Northampton Electronic Collection of Theses and Research

A model of integrated healthcare governance

Sugarman, P. (2009) A model of integrated healthcare governance. Doctoral thesis. The University of Northampton.

Item Type: Thesis (Doctoral)
Abstract: The history of psychiatry is littered with serious failures of governance, to the detriment of mentally disordered people, especially those resident in psychiatric hospitals. Current mental health providers, increasingly focussed on community care, have also struggled to develop effective internal governance systems. Nine peer-reviewed research papers, published by the author (mostly with others) and the wider literature, reveal deficits in mental health governance at a jurisdictional, professional, and corporate level. In this thesis new governance solutions are developed against this background, built on contemporary principles in mental health and healthcare management. A new model of mental health governance is presented, based on the key demands of the strategic and regulatory environment, articulated as rights, risks and recovery. This integrated healthcare governance approach, covering provider policy, staff training and service audit, can monitor and ensure the protection of patients’ rights, as well as those of others; it also promotes the management of clinical risks, and of patients’ recovery outcomes. Rights-based risk-reduction training is the core interventional element of the model, whilst the monitoring element can be formalised as part of a Balanced Scorecard reporting system. This thesis makes a contribution to research methodology, theory and practice in mental health, human rights, healthcare management and governance. The model generates specific propositions for testing in mental health governance, with the potential for application in wider settings of service provision.
Subjects: R Medicine > RA Public aspects of medicine > RA790 Mental health services. Mental illness prevention
R Medicine > RA Public aspects of medicine > RA399 Regulation of medical practice. Evaluation and quality control of medical care. Medical audit. Clinical governance
R Medicine > RA Public aspects of medicine > RA395 Medical services. National Health Service. Private care
Creators: Sugarman, Philip
Department: Northampton Business School > Theses
Faculties, Divisions and Institutes: University Faculties, Divisions and Research Centres - OLD > Faculty of Business & Law > Theses (Business & Law)
Date: 2009
Date Type: Completion
Number of Pages: 150
Language: English
Status: Unpublished
Institution: The University of Northampton
URI: http://nectar.northampton.ac.uk/id/eprint/2716

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