阐明影响第三级医院关系协调计划的权力动态:一个机构民族学研究研究
Health care management review
|January 10, 2025
概括
使用组织变革关系模型 (RMOC) 的医院变革举措受到权力动态的影响. 财务目标往往取代了医疗机构改善沟通和文化的目标.
科学领域:
- 医疗保健管理的管理
- 组织变革理论
- 卫生社会学 卫生社会学
背景情况:
- 组织变革的关系模型 (RMOC) 是医院改进的一个新方法.
- 它的重点是沟通和人际关系往往被低估,尽管有证据表明它的有效性.
- 众所周知,医院内部的权力动态会影响RMOC的实施,但这些机制尚未完全理解.
研究的目的:
- 调查权力动态如何影响使用RMOC的医院计划的实施.
- 具体研究了QPH RC计划在医院环境中的实施情况.
主要方法:
- 采用制度民族学来分析权力动态 (文本中介的统治关系).
- 进行了与计划实施过程有关的采访和分析文本.
主要成果:
- QPH RC 计划受到经济,科学和项目管理话语的影响.
- 这些统治关系通过文本中介的社会过程来行使权力.
- 这种影响塑造了该计划的重点和管理.
结论:
- 该研究发现,统治关系使该计划与医院的优先事项保持一致.
- 财务目标优先于改善沟通或组织文化.
- 未来的努力应解决机构背景和RMOC应用的相互作用,以实现有效的医疗保健实践变化.
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