"Knowledge of primary health care physicians about clinical governance in Mansoura district, Egypt: A cross-sectional study"

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-04-07 DOI:10.1016/j.cegh.2025.102019

Shymaa Mamdouh Mohamed Abdu , Abdel-Hady El-Gilany , Sahar Mohamed Youness

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引用次数: 0

Abstract

Background

Clinical governance (CG) serves as a crucial mechanism for enhancing service quality in primary health care (PHC) facilities in Egypt. Little is known about knowledge of PHC physicians about CG. The aim of this study was to assess the knowledge of PHC physicians about the concepts of CG and to identify its determinants.

Methods

A cross-sectional study was conducted on 108 PHC physicians selected through a convenience sampling technique. The data were collected through a validated questionnaire including data related to knowledge of PHC physicians about the concepts, principles of CG, and barriers affecting their engagement in CG. Binary logistic regression analysis was used to detect the predictors of knowledge about CG.

Results

More than half of participants (52.8 %) had high knowledge about CG with a total mean score of (3.61 ± 0.73). 65.7 % and 61.1 % of PHC physicians knew continuous quality improvement (CQI) and responsibility as CG principles, respectively. Multiple regression analysis revealed that those with diploma (AOR = 9.72, P = 0.007), those who had postgraduate studies (AOR = 3.99, p = 0.007), and those who previously heard about CG (AOR = 5.78, P = 0.019) significantly predicted PHC physicians' knowledge of CG.

Conclusion

More than half of PHC physicians are knowledgeable about CG. Level of education is the strongest predictor of PHC physician's knowledge. Less than half of rural physicians have high knowledge about CG, and no statistically significant difference has been detected. Thus, conducting educational and training programs, and increasing human and financial resources are crucial for improving PHC physicians' engagement in CG.

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"埃及曼苏拉地区初级保健医生对临床治理的了解：横断面研究"

临床治理（CG）是提高埃及初级卫生保健（PHC）设施服务质量的关键机制。关于初级保健医生对CG的了解很少。本研究的目的是评估初级保健医生对CG概念的认识，并确定其决定因素。方法采用方便抽样法对108名初级保健医师进行横断面调查。数据是通过一份有效的问卷收集的，其中包括与初级保健医生对CG的概念、原则和影响他们参与CG的障碍相关的数据。采用二元逻辑回归分析检测CG知识的预测因子。结果半数以上的被试（52.8%）对CG知识有较高的认识，总平均得分为（3.61±0.73）分。分别有65.7%和61.1%的初级保健医师知道持续质量改进（CQI）和责任是CG原则。多元回归分析显示，大专学历（AOR = 9.72, P = 0.007）、研究生学历（AOR = 3.99, P = 0.007）和之前听说过CG （AOR = 5.78, P = 0.019）显著预测了初级保健医生对CG的了解。结论半数以上的初级保健医师对CG有一定的了解。教育水平是初级保健医生知识的最强预测因子。农村医生CG知识知晓率不到一半，差异无统计学意义。因此，开展教育和培训计划，增加人力和财政资源对于提高初级保健医生对CG的参与至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.