在医疗保健中组织实施:平衡价值订单
Helena Lagerlöf1, Lena Eriksson2, Morten Sager2
1Department of Philosophy, Linguistics and Theory of Science, University of Gothenburg, Sweden; Region Västmanland, Sweden.
Social science & medicine (1982)
|December 6, 2023
概括
医疗实施中的冲突源于相互竞争的价值观. 为了有效的初级保健管理和治理,平衡当前,可访问和未来的健康优先事项是关键.
科学领域:
- 医疗保健管理的管理
- 组织理论组织理论.
- 公共卫生政策 公共卫生政策
背景情况:
- 组织面临着不同价值体系之间固有的冲突.
- 实施和治理方面的挑战往往源于竞争的价值秩序.
- 传统的线性实施模式对于复杂的医疗保健环境是不够的.
研究的目的:
- 在初级保健中识别和阐明竞争的订单.
- 为了解和解决医疗保健实施中的价值冲突提供一个框架.
- 分析瑞典初级保健中的健康促进实施案例.
主要方法:
- 对32名初级保健管理人员进行的半结构化采访进行了抽取分析.
- 应用约翰·劳 (John Law) 的排序概念和博尔坦斯基 (Boltanski) 和特文诺 (Thévenot) 的价值排序.
- 一个区域健康促进倡议的案例研究分析.
主要成果:
- 在初级保健中发现了三个相互竞争的秩序:即时护理,可访问的护理和未来的健康.
- 每个顺序都优先考虑患者,并以不同的方式定义初级保健重点.
- 成功实施需要平衡这些不同的价值秩序.
结论:
- 识别和管理竞争的订单对于有效的医疗保健实施和治理至关重要.
- 对不同价值体系的平衡方法提高了专业的判断力,并优化了护理.
- 这一框架有助于参与者在初级保健中完成复杂的实施工作.
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