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in a recent editorial in this journal pierre-gerlier forest foretells a coming revolution in health policy based on the synthesis of four conceptual innovations and one technological breakthrough. as much as i agree with the intellectual story told in this editorial i present a more skeptical view of the effect of paradigm shifts on healthcare systems on the ground. i argue that ideas triumph w...

OBJECTIVE Clinical Governance (CG) program has been raised in Iran in order to improve the quality of clinical care. The purpose of this study is to investigate the awareness of clinical governance program among clinical staff working in selected teaching hospitals in Tehran, Iran. METHODS To investigate the CG awareness, a cross-sectional survey was conducted among 345 clinical staff working...

We investigate the origin, impact and evolution of the legal institution of citizenship. We compile a dataset across countries of the world from the 19th century, which documents how citizenship laws have evolved from the common and civil law traditions. Contrary to the predictions of legal theory, we show that the original, exogenously-given citizenship laws did not matter for migration flows ...

Clinical governance approaches in Queensland health were trenchantly criticised in 2005 by two external reviews. In designing the new approach to clinical governance it was recognised that clinical governance should not be seen as only being about traditional safety and quality policies. A range of levers and policy instruments have been used in Queensland health to effect a new approach to cli...

The UK government has set a challenging agenda for monitoring and improving the quality of health care. It is based on a series of national standards and guidelines, a strategy for quality improvement termed “clinical governance,” and a framework for monitoring the quality of care in and performance of NHS organisations (box). Clinical governance is “a framework through which NHS organisations ...

BACKGROUND In spite of the pivotal role of clinical governance in enhancing quality of services provided by hospitals across the country, a scientific framework with specific criteria for evaluating hospitals has not been developed so far. OBJECTIVES This study was conducted with the aim to identify the challenges involved in evaluating systems of clinical governance in Iran. MATERIALS AND ...