Original Articles

“Wind of change”: the role of human centered healthcare factors in the implementation of clinical governance in an Italian University teaching hospital



Clinical Governance (CG) is an approach to quality improvement in healthcare aimed at achieving a patient-centered health care system. The aim of this study was to analyze the results of a CG assessment in the Teaching Hospital “A. Gemelli”, in order to identify strategic levers for improving healthcare provided and assessing its level of humanization.

Materials and methods

CG implementation levels were assessed through OPTIGOV, a CG scorecard methodology. In order to identify the variables generating latent factors that can influence the governance of the Hospital, the multiple correspondence analysis (MCA) was applied.


The application of OPTIGOV showed a good CG implementation level in the Gemelli Hospital. By applying MCA, the variables aggregated so as to define 3 latent factors (F1: assessment for people oriented improvement strategy; F2: assessment for people targeted management; F3: tracking for timely accountable people) explaining as a whole 82.68% of the total variance and respectively 48.09 % ( F1), 24.95% (F2 ) and 9.64% (F3 ).


The heuristic interpretation of the three latent factors could bring back to the concept of humanization in healthcare. This study shows that in the Teaching Hospital “A. Gemelli” humanization in healthcare is the driver of health care quality improvement.


Clinical Governance; humanized healthcare

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