在COVID-19大流行期间的医院治理:一个多个国家的案例研究
Lara Gautier1,2,3, Shinichiro Noda4, Fanny Chabrol3
1School of Public Health, Université de Montréal, Montréal, Quebec, Canada.
Health systems and reform
|May 30, 2023
概括
医院治理结构在COVID-19期间适应,影响员工的反应. 以前存在的管理开放性和准备计划显著影响了医院有效管理大流行病的能力.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 组织研究 组织研究
- 流行病的准备 流行病的准备
背景情况:
- 由于COVID-19的流行,全球医院治理需要快速适应.
- 有效的医院治理对于管理疫情应对和解决员工需求至关重要.
研究的目的:
- 为了比较巴西,加拿大,法国和日本六家医院在COVID-19大流行期间实施的治理策略.
- 检查医院工作人员在卫生系统弹性方面如何看待这些治理策略.
主要方法:
- 对177次采访的定性分析,采访了各种各样的医院利益相关者.
- 利用了一个重点关注战略交付,协调和沟通的框架,以提高卫生系统的弹性.
主要成果:
- 在研究的医院中观察到治理效率的显著差异.
- 影响反应的关键因素包括先前存在的管理开放性和例行准备计划/培训.
结论:
- 医院治理结构和危机前的组织文化是疫情应对效率的关键决定因素.
- 加强管理的开放性和准备性规划可以提高未来的卫生系统弹性.
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