Mandell W J
Physician Exec. 1992 Sep-Oct;18(5):45-8.
There is a sense of frustration among physicians involved in the decision and policy making processes within health care institutions. Because the endpoint is reached at glacial speed, too much time, money, and opportunity is lost. The decision making process can be repetitious and tedious because of unnecessary steps. By eliminating certain tactics and strategies employed by upper-level management in many health care institutions, the decision making process becomes more effective. This article focuses on the medical staff's role in the decision making process; explains why tactics to involve the medical staff are ineffective and why eliminating the medical staff from certain aspects of the process does not jeopardize the institution; and concludes that the hospital board and its delegates should be autonomous in the decision making process.
参与医疗机构决策和政策制定过程的医生们感到沮丧。因为终点的达成速度极其缓慢，太多的时间、金钱和机会都被浪费了。由于存在不必要的步骤，决策过程可能会重复且冗长乏味。通过摒弃许多医疗机构高层管理人员采用的某些策略，决策过程会变得更有效率。本文着重探讨医务人员在决策过程中的作用；解释为何让医务人员参与的策略无效，以及为何将医务人员排除在该过程的某些方面不会危及机构；并得出结论，医院董事会及其代表在决策过程中应保持自主。
