微地理对医疗保健环境中的沟通动态的影响
Jillian Chown1, Katrina Rey-McIntyre2, John Kim2
1Kellogg School of Management-MORS, Northwestern University, Evanston, Illinois, USA jillian.chown@kellogg.northwestern.edu chrisliu@uoregon.edu.
BMJ leader
|January 25, 2025
概括
医院扩建可能会破坏医疗保健提供者的沟通和工作流程. 在分开的部门之间观察到更多的电子邮件使用,但整体治疗室使用量下降,影响了提供者的参与.
科学领域:
- 医疗保健管理的管理
- 组织行为 组织行为
- 医疗信息学 医疗信息学
背景情况:
- 拥有固定资源的不断增长的医疗保健组织面临着扩张和工作流程方面的挑战.
- 这项研究调查了在扩大规模期间在放射瘤科的职场沟通和互动.
- 医疗保健提供者仍然与原始地点联系在一起,这使得新设施的整合变得复杂.
研究的目的:
- 检查医院扩建对工作场所沟通和互动模式的影响.
- 了解物理分离如何影响医疗保健提供者的行为和沟通.
- 确定扩展对工作流程和提供商参与的意想不到的后果.
主要方法:
- 在一个数据集上进行了回归分析,该数据集合并了电子邮件通信,章扫描,办公地点和组织图 (n=232).
- 使用差异差异框架来比较扩展前和后的个体行为.
- 依赖变量包括治疗规划室访问频率和个人之间的电子邮件量.
主要成果:
- 观察到治疗规划室使用率的普遍下降,而那些搬走的人的减少更为显著.
- 电子邮件通信增加了分离的个人,特别是当他们在不同的部门时.
- 扩张导致医疗保健提供者之间的身体接近和沟通方法发生了变化.
结论:
- 医院扩张在医疗保健提供者之间造成了复杂的相互依赖,可能导致意想不到的后果.
- 医疗保健领导者必须考虑身体分离对互动模式和工作流程的影响.
- 虽然在某些情况下远程互动可能足够,但它们可能会对工作结果,提供者参与度和患者满意度产生负面影响.
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