Kaluzny A D, McLaughlin C P, Jaeger B J
School of Public Health, University of North Carolina, Chapel Hill.
Health Serv Manage Res. 1993 May;6(2):78-88. doi: 10.1177/095148489300600202.
TQM is a managerial innovation that is likely to have profound consequences on the delivery of health services. As an innovation, it is important that attention be given to the fundamental research issues associated with implementation and impact. Using a variance and process perspective, selected research issues are identified within organizations and among work units within these organizations. The variance perspective at both the organizational and work unit level considers the explanation of impact and adoption at a particular point in time. The process perspective considers the particular steps or events in the overall adoption process. The managerial implications for each perspective are discussed.
全面质量管理是一项管理创新，可能会对医疗服务的提供产生深远影响。作为一项创新，重视与实施和影响相关的基础研究问题很重要。从差异和过程的角度出发，在组织内部以及这些组织内的工作单位之间确定了选定的研究问题。组织和工作单位层面的差异视角考虑在特定时间点对影响和采用情况的解释。过程视角考虑整体采用过程中的具体步骤或事件。讨论了每个视角的管理意义。
