[组织的质量和系统:它不一样]
1Departamento de Economía y Empresa y CRES, Universidad Pompeu Fabra, Barcelona, España.
Journal of healthcare quality research
|January 28, 2025
概括
治理和管理对于理解医疗保健系统之间的差异至关重要. 改善西班牙卫生系统需要去政治化和去官僚化以实现可持续性.
科学领域:
- 卫生政策和管理卫生政策和管理
- 卫生社会学 卫生社会学
- 公共管理 公共管理
背景情况:
- 治理和管理概念经常被误解,但它们是组织和国家绩效的关键决定因素.
- 这些概念对医疗保健系统产生重大影响,影响其效率和结果.
- 西班牙医疗系统面临的挑战包括供给侧硬化症和向私人医疗转移.
研究的目的:
- 在社会和组织差异的背景下,精确地定义和衡量治理和管理.
- 分析反映社会规则和制度质量的指标,特别是在医疗保健领域.
- 为西班牙卫生系统提出解决方案,重点关注去政治化和去官僚化.
主要方法:
- 治理和管理的概念分析和定义.
- 开发和应用指标来评估机构质量.
- 以西班牙卫生系统为重点的案例研究分析.
主要成果:
- 治理和管理解释了包括医疗保健在内的国家,系统和组织之间的显著差异.
- 社会规则和制度的质量是多维的,并影响社会组织.
- 由于结构性问题,西班牙卫生系统的预后很差,需要改革.
结论:
- 去政治化和去官僚化西班牙卫生系统对于其偿付能力和福利国家的可持续性至关重要.
- 在医疗改革中,必须明确区分公民影响力和专业责任.
- 有效的治理和管理是改善医疗保健系统性能和公共卫生结果的关键.
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