标准LHAS的拨款动态:管理工具的开放式和封闭式模式之间的振荡
Mohamad Medawar1, Corinne Grenier2
1CEREGE, IAE de Poitiers, Université de Poitiers , Poitiers, France.
Journal of health organization and management
|October 2, 2025
概括
成功的管理工具拨款需要平衡工具的开放性和关闭性. 医疗管理人员可以通过保持核心价值观来提高认证,同时允许实施灵活性,以首席执行官的愿景和授权的中层管理人员为指导.
科学领域:
- 组织研究 组织研究
- 医疗保健管理的管理
- 管理科学 管理科学
背景情况:
- 关于管理工具拨款的现有研究往往单独分析工具组件或性质 (开放/关闭).
- 本研究整合了这些单独的研究流程,以提供更全面的理解.
研究的目的:
- 通过将工具拨款的四维模型与开放和封闭工具的概念相结合,提高对管理工具拨款的理解.
- 探索这些联合框架如何适用于黎巴嫩医院认证系统 (LHAS) 的实施.
主要方法:
- 采用了定性案例研究设计.
- 该研究考察了黎巴嫩医院认证系统 (LHAS) 在贝鲁特一家私立医院的实施情况.
- 数据收集涉及63个半结构面试,涉及21名参与者,跨越三个不同的时间段.
主要成果:
- 成功地使用LHAS需要在开放式和封闭式工具模式之间交替.
- 象征性和工具性维度主要是封闭的,以确保合法性和一致性.
- 政治和认知层面保持开放,以促进背景适应和参与.
结论:
- 该研究引入了"选择性开放"管理工具的概念,突出了拨款维度之间的动态相互作用.
- 调查结果为医疗保健管理人员提供了有关管理认证的见解,通过平衡一致性和灵活性来管理认证.
- 首席执行官领导和赋权的中层管理人员对于传播愿景和促进谈判至关重要,最终提高了患者服务质量.
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