PHC Governance Model

In the Australian PHC governance model, pillars like Governance, leadership and culture, information management and appropriateness, accessibility and efficiency are unique and there is not mentioned in the other models. Governance and leadership includes necessary structures and processes for providing governance obligations and can include: governance policies, organizational structure, strategic and operational planning, planning and evaluation cycle, reporting requirements and delegation of authority (financial, staffing, and general) [9]. Chandraharan et al. [12] indicated that other pillars of PHC governance cannot be implemented without leadership at the national and local levels and suitable playing leadership role by staff, although

Thomas [29] in his article Stated; Cultural appropriateness means that the service provided matches with communication styles, meaning systems and social networking of clients and stakeholders. There is much evidence that some of the services provided in New Zealand are disproportionate for some social groups. Therefore, this pillar is an essential element to improve primary health care in New Zealand. Although Malcolm et al. [30] indicated that; in New Zealand Fifteen primary health care organization, had created or were creating a management system for continuous quality improvement. Examples were computerization to implement recall patient enrolment, risk registration, monitoring and review of laboratory and pharmaceutical

Similarly in examining the models of developed countries in table 1 (England, Australia and New Zealand) pillars like effectiveness, safety/risk management and staff education and development were jointly are exist in all three countries PHC governance models. This show the importance of these pillars in implementing PHC governance model in each country. In reviewing theoretical PHC governance models, we have brought each pillar components orderly with The Percent of repeating them in literatures.
Staff Professional Development (62.2%), audit (53.8%) and clinical effectiveness (50%) are most important pillars that were listed in more than fifty Percent of the models. We can see that in the pillars of Staff Professional Development most repetition component related to- Education and training that were stated in 57.7% of theoretical models. This element is a fundamental component of quality improvement. It relates to providing, and accessing, appropriate training for employees, as part of their job description