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改变管理在希腊国家卫生系统的影响:一个定量研究
Alexandra Vlassi1, Georgios Tzikos2, Theodoros Dardavesis1
1Laboratory of Hygiene, Social & Preventive Medicine and Medical Statistics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Cureus
|October 23, 2023
概括
在2008年经济危机之后,希腊国家卫生系统 (NHS) 经历了适度的变革管理. 该研究发现,不清楚的变化,不切实际的目标和缺乏财政支持阻碍了有效性,需要更好地规划未来的改进.
科学领域:
- 医疗服务管理 医疗服务管理
- 医疗保健政策 医疗保健政策
- 组织变革 组织变革
背景情况:
- 2008年经济危机对希腊的卫生部门产生了重大影响,促使国家卫生系统 (NHS) 进行改革.
- 这些改革旨在提高服务质量,并使NHS适应新的经济环境.
- 领导层对NHS内部这些变化的管理是一个关键的重点.
研究的目的:
- 评估NHS领导层实施的变革管理策略的有效性.
- 确定希腊危机后医疗保健改革的具体挑战和成功.
主要方法:
- 使用量化研究方法,使用调查问卷.
- 这项研究涉及希腊北部一家三级医疗公共医院的100名员工.
- 问卷表显示出很好的可靠性,克伦巴赫α为0.724.
主要成果:
- 希腊NHS内部的变革管理被评为中度.
- 没有一个具体的,指导性的变革管理模式被一致遵循.
- 确定的主要问题包括非结构化变化,不切实际的目标,财政支持不足和未来医疗保健的不确定性.
结论:
- 医疗保健系统的变化需要精心规划和组织,而不是随机实施.
- 持续的反和发展对于改善希腊医疗保健系统的地位至关重要.
- 解决已识别的问题对于成功的未来改革至关重要.
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