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医師と医療の組織的進化
R C Burchell1, R E White, H L Smith
1Department of Obstetrics and Gynecology, Lovelace Medical Center Inc, Albuquerque, NM 87108.
JAMA
|August 12, 1988
まとめ
医療機関における医師の関与は,医療の提供と財政的インセンティブの進化に起因する紛争をナビゲートするために不可欠です. 積極的な参加は,医療の未来を導くことができます.
科学分野:
- ヘルスケア・マネジメント・ヘルスケア・マネジメント
- 医療倫理 医療倫理について
- 組織的行動 組織的行動
背景:
- 医療サービスの提供における変化,特に医療機関内の医師の役割の変化に関する懸念が高まっています.
- 多機関組織,投資家が所有する企業,グループプラクティスの出現は,医療における組織的な影響力の増大を意味する.
- 新しい財政的インセンティブは,医師と組織の対立に有利な環境を作り出します.
研究 の 目的:
- 医師と医療機関との間の紛争を解決するための主要な戦略を見直す.
- 組織的・管理的な問題における医師の関与の重要性を強調する.
主な方法:
- この研究は,既存の文献と,医師と組織の対立に対処するための戦略をレビューしています.
- 分析には,協力,ガバナンスにおける医師の代表,インセンティブの再編,組織再編の検討が含まれます.
主要な成果:
- 協力,共有ガバナンス,インセンティブ/組織的調整など,紛争解決のためのいくつかの戦略が存在する.
- これらの戦略は,医師組織間の矛盾を和らげるために様々なメリットを提供しています.
結論:
- 医師は,医療の組織と管理の側面に積極的に関与する個人的な責任があります.
- 医者の関与は,医療実践と組織構造の将来の進化を効果的に導くために不可欠です.
キーワード:
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