Purpose – Introducing change is a difficult issue facing all health care systems. The use of various clinical governance levers can facilitate change in health care systems. The purpose of this paper is to define clinical governance levers, and to illustrate their use in a large-scale...

Purpose – The purpose of this paper is to present a description of the Irish national clinical governance development initiative and an evaluation of the initiative with the purpose of sharing the learning and proposing actions to activate structures and processes for quality and safety. The...

Purpose – Because stereotypically masculine behaviors are required for effective leadership, examining female chairs’ leadership in academic medicine can provide insight into the complex ways in which gender impacts on their leadership practices. The paper aims to discuss this issue....

Purpose – The purpose of this paper is to identify and describe main obstacles for politicians when dealing with healthcare priority setting. Design/methodology/approach – The study had an exploratory descriptive design based on interviews with 18 politicians from two different county...

Purpose – The purpose of this paper is to address the research question using qualitative research methods: how and why medically trained managers choose to undertake postgraduate management training? Design/methodology/approach – This research used two qualitative methods to gather data....

Purpose: The purpose of the paper is to describe and analyze differences in patients' quality perceptions of private and public primary care centers in Sweden. Design/methodology/approach: The article explores the differences in quality perceptions between patients of public and private primary...