A Critical Review of The Role of Clinical Governance in Health Care and its Potential Application in Indonesia

Abstract

In modern society, people's behaviour towards any service tends to be concerned about the quality of goods or services as consumers.The NHS has developed programs to support the implementation of clinical governance based on five strategies: system awareness, teamwork, communication, ownership, and leadership.  All are built on seven pillars: clinical effectiveness, risk management effectiveness, patient experience, communication effectiveness, resources effectiveness, strategic effectiveness and learning effectiveness. This system can bridge the gap between professional aspects and management aspects, while other quality system tend to focus on management aspects.  Clinical governance is applicable to health care organizations around the world including Indonesia since clinical governance is a framework for clinicians and management to collaborate to provide better quality of health care.. In Indonesia, clinical governance is a new concept, even though some health care organizations have implemented quality management through ISO 9000 accreditation and  patients safety standard based on Joint Commission International(JCI), the International standard for Hospital accreditation.Therefore, the Indonesia Ministry of Health may want  to learn from the UK  about the implementation of  the  pillars and strategies of clinical governance, although Indonesia may have some limited resources (financial and human)  to implement clinical governance.