Pointer D D, Ewell C M
Graduate School of Public Health, San Diego State University, CA 92182, USA.
Hosp Health Serv Adm. 1995 Fall;40(3):315-31.
Effectiveness is generally defined as "doing the right things." To be effective, boards of health systems and hospitals must have a clear, precise, and shared image of the type of work they should be doing to really govern their organizations. This article forwards a paradigm of board work--the five ultimate responsibilities and three core roles of governance. The paradigm is then employed to discuss the division of responsibilities and roles among boards and their standing committees, and superordinate and subordinate boards in tiered governance situations typical of many multifacility and integrated health care delivery systems.
有效性通常被定义为“做正确的事”。为了实现有效运作，卫生系统和医院的董事会必须对他们为真正管理组织而应开展的工作类型有清晰、准确且一致的认知。本文提出了一个董事会工作范式——治理的五项终极职责和三项核心角色。然后运用该范式来讨论董事会及其常务委员会之间，以及在许多多机构和综合医疗服务体系典型的分层治理情形中的上级和下级董事会之间的职责和角色划分。
