Governance and Quality of Care in British National Health Service

This study aims to analyze through a quantitative analysis “Are there any providers associated between governance and the services?” and “What providers are associated between them?” in order to examine the association between governance and quality of care on the whole providers of the UK. Using “Care directory with ratings” during 2016-2020 which is open data of CQC, the independent regulator of health and social care in England, this study clarified the association between governance and quality of care in the British NHS from the viewpoint of governance. The author is able to come to three conclusions. One is that there is a positive association among “Well-led” indicator and each of the other four indicators in both primary, secondary, and social care and others totally, except for the association between “Well-led” and “Caring” indicator. Another is that there is more possibility to achieve greater results by the effort of organizational governance in NHS GP practices which focus only on GP practices than GP practices which conduct private service. The other is that those tendencies weaken at serious services such as chronic disease and services composed of “team-medicine” to need more sharing of information and deeper communication among various medical staff. This study could be a first step to analyzing the association between hospital governance and quality of services toward all providers in England from the viewpoint of social science, medicine, and other interdisciplinary research field. However, this study is not without limitations. the study made use of discrete variables in both dependent variables and independent variables. This study has analyzed the tendency, but could not compare marginal effect in relation to independent variables’ increase or decrease to dependent variables’ increase or decrease among each indicator.


(Source)
Kojima, M. (2022). The Association between Governance and Quality of Care in the British National Health Service: An Exploratory Analysis, The Bulletin of the Faculty of Commerce, Meiji University, 104(3), pp. 63-76.