对医疗保健部门的组织边界和孤岛进行了多维研究
Esben Rahbek Gjerdrum Pedersen1, Frantisek Sudzina2, Francesco Rosati3
1Department of Management, Society and Communication, Copenhagen Business School, Frederiksberg, Denmark.
Health services management research
|November 27, 2023
概括
医疗保健孤岛源于管理人员层次结构,而不是专业分歧,因资源短缺而加剧. 了解这些组织界限是改善复杂卫生系统合作的关键.
科学领域:
- 医疗保健管理的管理
- 组织行为 组织行为
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗保健机构是复杂的系统,有许多分界线.
- 组织边界和孤岛可以显著影响日常运营和协作.
研究的目的:
- 调查医疗保健从业人员如何感知和体验组织边界和孤岛.
- 分析多维组织边界如何使或限制医疗保健中的日常工作.
- 确定医疗保健行业内孤岛的主要驱动因素.
主要方法:
- 对调查答案的定量和定性分析.
- 数据来自丹麦895名医疗保健从业者.
- 利用了组织边界的多维尺度.
主要成果:
- 组织孤岛与系统和层次结构 (管理人员) 相比,与专业或部门更紧密地联系在一起.
- 资源稀缺是影响从业人员对边界和孤岛的看法的一个重要因素.
- 确定了具体的边界方式,以实现和限制日常工作任务.
结论:
- 医疗保健中的协调和协作挑战与众多的分界线有关.
- 调查结果强调了层次结构和资源限制对医疗保健运营的影响.
- 提供了关于复杂卫生组织中组织孤岛的性质的经验证据.
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