Allcorn S
Department of Medicine, University of Rochester, NY 14642.
Hosp Health Serv Adm. 1990 Winter;35(4):575-90.
Matrix organization can provide health care organization managers enhanced information processing, faster response times, and more flexibility to cope with greater organization complexity and rapidly changing operating environments. A review of the literature informed by work experience reveals that the use of matrix organization creates hard-to-manage ambiguity and balances of power in addition to providing positive benefits for health care organization managers. Solutions to matrix operating problems generally rely on the use of superior information and decision support systems and extensive staff training to develop attitudes and behavior consistent with the more collegial matrix organization culture. Further improvement in understanding the suitability of matrix organization for managing health care delivery organizations will involve appreciating the impact of partial implementation of matrix organization, temporary versus permanent uses of matrix organization, and the impact of the ambiguity created by dual lines of authority upon the exercise of power and authority.
矩阵式组织可以为医疗保健组织的管理者提供增强的信息处理能力、更快的响应速度，以及更大的灵活性，以应对更复杂的组织架构和迅速变化的运营环境。结合工作经验对相关文献进行回顾后发现，矩阵式组织的运用除了能为医疗保健组织的管理者带来积极效益外，还会产生难以管理的模糊性和权力平衡问题。解决矩阵式运营问题的方法通常依赖于使用先进的信息和决策支持系统，以及进行广泛的员工培训，以培养与更具协作性的矩阵式组织文化相一致的态度和行为。要进一步加深对矩阵式组织在管理医疗保健服务组织方面适用性的理解，需要认识到矩阵式组织部分实施的影响、矩阵式组织临时使用与永久使用的区别，以及双重权力线所产生的模糊性对权力行使的影响。
