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Evaluation informed management and clinical governance

Evaluation informed management and clinical governance High or low quality is as much a result of how care systems are organised as it is a result of individual clinicians’ performance. Failure to introduce new care organisation or quality methods which research shows to be effective is as serious an omission as failing to act on poor clinical performance. Managers make many decisions about policies and organisation which affect the quality of care, but they rarely use evaluation research in making these decisions. Such research is difficult to find, produced using many different types of methods which are difficult for non‐experts to assess, often of poor quality, and difficult to translate to the local setting. However, managers can develop an evaluation informed practice, and make greater use of evaluation research in decisions with high cost or risk implications. The paper explains why the model of evidence‐based medicine is not appropriate, proposes instead a practical four‐step approach, and shows how managers can use evaluation in everyday practice. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png British Journal of Clinical Governance Emerald Publishing

Evaluation informed management and clinical governance

British Journal of Clinical Governance , Volume 4 (3): 7 – Sep 1, 1999

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Publisher
Emerald Publishing
Copyright
Copyright © 1999 MCB UP Ltd. All rights reserved.
ISSN
1466-4100
DOI
10.1108/14664109910309683
Publisher site
See Article on Publisher Site

Abstract

High or low quality is as much a result of how care systems are organised as it is a result of individual clinicians’ performance. Failure to introduce new care organisation or quality methods which research shows to be effective is as serious an omission as failing to act on poor clinical performance. Managers make many decisions about policies and organisation which affect the quality of care, but they rarely use evaluation research in making these decisions. Such research is difficult to find, produced using many different types of methods which are difficult for non‐experts to assess, often of poor quality, and difficult to translate to the local setting. However, managers can develop an evaluation informed practice, and make greater use of evaluation research in decisions with high cost or risk implications. The paper explains why the model of evidence‐based medicine is not appropriate, proposes instead a practical four‐step approach, and shows how managers can use evaluation in everyday practice.

Journal

British Journal of Clinical GovernanceEmerald Publishing

Published: Sep 1, 1999

Keywords: Evaluation; Research; Management; Policy; Evidence

References