Challenges in Evaluating Clinical Governance System in Iran: A Qualitative Study

Despite the pivotal role of clinical governance in enhancing quality of services provided by hospitals، there is no scientific framework with specific criteria in order to evaluating hospitals in Iran. This study was conducted to identify the challenges involved in evaluating systems of clinical governance in Iran. In this qualitative study، 15 semi-structured interviews with experts in the field were conducted in 2011. Data were analyzed using the framework analysis method. Five major challenges were emerged in evaluating clinical governance including: 1) managing human resources; 2) improving clinical quality; 3) managing development; 4) organizing clinical governance; and 5) providing patient-oriented healthcare system. This study provided a transparent framework to identify challenges of clinical governance implementation in hospitals in Iran.