Thompson D
Department of Management, Hong Kong Polytechnic University.
Health Serv Manage Res. 1996 Aug;9(3):192-207. doi: 10.1177/095148489600900305.
This paper examines the progress made by public hospitals in Hong Kong in implementing a business planning approach. A review of available literature suggests two main exploratory themes. The first establishes the key features of business planning in the private sector. The second theme discusses the problems of adapting this approach to the distinctive requirements of the public sector. The literature also suggests three dimensions for evaluating planning: incremental-developmental; reactive-proactive; ends-means. Qualitative data were collected by scrutinizing relevant organizational documentation and by discussions with focus groups formed by participants in the planning process. The data were analyzed against eight key elements of a business plan identified from the literature and from panels of business experts. These elements were found to be present in the Hospital Authority's plans but were less evident in hospital level plans. Because of the unitary nature of hospital organization in Hong Kong, it has been difficult for hospitals to break out of a reactive, incremental and ends-based pattern to a more imaginative identification of the distinctive business and market that they may be in. This is, however, changing rapidly and it is clear that there is in place a robust and 'seamless' health care management process.
本文探讨了香港公立医院在实施商业规划方法方面取得的进展。对现有文献的回顾提出了两个主要的探索性主题。第一个主题确定了私营部门商业规划的关键特征。第二个主题讨论了将这种方法应用于公共部门独特需求时所面临的问题。文献还提出了评估规划的三个维度：渐进式发展；被动式-主动式；目标-手段。通过仔细审查相关组织文件以及与规划过程参与者组成的焦点小组进行讨论来收集定性数据。根据从文献和商业专家小组中确定的商业计划的八个关键要素对数据进行了分析。这些要素在医院管理局的计划中有所体现，但在医院层面的计划中不太明显。由于香港医院组织的单一性质，医院很难摆脱被动、渐进和基于目标的模式，转向更具想象力地识别它们可能所处的独特业务和市场。然而，这种情况正在迅速改变，显然已经建立了一个强大且“无缝”的医疗保健管理流程。
