管理复杂度工具 (TOH-SOC) 的概念和实证项目层次结构
Magnus Lindberg1, Maria Lindberg1, Karin Lundin1
1Department of Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden.
Journal of healthcare leadership
|February 19, 2026
概括
太华医院护理临床实践和临床管理模型的控制范围决策指标工具 (TOH-SOC) 显示出衡量医疗管理复杂性的前景. 然而,为了在所有管理层进行全面和可靠的评估,需要进一步细化.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 组织行为 组织行为
背景情况:
- 医疗保健管理涉及复杂的,相互竞争的责任.
- 传统的指标往往无法捕捉到管理的复杂性.
- 太华医院护理临床实践和临床管理模型控制范围决策指标工具 (TOH-SOC) 为了解管理范围的控制提供了一个框架.
研究的目的:
- 为了验证TOH-SOC项目来衡量管理复杂性.
- 评估经验数据与该工具的层次框架的合适性.
主要方法:
- 使用从71名一线医疗保健经理先前收集的数据进行的方法研究.
- 应用拉什建模来评估项目功能,模型适合性和可靠性.
- 多序列相关性用于比较经验项目订单与概念期望.
主要成果:
- 在16个TOH-SOC项目中,有13个可靠地衡量了较低层次的管理复杂性.
- 三个项目表现出有问题的响应类别或与拉什模型假设不匹配.
- 一个项目的响应选项可以缩小,以改善功能.
结论:
- TOH-SOC工具在评估医疗保健中的管理复杂性方面是部分有效的.
- 进一步开发是必要的,以确保有效和可靠的测量在管理复杂性的整个频谱.
- 需要进行改进,以提高该工具对随时间变化的敏感性.
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