采用整合性和共同设计的过程,将医院的管理能力建设置于环境中
1College of Business, Law and Governance, James Cook University, Townsville Campus, Townsville, Queensland, Australia.
Journal of healthcare leadership
|November 19, 2025
概括
整合上下文和共同设计可以提高医院管理能力. 这种方法解决了员工和管理人员面临的挑战,提高了医疗保健机构的干预效率和可持续性.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 组织心理学 组织心理学
背景情况:
- 背景因素显著影响干预设计和实施成功.
- 了解背景和干预结果之间的相互作用需要混合方法的方法.
- 在医疗保健干预中有效地纳入上下文的过程仍未得到充分探索.
研究的目的:
- 描述和讨论医院管理能力建设的整合和共同设计方法的好处和学习.
- 探讨中国两个地区医院中层管理人员和临床工作人员面临的挑战.
- 评估联合设计对干预成功和可持续性的影响.
主要方法:
- 一项连续的混合方法研究,涉及中国两个地区医院的经理和临床医生.
- 焦点小组讨论 (FGD) 用于将验证的工具适应当地医院环境.
- 使用在线调查和使用管理能力评估过程 (MCAP) 工具进行自我评估.
主要成果:
- 中层管理人员和临床工作人员报告了广泛的困难,包括缺乏足够的支持,缺乏认可和患者信任度低.
- 调查数据显示,心理赋权,工作满意度和感知到的领导力有效性水平较低.
- 通过MCAP工具进行自我评估,发现在运营管理和领导管理人员变革方面存在重大能力差距.
结论:
- 综合性和共同设计的方法,涉及关键利益相关者,对于成功的干预设计和实施在医院至关重要.
- 解决上下文因素和员工识别的挑战对于最大限度地提高和维持项目影响至关重要.
- 共同设计有助于制定适合特定医院环境的相关改进策略.
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