Australian infection prevention and control governance, strategy and structure: Design for success.

Infection, disease & health Pub Date : 2025-07-01 DOI:10.1016/j.idh.2025.06.002

Kathy Dempsey, Susan Jain, Patricia Bradd, Kate Clezy, David Greenfield

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Abstract

Background: Governance, strategy and organisational structure for Infection Prevention and Control (IPC) programs across Australia remain variable. The standardisation and integration of these functions across jurisdictions are critical for effective advancement of IPC across health systems.

Aim: Across the Australian Federal, State and Territory jurisdictions, the study examined a twofold research question: first, what are the governance, strategy and organisational structures of IPC programs?; and second, what are the essential elements for a standardised, consistent IPC governance framework?

Methods: Comprising four integrated steps: preconference document analysis of key jurisdictional program information; a survey of conference participants; open discussion - an expert panel of jurisdictional leads and conference participants; and expert panel review, incorporating mixed methods and a modified Delphi approach for consensus and validated guidance.

Results: IPC representatives across Australia participated in this study with 44 % (226/513) responses. Structures reported included: patient safety, public health, or infectious diseases. Reported key elements for effective IPC governance included IPC leadership expertise (42 %), a consistent and transparent structure (30 %), and adequate resourcing and funding for IPC (18 %). IPC governance structures across Australia remain substantially variable. The Australian Centre for Disease Control (AusCDC) is considered the pre-eminent IPC governance agency, that could enhance IPC governance, structure and strategic direction.

Conclusion: Clear governance, strategy, and organisational structures have a critical role in the effectiveness of IPC programs and healthcare associated infection reduction strategies. The developed framework provides additional insight towards a comprehensive, standardised national IPC governance framework, offering opportunity for improvement and informing future priorities.

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澳大利亚感染预防和控制治理、战略和结构：成功的设计。

背景：治理，战略和组织结构的感染预防和控制（IPC）项目在澳大利亚各地仍然是可变的。跨司法管辖区这些职能的标准化和整合对于在卫生系统中有效推进IPC至关重要。目的：在澳大利亚联邦、州和地区的司法管辖区，该研究调查了一个双重研究问题：首先，IPC项目的治理、战略和组织结构是什么？第二，标准化、一致的IPC治理框架的基本要素是什么？方法：包括四个综合步骤：会前文件分析关键司法程序信息；对与会者的调查；公开讨论-由司法管辖区领导和会议参与者组成的专家小组；和专家小组审查，结合混合方法和改进的德尔菲法，以达成共识和有效的指导。结果：澳大利亚各地的IPC代表参与了这项研究，有44%（226/513）的回应。报告的结构包括：患者安全、公共卫生或传染病。报告的有效IPC治理的关键要素包括IPC领导专业知识（42%），一致和透明的结构（30%），以及IPC充足的资源和资金（18%）。澳大利亚各地的IPC治理结构仍然存在很大差异。澳大利亚疾病控制中心被认为是IPC的杰出治理机构，可以加强IPC的治理、结构和战略方向。结论：明确的治理、战略和组织结构对IPC项目和卫生保健相关的减少感染战略的有效性具有关键作用。制定的框架为全面、标准化的IPC国家治理框架提供了额外的见解，为改进和告知未来的优先事项提供了机会。

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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Infection, disease & health

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