将学习和适应纳入新西兰卫生系统运作的原则:可行的系统模型的例子
Sharen Paine1, Jeff Foote2, Robin Gauld3
1Director/Consultant, Catalyst-MC Limited, Christchurch, New Zealand.
The New Zealand medical journal
|January 23, 2025
概括
可行系统模型 (VSM) 可以将学习和适应纳入医疗保健系统. 将VSM应用于新西兰卫生服务中,发现了学习型卫生系统的组织运作和IT基础设施的缺陷.
科学领域:
- 医疗服务管理 医疗服务管理
- 系统理论 系统理论
- 组织学习 组织学习
背景情况:
- 新西兰的卫生系统需要增强学习和适应能力.
- 建议采用基于模型的管理方法来实现学习健康系统.
研究的目的:
- 研究可行系统模型 (VSM) 在新西兰卫生系统内嵌入学习和适应的应用.
- 确定学习健康系统的组织和技术要求.
主要方法:
- 进行了一项专业临床服务的案例研究.
- 可行系统模型 (VSM) 引导了与临床医生和管理人员的半结构化访谈和研讨会.
- 使用VSM分析了采访和研讨会的结果.
主要成果:
- 对VSM的分析显示,组织运作缺乏明确性.
- 发现学习健康系统的基本系统,流程和综合IT基础设施发展不足.
- 在支持学习健康系统的基本要求方面发现了差距.
结论:
- 基于模型的管理,特别是VSM,可以将学习健康系统的要求嵌入到核心运营中.
- 该VSM可以识别必要的技术基础设施.
- VSM显示出改善卫生系统临床参与,财务可持续性,绩效,决策和效率的潜力.
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