开放和不透明的 在挪威一家医院,开放优先级的执行性
1Bergen Centre for Ethics and Priority Setting in Health, Department of Global Public Health and Primary Care, University of Bergen, Norway.
Social science & medicine (1982)
|October 4, 2024
概括
医院领导人经常掩盖优先设定决策,尽管政策旨在开放. 这项研究揭示了开放优先级的理想如何转化为创造不透明度的实践,影响信任和治理.
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
背景情况:
- 医疗保健中的程序公平性取决于优先级设定的透明度.
- 对医院"开放优先事项"的实际实施的实证研究是有限的.
研究的目的:
- 在挪威一家医院探索"开放优先事项"政策的运作.
- 检查如何将开放的理想转化为日常实践,并被医院工作人员所感知.
主要方法:
- 2022年在挪威一家医院进行的长期民族学实地研究.
- 分析利用社会学概念的表现性来理解政策制定.
主要成果:
- 开放优先事项的理想被提出为核心医院政策.
- 公开性被认为是冲突的源头,阻碍了治理和公众信任.
- 医院领导人通过遗漏和重新解释开放政策来实施"不透明".
结论:
- 医院领导人的表演性将开放的政策理想转变为不透明的做法.
- 政策理想在政府机构的实施过程中经历了重大转变.
- 需要进一步的研究,以提高医疗保健机构的日常程序公平性.
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