McConnell C R
Myers Community Hospital, Sodus, NY, USA.
Health Care Superv. 1996 Sep;15(1):1-11.
As health care comes under mounting pressure to reduce costs, organizations are restructuring. Delivery systems are changing. As layoffs occur and changes are made in numbers and responsibilities of managers, supervisors find themselves in dramatically changing roles. Job security has become as illusory in health care as elsewhere. Morale among health workers is sagging, and motivational concerns are increasing. The supervisor has been put in the position of having to do more with less and to do it in the face of demoralized forces. The paradigms that were once operational are shifting, and the evolving role of the health care supervisor suggests that a completely new set of paradigms is taking over that suggests the supervisor's future security lies in the ability to learn new things and to shift and change with the environment.
随着医疗保健行业在降低成本方面面临越来越大的压力，各机构正在进行重组。医疗服务体系正在发生变化。随着裁员的出现以及管理人员数量和职责的变动，主管们发现自己的角色正在发生巨大变化。在医疗保健领域，工作保障和其他领域一样变得虚幻不实。医护人员的士气低落，激励方面的问题日益突出。主管们面临着这样的局面：要以更少的资源做更多的事情，而且是在士气低落的情况下。曾经适用的模式正在转变，医疗保健主管角色的不断演变表明，一套全新的模式正在取而代之，这意味着主管未来的保障在于学习新事物以及随环境变化而转变的能力。
