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COVID-19 医疗保健成功还是失败? 危机管理由动态能力解释的危机管理
Ritva Rosenbäck1, Kristina M Eriksson2
1Department of Engineering Science, University West, Gustava Melins gata 2, Trollhättan, 46132, Sweden. ritva.rosenback@hv.se.
BMC health services research
|June 21, 2024
概括
流行病期间的医疗危机管理受益于分布式领导,利用较低的组织层面的动态能力. 这种方法提高了适应能力和持续改进,以应对独特的全球卫生挑战.
科学领域:
- 医疗保健管理的管理
- 组织研究 组织研究
- 公共卫生 公共卫生
背景情况:
- 由于其全球范围,长期持续和固有的不确定性,COVID-19大流行带来了独特的挑战.
- 传统的危机管理框架,如冲击能力,可能不足以应对流行病情景,需要适应性的方法.
- 动态能力框架为了解医疗保健在新型和不断变化的危机中的适应性提供了一个更合适的镜头.
研究的目的:
- 审查医疗保健中现有的危机管理框架 (冲击能力,弹性,动态能力).
- 开发和应用基于动态能力框架的新演方法来分析流行病危机管理.
- 在COVID-19大流行期间调查瑞典两家医院的危机管理策略.
主要方法:
- 对危机管理文献进行结构化审查,重点关注激增能力,弹性和动态能力.
- 使用动态能力框架的微基础开发一种新的演方法.
- 在COVID-19大流行期间,瑞典两家公立医院的危机管理的多个案例研究分析.
主要成果:
- 动态能力在所有组织层面都得到了利用,在较低的层面更加重视.
- 静态能力在区域层面更为普遍,而动态能力在部门层面更为强大.
- 这种新的方法有效地可视化了组织反应和合作的差异,突出了信息差距和决策挑战.
结论:
- 分布式管理,在较低的组织层面上增强动态能力的支持下,有利于流行病危机管理.
- 流行病应急计划需要与事故应急计划不同的策略,重点是适应能力和持续改进.
- 动态能力框架是探索和理解流行病背景下的医疗危机管理的一个有价值的工具.
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