| |
Centre for Policy on Ageing | |
 | |
|
Clinical governance: striking a balance between checking and trusting
— (The York series on the NHS White Paper - a research agenda) | | Author(s) | Huw Talfryn Oakley Davies, Russell Mannion |
| Corporate Author | Centre for Health Economics, York Health Economics Consortium, NHS Centre for Reviews and Dissemination, University of York |
| Publisher | University of York, York, 1999 |
| Pages | 21 pp (Centre for Health Economics Discussion paper 165) |
| Source | Publications Centre, Centre for Health Economics, University of York YO10 5DD. |
| Keywords | National Health Service ; Quality ; Health Authorities and Trusts ; Management [care] ; Performance ; Theory. |
| Annotation | Clinical governance emerged as a core theme in 1998 in both the White Paper, "The new NHS: modern, dependable" and in the subsequent policy document, "A first class service". For the first time, it places with health care managers a statutory duty for quality of care on an equal footing with the pre-existing duty of financial responsibility, along defined lines of accountability. This paper uses principal-agent theory (which analyses reciprocal but nonetheless asymmetric relationships within and between organisations) to examine some of the options for clinical governance. The first section explains the basis of the theory and outlines its prominent implications. Two of the major approaches to dealing with these implications are described and evaluated: checking and modifying behaviour using hierarchical control; and developing intrinsic professional motivations. These are linked by organisational culture, which is underpinned by trust and mutuality. (RH). |
| Accession Number | CPA-990309206 B |
| Classmark | L4: 59: L4A: QA: 5H: 4D |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|