Meyer P G, Tucker S L
Texas Tech University Health Sciences Center, Lubbock.
Hosp Health Serv Adm. 1992 Winter;37(4):465-76.
The culture values that have dominated the independent practice physician community in the United States include a set of "shared understandings" (individual autonomy, the fact that physicians relate best to other physicians, belief in science, and humanitarian ideals) that affect physician beliefs and values. Given that the current evolution of the health care system inevitably will draw physicians closer to corporate settings, corporate managers will benefit from gaining an explicit understanding of the origins and ramifications of these shared understandings. Managers can then establish organizational environments that effectively reduce the tensions between cultures of the physician and the organization. This article develops a framework of these "shared understandings" and proposes a range of managerial actions to reduce the tensions between the cultures.
在美国，主导独立执业医生群体的文化价值观包括一系列“共同认知”（个人自主性、医生与其他医生关系最为融洽这一事实、对科学的信仰以及人道主义理想），这些共同认知会影响医生的信念和价值观。鉴于当前医疗保健系统的演变不可避免地会使医生更接近企业环境，企业管理者若能明确了解这些共同认知的起源和影响，将从中受益。管理者随后可以建立有效的组织环境，以减少医生文化与组织文化之间的紧张关系。本文构建了这些“共同认知”的框架，并提出了一系列管理措施来缓解两种文化之间的紧张关系。
