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危机背景下的医疗保健组织:决策模式和CEO的角色
Anna Romiti1, Mario Del Vecchio2,3, Caterina Cavicchi4
1Department of Experimental and Clinical Medicine, University of Florence, 48 Viale Morgagni, 50134, Florence, Italy. anna.romiti@unifi.it.
BMC health services research
|February 19, 2025
概括
医疗保健领导者在危机期间将重点转移到运营问题上,集中决策. 这项研究揭示了各种危机管理模式,并增强了现有的框架,以改善组织导航.
科学领域:
- 医疗保健管理的管理
- 组织行为 组织行为
- 危机管理 危机管理
背景情况:
- 与正常情况下相比,危机情况显著改变了组织决策过程.
- 现有的决策模式需要实践测试,特别是在危机期间的医疗保健中.
- 这项研究扩展了阿伦特等人. " (2005年) 医疗保健危机决策框架.
研究的目的:
- 了解医疗机构在危机期间的决策模式的独特特点.
- 实证地测试和增强医疗保健中的危机决策现有理论框架.
主要方法:
- 使用半结构面试进行定性研究设计.
- 从49名意大利医疗保健组织的首席执行官 (CEO) 收集的数据.
- 在样本中包括当地卫生当局和独立医院.
主要成果:
- 在危机期间,CEO决策的重点从战略转向运营.
- 首席执行官们表现出一个狭窄的运营重点和集中在时间和空间的决策.
- 确定了多样化的决策模式,不同的参与者参与,反映了个别的CEO背景.
结论:
- 强调通过危机管理的多个维度和阶段分析决策.
- 增强了阿伦特等人. (2015) 模型,结合了新的维度和演员参与模式.
- 提供了关于CEO和参与者在危机决策中的角色的见解,超越了角色理论.
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