety, giving emphasis to teamwork and healthcare networks; and (iii) in the area of health education: respect for the diversity of values and previous knowledge of people, the problematization of challenges in health work, and the use of scientific evidence and reflexive spaces to promote the transformation of practices.…”

Section: Discussionmentioning

confidence: 99%

“…From a logic of cost reduction, associated with the standardization of practices and stemming from managed care, as well as a concept originating in clinical governance concerned with broadening the quality of health systems with efficiency and security, aspects of administration and education have been producing tensions and changes in healthcare [1][2][3][4] . In this field, the terminology "clinical management" was introduced to Brazil by Mendes, in the sense of "developing the technologies of administration of health condition, case management, clinical auditing, and waiting lists" 5 .…”

Section: Introductionmentioning

confidence: 99%

Avaliação de percepções sobre gestão da clínica em cursos orientados por competência

Gomes

Padilha

Lima

et al. 2018

Ciênc. saúde coletiva

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“…Desde a sua criação, a Governança Clínica foi incorporada na literatura com diferentes sentidos a ela atribuída, podendo ser sintetizados em sete temas que sintetizam a análise das fontes: gestão, promoção da qualidade, monitoramento ou auditoria clínica, educação, responsabilidade, segurança no cuidado e dimensão sistêmica [3].…”

Section: /2unclassified

A Gestão da Clínica em questão

Gomes

Lima

2017

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. RESUMOA discussão da Gestão da Clínica demanda uma abordagem que leve em conta questões relacionadas ao poder e ao papel dos diferentes atores na produção e gestão da saúde. Nesse sentido, busca-se uma transformação das práticas de atenção, gestão e da própria educação para que possam produzir uma atenção integral voltada para necessidades de saúde das pessoas e populações. Para isso, faz-se necessário considerar todos os envolvidos nesse processo e apoiar a leitura da realidade por meio da criticidade e da capacidade de dialogar diferentes perspectivas, incluindo a das pessoas sob cuidado, dos profissionais de saúde e da gestão de sistemas de saúde. DESCRITORES:Gestão da Clínica; assistência à saúde; sistemas de saúde; gestão em saúde. ABSTRACTThe discussion of Clinical Governance requires an approach that takes into account issues related to the power and role of different actors in production and management of the health. In this sense, it is sought a transformation of the practices of attention, management and of the own education so that they can produce an integral attention directed to the health needs of the people and populations. To do this, it is necessary to consider all those involved in this process and support the reading of reality through the criticality and the ability to dialogue different perspectives, including that of caregivers, health professionals and health systems management.KEY WORDS: Clinical Governance; delivery of health care; health systems; health management. G overnança Clínica, Gestión Clínica e Gestão da Clínica: expressões que se equivalem? Ainda que possamos estabelecer interseções entre esses termos, eles não integram uma total sinonímia. Surgiram a partir de demandas específicas em cenários nacionais distintos e têm escopos diferenciados.Num contexto onde lidamos com (i) a presença de mudanças no perfil demográfico e epidemiológico das populações, onde há a persistência de doenças agudas e o avanço de doenças crônicas; (ii) a possibilidade de indução da demanda pela oferta, em função do pagamento por procedimento; (iii) o papel dos profissionais de saúde, em função do seu domínio sobre os saberes para o cuidado à saúde; (iv) a identificação de melhores práticas na investigação e tratamento de doenças, decorrentes de inovações tecnológicas e da saúde baseada em evidências; e (v) diferentes perspectivas daqueles que fazem a gestão dos serviços e dos que atuam diretamente no cuidado à saúde; a organização e o modelo de respostas dos sistemas de saúde vêm sendo fortemente tensionados.Nesse cenário, indicadores da atuação dos sistemas de saúde que apontam os custos crescentes da assistência, o consumo excessivo de procedimentos e de medicamentos, a fragmentação do trabalho em saúde com qualidade inconstante, a presença de uma variabilidade sem lastro ...

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A Polissemia da Governança Clínica: uma revisão da literatura

Abstract: Abstract

Cited by 17 publications

References 17 publications

Clinical Governance Climate Within Disability Service Organizations from the Perspective of Allied Health Professionals

Clinical Governance Climate Within Disability Service Organizations from the Perspective of Allied Health Professionals

Avaliação de percepções sobre gestão da clínica em cursos orientados por competência

A Gestão da Clínica em questão

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