荷兰的学术医疗中心:混乱还是彻底改变?
Ester M M Cardinaal1, Martijn J H Tjan1, Patrick P T Jeurissen2
1Radboud University Medical Centre, Nijmegen, Netherlands.
Frontiers in public health
|January 19, 2024
概括
在学术医疗中心 (AMC) 中,由于复杂的治理和利益相关方冲突,根本性的变化是很困难的. 政府的干预是必要的,以促进信任,并使潜在解决方案的实质性讨论.
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
- 公共管理 公共管理
背景情况:
- 学术医疗中心 (AMC) 面临着制度复杂性,导致治理挑战和增量变化.
- 当前荷兰商业管理中心的治理问题阻碍了有效的解决问题和战略进步.
研究的目的:
- 探索激进的变革,以解决AMC中的增量主义问题.
- 识别允许或阻止AMC治理发生根本变化的条件.
主要方法:
- 与荷兰AMC的高级利益相关者进行非结构化采访.
- 分析影响AMC治理的已确定问题.
主要成果:
- 确定了9个对AMC治理产生负面影响的关键问题,包括利益冲突,组织复杂性,缺乏政府指导,AMC之间的竞争以及管理多个核心任务的挑战.
- 发现目前的因素阻碍了利益相关者之间关于激进变革的实质性对话.
结论:
- 由于现有的系统性问题,AMC难以实施根本性的变化.
- 政府的干预对于培养信任和共同利益至关重要,创造有利于讨论和实施变革的环境.
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