卫生系统如何维持从紧急情况中汲取的经验教训? 来自哥伦比亚的证据
Simon Turner1, Mary Ruth Guevara Maldonado1
1School of Management, University of los Andes, Bogotá, Colombia.
PloS one
|July 31, 2025
概括
卫生系统从Covid-19中吸取了教训,但持续的动荡影响了持续的学习. 环境因素和组织压力阻碍了将流行病教训纳入未来卫生系统弹性中的整合.
科学领域:
- 卫生系统研究 卫生系统研究
- 组织学习理论 组织学习理论
- 流行病的准备 流行病的准备
背景情况:
- 由于Covid-19的流行,全球卫生系统需要快速适应.
- 对于疫情期间采用的学习方法的长期价值的理解有限.
- 环境动荡对从流行病反应中学到的经验教训的影响仍未得到充分探索.
研究的目的:
- 调查持续的环境动荡如何影响从卫生系统对流行病的反应中汲取的经验教训.
- 通过纳入环境动荡来扩展Levitt和March的组织学习框架.
- 分析哥伦比亚医疗保健专业人员在Covid-19大流行期间的经验.
主要方法:
- 与多种各样的哥伦比亚医疗保健专业人员 (政府,提供者,管理人员,临床医生,协会,学者) 进行半结构化采访.
- 分析影响组织学习可持续性的宏观,中和微观上下文因素.
- 应用和扩展莱维特和马奇的体验式学习视角.
主要成果:
- 宏观层面:改革努力可能会使人们的注意力从大流行病的教训中转移. 中级:领导层使用成功案例,但财务问题和缺乏评估阻碍了创新的可持续性. 微层:劳动力能力下降,虚拟培训问题以及心理健康挑战持续存在.
- 环境动荡同时触发学习和影响经验的解释.
- 组织学习的关键调节变量包括人力资源能力,政治周期和基础设施连续性.
结论:
- 组织从流行病中学习受到环境动荡和上下文因素的显著抑制.
- 维持与流行病相关的学习需要解决劳动力能力,心理健康,金融稳定和政策连续性的问题.
- 该研究提供了一个细微的理解组织学习在动荡的环境中,扩展现有的理论框架.
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